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HIV-Related Stigma Reduction in the Era of Undetectable Equals Untransmittable: The South Korean Perspective

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초록

Since the introduction of effective antiretroviral therapy (ART) in the late 1990s, the prognosis for people living with human immunodeficiency virus (HIV) (PLWH) has dramatically improved. High-income countries like South Korea have had rapid declines in HIV-related deaths. Scientific advancements including pre-exposure prophylaxis (PrEP) and “undetectable equals untransmittable (U = U)” knowledge have contributed progress towards the goal of ending the acquired immune deficiency syndrome epidemic by 2030. However, the application of these advancements has been limited in South Korea. Evidence shows that HIV-related stigma and discrimination in healthcare settings remain strong in this region. We review key principles for stigma reduction and people-centered approaches in the era of U = U and identify three priorities: 1) immediate intervention in HIV stigma drivers in healthcare settings; 2) social stigma reduction on multiple levels; and 3) collaboration with key populations.

Abstract

Since the introduction of effective antiretroviral therapy (ART) in the late 1990s, the prognosis for people living with human immunodeficiency virus (HIV) (PLWH) has dramatically improved. High-income countries like South Korea have had rapid declines in HIV-related deaths. Scientific advancements including pre-exposure prophylaxis (PrEP) and “undetectable equals untransmittable (U = U)” knowledge have contributed progress towards the goal of ending the acquired immune deficiency syndrome epidemic by 2030. However, the application of these advancements has been limited in South Korea. Evidence shows that HIV-related stigma and discrimination in healthcare settings remain strong in this region. We review key principles for stigma reduction and people-centered approaches in the era of U = U and identify three priorities: 1) immediate intervention in HIV stigma drivers in healthcare settings; 2) social stigma reduction on multiple levels; and 3) collaboration with key populations.

참고문헌 (62)

