尼日利亚艾滋病毒感染的决定因素:文献综合

O. Awoleye, Chris Thron
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引用次数: 15

摘要

背景:尼日利亚估计有350万艾滋病毒阳性个体,排名世界第三。本研究分析了艾滋病毒感染的决定因素,以改善尼日利亚和发展中国家的艾滋病毒规划。方法:使用的方法是对已审查期刊的灰色和电子数据库进行文献回顾,并应用Dahlgren和Whitehead(1991)健康决定因素模型。共45份出版物(审查了21份报告和24篇文章)。结果:在从事性关系的个人中,如男男性行为(MSM)和女性性工作(FSW),新的感染正在以越来越高的速度出现。对艾滋病毒控制的政治承诺水平极低:目前,尼日利亚政府为尼日利亚的艾滋病毒控制工作提供的资金不到10%,其余资金来自外国来源和私营部门。政治、工作环境、性别、保健服务和生活方式决定因素占主导地位。结论:尼日利亚的艾滋病毒控制在财政上过度依赖外国干预。需要采取政治行动来解决性取向问题。最危险人群需要教育、法律要求和保健服务,以尽量减少新感染。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Determinants of HIV Infection in Nigeria: A Synthesis of the Literature
Background: Nigeria has an estimated 3.5 million HIV positive individuals, ranking third worldwide. This study analyzed the determinants of HIV infection to improve HIV programming in Nigeria and developing countries. Methodology: The methodology used was a literature review of grey and electronic databases of reviewed journals, and application of Dahlgren and Whitehead (1991) determinants of health model. A total of 45 publications (21 reports and 24 articles were reviewed).Results: New infections are emerging at increasing rates among individuals engaging in sexual relationships such as men having sex with men (MSM) and female sex work (FSW). The level of political commitment to HIV control is extremely low: currently, the government of Nigeria provides less than 10 percent of the funding for HIV control efforts in Nigeria, the rest coming from foreign sources and private sectors. Political, work environment, gender, healthcare service and lifestyle determinants are predominant over others.Conclusion: HIV control in Nigeria is financially over-dependent on foreign interventions. Political actions are required to address sexual orientations. Most-at-risk populations require education, legal requirements, and healthcare services in order to minimize new infection.
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