论我国艾滋病防治工作中的政府职能

艾滋病是世界性的重大公共卫生问题和社会问题.近年来,我国艾滋病的流行呈现快速上升趋势,流行范围广,局部地区疫情相当严重,疫情正在从高危人群向一般人群传播.政府的组织领导是做好我国艾滋病防治工作的根本保证,各级政府要强化政府的公共卫生职责,发挥政府的主导作用,动员足够的防治资源和力量,引导社会各方面力量的广泛参与,打一场防治艾滋病的"人民战争",我们一定能够控制艾滋病的流行.     

基层艾滋病防治常态化的国际经验对我国的启示

目前我国艾滋病疫情形势依然严峻,艾滋病防治工作难度日益增大,面临着前所未有的挑战。除艾滋病本身的性质外,受艾滋病影响人群日益"特殊化"问题也日渐显露,成为制约我国艾滋病防治可持续发展的瓶颈。将艾滋病防治工作融入现行社会体制,是保障艾滋病防治工作可持续发展的关键,据此提出艾滋病防治工作的"常态化"概念以及基层艾滋病防治工作的常态化运行和管理机制。阐述了基层艾滋病防治工作常态化的意义,通过对国外基层艾滋病防治工作常态化成功经验的探讨,为完善我国基层艾滋病防治工作常态化体系提供借鉴。     

流行病学实践与研究相关的伦理学视角与思考

随着社会的发展,公共卫生领域的伦理学问题不断显露,有必要对其重新审视。探讨了目前在公共卫生领域流行病学实践与研究中存在和涉及到的一些伦理问题,有传染病报告、隔离、免疫规划、艾滋病防治、传染病应急机制、流行病学调查和试验研究等,并就公共卫生领域中的伦理实践原则进行了概括。     

领导干部防艾意识的调研报告

1998年中国政府在《中国预防控制艾滋病中长期规划》中将艾滋病防治的总目标确定为 :“建立政府领导、多部门合作和全社会参与的艾滋病性病预防和控制体系 ,在全社会普及艾滋病、性病防治知识 ,控制艾滋病的流行与传播”。在保障这一目标实现的诸因素中 ,最重要的是政府领导。如果政府的主要领导干部像《规划》中所预设的 :将“减轻艾滋病给人民健康及国民经济和社会发展带来的危害”作为自己的工作要务之一 ,多部门合作、全社会参与的有效控制艾滋病流行传播的机制就能形成。党和政府的主要领导干部对防治艾滋病及相关问题怎样看 ?2 0 0 1-…     

艾滋病防治中几个问题

HIV感染/艾滋病是一类新发的传染病,呈现全球大流行趋势,我国艾滋病流行经历了3个阶段,目前正处于HIV感染高速发展期,在地域范围、人群特点、传播途径等方面有了新变化,亟需从全社会各个层面上积极协作,有效地遏制疫情的蔓延。     

艾滋病防治中几个问题

HIV感染/艾滋病是一类新发的传染病,呈现全球大流行趋势,我国艾滋病流行经历了3个阶段,目前正处于HIV感染高速发展期,在地域范围、人群特点、传播途径等方面有了新变化,亟需从全社会各个层面上积极协作,有效地遏制疫情的蔓延.     

人权视野下的艾滋病问题研究

艾滋病是一种传播性疾病 ,但从传播途径上看艾滋病不同于偶然间 (casually)传播性疾病 ,适用于偶然间传播疾病的公共卫生策略和规范不应不恰当地应用于艾滋病的防治。艾滋病是一种“行为病” ,艾滋病防治应更多地关注“高危行为” ,而非“高危人群” ,对HIV感染者和病人的支持和干预应注重其行为改变。艾滋病存在“窗口期 (window period)” ,对艾滋病检测结果的评估必须考虑“窗口期”。艾滋病的平均潜伏期较长 ,HIV感染者仍可能长时间地成为社会的生产力。在现阶段 ,HIV感染者和艾滋病病人会面临巨大的心理、社会压力 ,对HIV感染者和…     

结核病防治中的人文关怀

结核病的防治不仅仅是公共卫生问题,更是一个社会问题。尽管在现阶段结核病防治中已体现了人文关怀的精神,在今后结核病防治中还需要进一步做到重视社会宣传教育,加强家庭督导作用,强化对流动人口中DOTS策略的实施,力争医疗保险参与防治减轻患者经济负担,研制新疫苗等,从而降低我国疫情,促进构建和谐社会。     

