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Science:艾滋病感染在中国年轻男同性恋中快速上升

2017-03-31 Leo.C MedSci原创

艾滋病感染在中国年轻男同性恋中快速上升

艾滋病在中国年轻男同性恋中的快速上升引起了中国公共卫生机构以及相关官员的警惕。在今年二月,中国国务院批准了一项长达5年的针对艾滋病的计划,计划包括提高社会大众对艾滋病的认识,推广预防手段,以及加大研究和医疗的投入。在上周,各省的相关官员齐聚贵阳,探讨如何采取措施减缓艾滋病的传播。根据Science 原文作者观察,此次大会将减缓艾滋病传播的困难归咎于中国长期对于男同性恋认同感的不足,以及在相关教育和检测方面的缺乏。

根据国家艾滋病和性产染病控制中心主任吴尊友说,最新的一次对于全国艾滋病流行性的普查结果使当局在各个层面上的“非常触动”。根据中国国家疾控中心估计,中国虽然感染艾滋病的人口不到1百万,但是这一数字正在不断的上升。而且感染的途径也发生了巨大的转换。在早期,使用药物不当和污染的血制品的使用是感染艾滋病的主要途径。然而在十几年前,性传播成为了主要的传播途径。目前而言,男男同性恋之间性接触传染艾滋病正快速上升,超过了其他的人口群体。

就去年12月份截至,中国疾控中心报导的96,000起新发现的艾滋病病例,28%是通过男男同性恋之间性接触传染,而这一数据在2006年仅为2.5%。在美国和欧洲,男同性恋和双性恋是受艾滋病感染的主要人群,这一趋势对于中国来说则是最新发生的。在另一项令人担心的数据显示,在2015年,15%的新感染人的年纪在60岁以上(暗示大部分新感染人群为年轻人)。

公共卫生专家坦白他们对于艾滋病在年轻人群体中传播的推动力了解甚少。国家卫生和计划生育委员会和中国医科大学的研究者在2016年九月在期刊杂志 Infectious Diseases of Poverty上写道“艾滋病的上升可能是因为一些未知的危险的性行为所引起的。(译者译)”

中国控制艾滋病传播的努力也受困于大众对于其追溯到上世纪90年代中以来的不信任,在那时不当使用受污染的血液制品导致了数千名艾滋病感染案例。而这段不光彩的历史,由于最近的一起对于浙江省杭州中医药大学的曝光,而重新浮出水面。知情人士爆料,由于重复使用艾滋病人用过的医疗器具致使5名病人感染艾滋病。相关责任人和事情的原因正在进行调查。

中国对于正在发生的艾滋病危机积极措施。在新世纪后,国家开始为所有的艾滋病病人免费提供抗病毒药物。根据香港大学艾滋病研究所陈志伟教授,“这项措施是十分有利的,发现疾病,给予治疗,就会看到”效果(译者译)”。他继续补充道,现在中国必须对于那些受到艾滋病危险的人推广早期测试,因为半数的艾滋病人可能都不知道他们感染了艾滋病。政府和相关民间非盈利组织正想方设法的接触年轻人。手机交友软件在20岁左右的年轻人中十分流行,尤其是男同性恋。所以中国疾控中心正在开发艾滋病的教育手机软件。吴尊友说,中国也正在增强艾滋病自我检测试剂盒和预防措施的投放力度,这些在现在的规模是十分罕见的。

接触受到艾滋病危险的男同性恋的一项重大的障碍是羞耻感。即使是在当下社会,对于同性恋的社会包容感有一定的上升,但是在年轻人中,很多的男性同性恋还是将他们的性取向作为个人秘密。而艾滋病感染的男同性恋就带有双重的耻辱“同性恋+艾滋病”,从而遭到社会的排挤。这就是当下中国同性恋,双性恋,变性者的社会地位,根据2015年在华盛顿编写的世界人权调查。

中国还需要克服其不愿意全面公开艾滋病调查的各方面阻力。即使中国公开了感染的数据,但是还需要公开传染的途径,以及城市和乡村的传染数据。社会大众有权知道,增加这些调查的透明度也有利于促进社会对于艾滋病问题的认知。

原始出处:
Kathleen McLaughlin. HIV infections are spiking among young gay Chinese. Science. 31 Mar 2017:Vol. 355, Issue 6332, pp. 1359DOI: 10.1126/science.355.6332.1359

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    2017-04-06 lemon985

    自生自灭,违背自然规律,大自然惩罚

    0

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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/25/ba882cb566d3be250a05e2a69b80f2c9.jpg, createdBy=32881678798, createdName=小M医师, createdTime=Sat Apr 01 14:15:48 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184184, encodeId=78d2184184a0, content=严格按照要求控制, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Apr 01 06:56:20 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184046, encodeId=7a8e18404689, content=看到那么年轻的生命,感染HIV,好心痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170110/IMG587462ED91F877489.jpg, createdBy=cf801984270, createdName=多福爱, createdTime=Fri Mar 31 15:31:55 CST 2017, time=2017-03-31, status=1, ipAttribution=)]
    2017-04-03 天涯183

