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Báo cáo y học: " Prevention for those who have freedom of choice – or among the choice-disabled: confronting equity in"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Prevention for those who have freedom of choice – or among the choice-disabled: confronting equity in . | AIDS Research and Therapy BioMed Central Methodology Open Access Prevention for those who have freedom of choice - or among the choice-disabled confronting equity in the AIDS epidemic Neil Andersson Address Centro de Investigación de Enfermedades Tropicales Universidad Autónoma de Guerrero Apartado 2-25 Acapulco Mexico Email Neil Andersson - neil@ciet.org Corresponding author Published 25 September 2006 Received 22 August 2006 Airxc D__ . M Xi xz J_ .m I IOZ I7 ZAAC Accepted 25 September 2006 AIDS Research and Therapy 2006 3 23 doi 10.1186 1742-6405-3-23 This article is available from http www.aidsrestherapy.com content 3 1 23 2006 Andersson licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.Org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract 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. Background AIDS prevention in southern Africa serves those who can choose their HIV risks. Promoting abstinence 1 male or female condom use 2 3 microbicides 4 or reduced concurrency 5 6 all presume that beneficiaries will be choice-enabled. Male circumcision 7 quintessential for .