Prevention for those who have freedom of choice - Or among the choice-disabled: Confronting equity in the AIDS epidemic

被引:21
作者
Andersson N. [1 ]
机构
[1] Centro de Investigación de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco
关键词
Intimate Partner Violence; Sexual Abuse; Sexual Violence; Male Circumcision; Sexual Coercion;
D O I
10.1186/1742-6405-3-23
中图分类号
学科分类号
摘要
With the exception of post-exposure prophylaxis for reported rape, no preventive strategy addresses the choice disabled - those who might like to benefit from AIDS prevention but who are unable to do so because they do not have the power to make and to act on prevention decisions. In southern African countries, where one in every three has been forced to have sex by the age of 18 years, a very large proportion of the population is choice disabled. This group is at higher risk of HIV infection and unable to respond to AIDS prevention programmes; they represent a reservoir of infection. Reduction of sexual violence would probably decrease HIV transmission directly, but also indirectly as more people can respond to existing AIDS prevention programmes. © 2006 Andersson; licensee BioMed Central Ltd.
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共 17 条
[1]  
Robin L., Dittus P., Whitaker D., Crosby R., Ethier K., Mezoff J., Miller K., Pappas-Deluca K., Behavioral interventions to reduce incidence of HIV STI and Pregnancy: A decade in Review, Journal of Adolescent Health, 34, 1, pp. 3-26, (2004)
[2]  
Mullen P.D., Ramirez G., Strouse D., Hedges L.V., Sogolow E., Meta-analysis of the effects of behavioral HIV prevention interventions on the sexual risk behavior of sexually experienced adolescents in controlled studies in the United States, J Acquir Immune Defic Syndr, 30, SUPPL. 1, (2002)
[3]  
Johnson B., Michael C., Marsh K., Levin K., Scott-Sheldon L., Interventions to Reduce Sexual Risk for the Human Immunodeficiency Virus in Adolescents, 1985-2000, Arch Pediatri Adolesc Med, 157, pp. 381-388, (2003)
[4]  
(2006)
[5]  
Herbst J.H., Sherba R.T., Crepaz N., DeLuca J.B., Zohrabyan L., Stall R.D., Lyles C.M., HIV/AIDS Prevention Research Synthesis Team: A Meta-Analytic Review of HIV Behavioral Interventions for Reducing Sexual Risk Behavior of Men Who Have Sex with Men, Journal of Acquired Immune Deficiency Syndrome, 39, pp. 228-241, (2005)
[6]  
Agha S., Van Rossem R., Impact of a school-based peer sexual health intervention on normative beliefs, risk perceptions, and sexual behavior of Zambian adolescents, Journal of Adolescent Health, 34, 5, pp. 441-452, (2004)
[7]  
Auvert B., Taljaard D., Lagarde E., Sobngwi-Tambekou J., Sitta R., Et al., Randomized controlled intervention trial of male circumcision for reduction of HIV infection risk: The ANRS 1265 trial, PLoS Med, 2, 11, (2005)
[8]  
Andersson N., Ho-Foster A., Matthis J., Marokoane N., Mashiane V., Mhatre S., Et al., National cross sectional study of views on sexual violence and risk of HIV infection and AIDS among South African school pupils, BMJ, 329, pp. 952-954, (2004)
[9]  
Garcia-Moreno C., Watts C.H., Violence against women: Its importance for HIV/AIDS prevention, AIDS, 14, SUPPL. 3, (2000)
[10]  
Dunkle K.L., Jewkes R.K., Brown H.C., Gray G.F., McIntryre J.A., Harlow S.D., Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa, Lancet, 363, pp. 1415-1421, (2004)