    非常好的文章,学习了

    0

  4. 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  5. 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    2017-04-02 jichang
  6. 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  7. [GetPortalCommentsPageByObjectIdResponse(id=1811068, encodeId=31241811068ea, content=<a href='/topic/show?id=bf6b8680136' target=_blank style='color:#2F92EE;'>#艾滋病感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86801, encryptionId=bf6b8680136, topicName=艾滋病感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5319428, createdName=jjjiang0199, createdTime=Sat Apr 08 15:19:00 CST 2017, time=2017-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185422, encodeId=1fea18542292, content=自生自灭,违背自然规律,大自然惩罚, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ca432042642, createdName=lemon985, createdTime=Thu Apr 06 00:20:04 CST 2017, time=2017-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184944, encodeId=97541849446c, content=非常好的文章,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7LIiaRZTzJ3SEfiauCzTMPW7YvPPYLNJBXG9oh6Al1icq2VQQkIHWxqXehcicTS62YKJVBhxeth3wggw/0, createdBy=7ce01621306, createdName=天涯183, createdTime=Mon Apr 03 23:22:59 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1350130, encodeId=a5a71350130b1, content=<a href='/topic/show?id=81ea3894939' target=_blank style='color:#2F92EE;'>#同性恋#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=38949, encryptionId=81ea3894939, topicName=同性恋)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sun Apr 02 05:19:00 CST 2017, time=2017-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1375530, encodeId=398c13e553023, content=<a href='/topic/show?id=2949159989d' target=_blank style='color:#2F92EE;'>#SCIE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15998, encryptionId=2949159989d, topicName=SCIE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=17a3387, createdName=jichang, createdTime=Sun Apr 02 05:19:00 CST 2017, time=2017-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1434774, encodeId=c4fc1434e746f, content=<a href='/topic/show?id=ac73e019993' target=_blank style='color:#2F92EE;'>#男同性恋#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70199, encryptionId=ac73e019993, topicName=男同性恋)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sun Apr 02 05:19:00 CST 2017, time=2017-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184325, encodeId=8ad51843258c, content=哈哈, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/25/ba882cb566d3be250a05e2a69b80f2c9.jpg, createdBy=32881678798, createdName=小M医师, createdTime=Sat Apr 01 14:27:50 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184324, encodeId=20d6184324d1, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/25/ba882cb566d3be250a05e2a69b80f2c9.jpg, createdBy=32881678798, createdName=小M医师, createdTime=Sat Apr 01 14:15:48 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184184, encodeId=78d2184184a0, content=严格按照要求控制, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Apr 01 06:56:20 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184046, encodeId=7a8e18404689, content=看到那么年轻的生命,感染HIV,好心痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170110/IMG587462ED91F877489.jpg, createdBy=cf801984270, createdName=多福爱, createdTime=Fri Mar 31 15:31:55 CST 2017, time=2017-03-31, status=1, ipAttribution=)]
    2017-04-01 小M医师

    哈哈

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1811068, encodeId=31241811068ea, content=<a href='/topic/show?id=bf6b8680136' target=_blank style='color:#2F92EE;'>#艾滋病感染#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=86801, encryptionId=bf6b8680136, topicName=艾滋病感染)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5319428, createdName=jjjiang0199, createdTime=Sat Apr 08 15:19:00 CST 2017, time=2017-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=185422, encodeId=1fea18542292, content=自生自灭,违背自然规律,大自然惩罚, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ca432042642, createdName=lemon985, createdTime=Thu Apr 06 00:20:04 CST 2017, time=2017-04-06, status=1, ipAttribution=), 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createdTime=Sun Apr 02 05:19:00 CST 2017, time=2017-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1375530, encodeId=398c13e553023, content=<a href='/topic/show?id=2949159989d' target=_blank style='color:#2F92EE;'>#SCIE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=15998, encryptionId=2949159989d, topicName=SCIE)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=17a3387, createdName=jichang, createdTime=Sun Apr 02 05:19:00 CST 2017, time=2017-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1434774, encodeId=c4fc1434e746f, content=<a href='/topic/show?id=ac73e019993' target=_blank style='color:#2F92EE;'>#男同性恋#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=70199, encryptionId=ac73e019993, topicName=男同性恋)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sun Apr 02 05:19:00 CST 2017, time=2017-04-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184325, encodeId=8ad51843258c, content=哈哈, beContent=null, objectType=article, channel=null, level=null, likeNumber=72, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/25/ba882cb566d3be250a05e2a69b80f2c9.jpg, createdBy=32881678798, createdName=小M医师, createdTime=Sat Apr 01 14:27:50 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184324, encodeId=20d6184324d1, content=非常好, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/25/ba882cb566d3be250a05e2a69b80f2c9.jpg, createdBy=32881678798, createdName=小M医师, createdTime=Sat Apr 01 14:15:48 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184184, encodeId=78d2184184a0, content=严格按照要求控制, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Apr 01 06:56:20 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184046, encodeId=7a8e18404689, content=看到那么年轻的生命,感染HIV,好心痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170110/IMG587462ED91F877489.jpg, createdBy=cf801984270, createdName=多福爱, createdTime=Fri Mar 31 15:31:55 CST 2017, time=2017-03-31, status=1, ipAttribution=)]
    2017-04-01 小M医师

    非常好

    0

  9. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/25/ba882cb566d3be250a05e2a69b80f2c9.jpg, createdBy=32881678798, createdName=小M医师, createdTime=Sat Apr 01 14:15:48 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184184, encodeId=78d2184184a0, content=严格按照要求控制, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sat Apr 01 06:56:20 CST 2017, time=2017-04-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184046, encodeId=7a8e18404689, content=看到那么年轻的生命,感染HIV,好心痛, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20170110/IMG587462ED91F877489.jpg, createdBy=cf801984270, createdName=多福爱, createdTime=Fri Mar 31 15:31:55 CST 2017, time=2017-03-31, status=1, ipAttribution=)]
    2017-04-01 深海的鱼

    严格按照要求控制

    0

  10. 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    2017-03-31 多福爱

    看到那么年轻的生命,感染HIV,好心痛

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