山西省艾滋病防治政策分析

阐述了艾滋病在山西省流行的现状,探讨了艾滋病引发的社会问题,分析了艾滋病防治条例、四免一关怀政策以及艾滋病自愿咨询与检测制度的执行情况以及在执行过程中所存在的主要问题,研究了山西省艾滋病防治工作相关基金的来源和使用情况,针对山西省在艾滋病防治工作中存在的问题,提出了艾滋病防治工作与社区工作相结合的建议。     

山西省艾滋病防治政策分析

阐述了艾滋病在山西省流行的现状,探讨了艾滋病引发的社会问题,分析了艾滋病防治条例、四免一关怀政策以及艾滋病自愿咨询与检测制度的执行情况以及在执行过程中所存在的主要问题,研究了山西省艾滋病防治工作相关基金的来源和使用情况,针对山西省在艾滋病防治工作中存在的问题,提出了艾滋病防治工作与社区工作相结合的建议.     

CONSIDERATIONS FOR PREVENTION OF HIV INFECTION AMONG HISPANIC WOMEN

Data on the characteristics of individuals diagnosed with AIDS show that Hispanic women, men, and children are overrepresented. In order to effectively reduce the risk of HIV infection in Hispanic communities, prevention programs must take into account characteristics of Hispanic populations that differentiate them from the general population and that reflect the social and economic contexts that shape the realities of Hispanic women's lives.
This article presents an analysis of the AIDS epidemic, taking into consideration the major factors that will need to be addressed in designing programs to prevent HIV infection in Hispanic communities. First, characteristics of the AIDS epidemic among Hispanics are discussed. Second, demographic and psychological characteristics of Hispanic women and their relevance to AIDS prevention efforts are presented. Third, recommendations for research and prevention programs are made. While the specific topic of concern here is AIDS risk reduction, the approach illustrates the types of questions and factors that need to be considered in developing prevention approaches for any health problem in any ethnic and racial minority communities.     

Does Hiv or Poverty Cause Aids? Biomedical and Epidemiological Perspectives

This paper contrasts biomedical and epidemiological approaches to the diagnosis and treatment of disease, and uses Collingwood's "principle of the relativity of causes" to show how different approaches focus on different causal factors reflecting different interests. By distinguishing between the etiology of a disease and an epidemic, the paper argues that, from an epidemiological perspective, poverty is an important causal factor in the African AIDS epidemic and that emphasizing this should not be considered incompatible with recognizing the causal necessity of HIV for the AIDS disease.     

Opinion on AIDS prevention and education among rural secondary school pupils in the northern province of South Africa

The study investigated perceptions of AIDS prevention and education among 308 Grade 11 pupils (132 boys and 176 girls), secondary school pupils (mainly Northern Sotho and Tsonga) in the Northern Province of South Africa. They were chosen randomly from three rural schools in Mankweng district and were ages 17 to 25 years (M age = 19.1 yr., SD = 2.8). Analysis of ratings given on items of a questionnaire on AIDS prevention and education indicated that 'Isolating people who are HIV positive' and 'How to protect yourself from getting HIV/AIDS' received the highest ratings. Factor analysis extracted three factors on AIDS education explaining 48% of the variance. The items loading strongly on the first factor were use of condoms (.54), giving information (.53), finding a cure (.52), and no sex outside marriage (.42). On AIDS education two factors were extracted accounting for 52% of the variance. The first factor had significant item loadings for 'sexual behaviour and HIV/AIDS' (.75), 'knowledge of self-protection' (.68), 'how AIDS/HIV affects the body' (.66), and 'alcohol and sexual behaviour'. These findings should contribute to the development of health promotion initiatives directed at AIDS/HIV.     

Social and Cultural Sensitivity in Group-Specific HIV and AIDS Programming

In this article the authors encourage counselors and other human development professionals to provide HIV (human immunodeficiency virus) and AIDS (Acquired Immune Deficiency Syndrome) prevention programming that is sensitive to the social and cultural contexts of the specific group(s) addressed. The focus is on four groups that have been both the target for societal oppression and dramatically affected by the HIV and AIDS epidemic: women, gay and bisexual men, African Americans, and Latinos. First, information is provided to help professionals become more aware of the social and cultural contexts of behavior related to HIV and AIDS prevention in the four groups named. Second, four recommendations are made to assist professionals to sensitively apply that awareness to the planning and implementing of HIV and AIDS prevention programming. Four exemplar programs illustrate the implementation of these recommendations.     

代谢综合征致病的诊疗思考

如果将心血管疾病喻为冰山一角,潜在水中的冰山是危险因素的话,那么代谢综合征(MetS)就是深藏于水中冰山的最底层,这一形象的比喻是人类长期与疾病作斗争中运用科学思维的总结。目前,MetS已被公认是心血管疾病的危险因素,是与糖尿病和心血管疾病密切相关的一种疾病,其发病率居心血管疾病危险因素之首。     

Saints and Sinners: Training Papua New Guinean (PNG) Christian Clergy to Respond to HIV and AIDS Using a Model of Care

Papua New Guinea has experienced a growing HIV/AIDS epidemic. The Christian Churches have played a vital role in responding to HIV, through community support, encouragement and social change. Strong, effective Church leadership can help create safe environments of care and support for those infected and for prevention of HIV. Method A series of trainings in capacity development for clergy were undertaken by the National AIDS Council Secretariat (NACS)/National HIV/AIDS Support Project (NHASP). Results A model “Church’s Response to HIV and AIDS in a Care Continuum” was developed to assist the training. This paper discusses the model and the lessons learned.

The psychological impact of AIDS on gay men

The profound psychological impact of the acquired immunodeficiency syndrome (AIDS) epidemic on gay men needs to receive greater attention from mental health professionals. The specific treatment approach depends upon the individual's location on the AIDS-related conditions continuum. For men already diagnosed with AIDS, psychological themes include fears of death and dying, guilt, concerns about exposure of a homosexual life-style, fear of contagion, loss of self-esteem, decreased social support and increased dependency needs, stigmatization, loss of occupational and financial security, confusion over medical treatment options, and severe depression. The integration of a mental health service into AIDS special care hospital wards and participation in support groups are particularly useful for men with AIDS. Anxiety is the major clinical symptom among those who have not developed full-blown AIDS, but show signs of immune suppression. Issues for men in this "gray zone" include isolation, poor social and occupational functioning due to fatigue, shame, and frustration of achievement needs. Stress- reduction techniques are especially important with this population, to eliminate further compromise to the immune system or even to strengthen it. Many asymptomatic gay men ("the worried well") are manifesting acute psychological symptoms such as panic, generalized anxiety, obsessional thinking about AIDS, and somatization. Training in the negotiation of safe-sex agreements can reduce some of this anxiety. In general, the AIDS epidemic has introduced an existential component to psychotherapy with gay men, with a concern over issues such as the meaning of life and death.     

Culture and Gender Sensitive AIDS Prevention With Mexican Migrant Laborers: A Primer for Counselors

The purpose of this article is to explicate research-informed culture and gender sensitive AIDS prevention strategies aimed at Mexican migrant laborers living and working in the United States for extended time. This unique and extremely marginalized Latino population is yet another emerging high risk group for contracting the HIV virus. Counselors interested in applying their knowledge of psychology and minority groups to preventing such an AIDS epidemic will be challenged by the complex factors that frame this problem.     

HIV/AIDS Prevention, Faith, and Spirituality among Black/African American and Latino Communities in the United States: Strengthening Scientific Faith-Based Efforts to Shift the Course of the Epidemic and Reduce HIV-Related Health Disparities

Black/African American and Latino communities are disproportionately affected by the domestic HIV/AIDS epidemic. Blacks/African Americans and Latinos are also more likely to report a formal, religious, or faith affiliation when compared with non-Hispanic whites. As such, faith leaders and their institutions have been identified in the National HIV/AIDS Strategy as having a vital role to serve in reducing: (1) HIV-related health disparities and (2) the number of new HIV infections by promoting non-judgmental support for persons living with and at risk for HIV/AIDS and by serving as trusted information resources for their congregants and communities. We describe faith doctrines and faith–science partnerships that are increasing in support of faith-based HIV prevention and service delivery activities and discuss the vital role of these faith-based efforts in highly affected black/African American and Latino communities.