  1. UNAIDS, "90-90-90 An ambitious treatment target to help end the AIDS epidemic", UNAIDS, ~ (2014)
  2. "Policy recommendation for protecting the rights of people living with HIV and AIDS patients to receive treatment" (2017)[URL]
  3. "Guidance for Facilities Caring for People Living with HIV" (2020)[URL]
  4. Annual report on the notified HIV, "AIDS in Korea", Korean Disease Control and Prevention Agency, 2021
  5. 2020 Annual report of Korean hospital-based HIV counselling project, "Choi JP", Korea Centers for Disease Control and Prevention, ~ (2021)
  6. Althoff KN, "HIV and ageing : improving quantity and quality of life", Curr Opin HIV AIDS, 11, pp.527~536 (2016)
  7. De Francesco D, "Do people living with HIV experience greater age advancement than their HIV-negative counterparts?", AIDS, 33, pp.259~268 (2019)
  8. Deeks SG, "The end of AIDS : HIV infection as a chronic disease", Lancet, 382, pp.1525~1533 (2013)
  9. Guaraldi G, "Aging with HIV", Curr HIV, 2019, pp.16, 475~481
  10. "Risk of sexual transmission of HIV from a person living with HIV who has an undetectable viral load. Messaging primer & Consensus statement" (2016)[URL]
  11. "Guidelines for the use of antiretroviral agents in adults and adolescents with HIV"[URL]
  12. "Consolidated guidelines on HIV testing services for a changing epidemic" (2019)[URL]
  13. Cohen MS, "Antiretroviral therapy for the prevention of HIV-1transmission", N Engl J Med, 375, pp.830~839 (2016)
  14. Cohen MS, "Prevention of HIV transmission and the HPTN 052 study", Annu Rev Med, 71, pp.347~360 (2020)
  15. Rodger AJ, "Sexual activity without condoms and risk of HIV transmission in serodifferent couples when the HIVpositive partner Is using suppressive antiretroviral therapy", JAMA, 316, pp.171~181 (2016)
  16. Bavinton BR, "Viral suppression and HIV transmission in serodiscordant male couples : an international, prospective, observational, cohort study", Lancet HIV, 5, pp.e438~e447 (2018)
  17. Rodger AJ, "Risk of HIV transmission through condomless sex in serodifferent gay couples with the HIV-positive partner taking suppressive antiretroviral therapy(PARTNER) : final results of a multicentre, prospective, observational study", Lancet, 393, pp.2428~2438 (2019)
  18. Lambert-Niclot S, "Detection of HIV-1 RNA in seminal plasma samples from treated patients with undetectable HIV-1 RNA in blood plasma on a 2002-2011 survey", AIDS, 26, pp.971~975 (2012)
  19. Mujugira A, "Seminal HIV-1 RNA detection in heterosexual African men initiating antiretroviral therapy", J Infect Dis, 214, pp.212~215 (2016)
  20. King CC, "Prevalence, magnitude, and correlates of HIV-1 genital shedding in women on antiretroviral therapy", J Infect Dis, 216, pp.1534~1540 (2017)
  21. Nelson JAE, "Female genital tract shedding of HIV-1 is rare in women with suppressed HIV-1 in plasma", AIDS, 34, pp.39~46 (2020)
  22. Min S, "Evaluating HIV viral rebound among persons on suppressive antiretroviral treatment in the era of "Undetectable equals untransmittable (U=U)"", Open Forum Infect Dis, 7, pp.ofaa529~ (2020)
  23. Eisinger RW, "HIV viral load and transmissibility of HIV infection : Undetectable equals untransmittable", JAMA, 321, pp.451~452 (2019)
  24. Calabrese SK, "Prioritising pleasure and correcting misinformation in the era of U=U", Lancet HIV, 8, pp.e175~e180 (2021)
  25. Beauchamp TL, "Principles of biomedical ethics" (2009), Oxford University Press
  26. Okoli C, "Undetectable equals untransmittable(U = U) : awareness and associations with health outcomes among people living with HIV in 25 countries", Sex Transm Infect, 97, pp.18~26 (2021)
  27. Gupta N, "Implementing U=U in clinical practice : results of a British HIV association members survey", Sex Transm Infect, 97, pp.619~620 (2021)
  28. "BHIVA encourages universal promotion of Undetectable=Untransmittable (U=U)" (2018)[URL]
  29. Andersson GZ, "Stigma reduction interventions in people living with HIV to improve health-related quality of life", Lancet HIV, 7, pp.e129~e140 (2020)
  30. Safreed-Harmon K, "Reorienting health systems to care for people with HIV beyond viral suppression", Lancet HIV, 6, pp.e869~e877 (2019)
  31. 최재필, "HIV 감염인을 위한 완화의료와 호스피스", Journal of Hospice and Palliative Care, 20(3), pp.159~166 (2017), 한국호스피스완화의료학회[DOI]
  32. Althoff KN, "Late presentation for human immunodeficiency virus care in the United States and Canada", Clin Infect Dis, 50, pp.1512~1520 (2010)
  33. Late Presentation Working Groups in EuroSIDA and COHERE, "Estimating the burden of HIV late presentation and its attributable morbidity and mortality across Europe 2010-2016", BMC Infect Dis, 20, pp.728~ (2020)
  34. Waters L, "Late HIV presentation : epidemiology, clinical implications and management", Expert Rev Anti Infect Ther, 9, pp.877~889 (2011)
  35. Gesesew HA, "Significant association between perceived HIV related stigma and late presentation for HIV", AIDS care in low and middle-income countries : A systematic review and meta-analysis, 2017, pp.12, e0173928~
  36. 서보경, "한국의 HIV 낙인과 장기 요양 위기", 비판사회정책, (67), pp.71~111 (2020), 비판과 대안을 위한 사회복지학회[DOI]
  37. 서보경, "가운뎃점으로 삶과 죽음이 뭉쳐질 때 HIV 감염의 만성질환화와 삶·죽음의 퀴어성", 경제와 사회, (129), pp.218~257 (2021), 비판사회학회[DOI]
  38. Guaraldi G, "Premature age-related comorbidities among HIV-infected persons compared with the general population", Clin Infect Dis, 53, pp.1120~1126 (2011)
  39. Maciel RA, "Comorbidity is more common and occurs earlier in persons living with HIV than in HIV-uninfected matched controls, aged 50 years and older : A cross-sectional study", Int J Infect Dis, 70, pp.30~35 (2018)
  40. Link BG, "Conceptualizing stigma", Annu Rev Sociol, 27, pp.363~385 (2001)
  41. Weiss MG, "Health-related stigma : rethinking concepts and interventions", Psychol Health Med, 11, pp.277~287 (2006)
  42. "Reduction of HIV-related stigma and discrimination" (2014)[URL]
  43. "People living with HIV stigma index in South Korea 2016-2017" (2017)[URL]
  44. Stangl AL, "A systematic review of interventions to reduce HIV-related stigma and discrimination from 2002 to 2013: how far have we come?", J Int AIDS Soc, 2013(Suppl 2), pp.18734~ (2013)
  45. 조병희, "한국의 개신교회는 왜 동성애와 에이즈에 대하여 적대적일까?", 보건과 사회과학, (48), pp.5~28 (2018), 한국보건사회학회
  46. Turan JM, "Challenges and opportunities in examining and addressing intersectional stigma and health", BMC Med, 17, pp.7~ (2019)
  47. Barré-Sinoussi F, "Expert consensus statement on the science of HIV in the context of criminal law", J Int AIDS Soc, 21, pp.e25161~ (2018)
  48. Kavanagh MM, "Law, criminalisation and HIV in the world: have countries that criminalise achieved more or less successful pandemic response?", BMJ Glob Health, 6, pp.e006315~ (2021)
  49. "Feature story. HIV prevention among key populations" (2016)[URL]
  50. Yang F, "Key populations and power : peoplecentred social innovation in Asian HIV services", Lancet HIV, 7, pp.e69~e74 (2020)
  51. Cloninger CR, "A time for action on health inequities : Foundations of the 2014 Geneva declaration on person-and people-centered integrated health care for all", Int J Pers Cent Med, 4, pp.69~89 (2014)
  52. Mezzich JE, "Person-centred integrative diagnosis : conceptual bases and structural model", Can J Psychiatry, 55, pp.701~708 (2010)
  53. "Framework on integrated people-centred health services" (2016)[URL]
  54. Nyblade L, "Stigma reduction : an essential ingredient to ending AIDS by 2030", Lancet HIV, 8, pp.e106~e1113 (2021)
  55. Nair M, "Refused and referredpersistent stigma and discrimination against people living with HIV", AIDS in Bihar : a qualitative study from India, 2019, pp.9, e033790~
  56. "KCDA Policy research service project final result report. Guideline development for protecting human right of people living with HIV in healthcare setting" (2019)[URL]
  57. Nyblade L, "Stigma in health facilities : why it matters and how we can change it", BMC Med, 17, pp.25~ (2019)
  58. Carr DKR, "Acheiving a stigma-free health facility and HIV services : Resources for administrators" (2015), Futures Group
  59. "Global partnership for action to eliminate all forms of HIV-related stigma and discrimination" (2018)[URL]
  60. "WMA Statement on the professional responsibility of physicians in treating AIDS patients"[URL]
  61. Siraprapasiri T, "Integration and scale-up of efforts to measure and reduce HIV-related stigma : the experience of Thailand", AIDS, 34(Suppl 1), pp.S103~S114 (2020)
  62. "Catalysing zero discrimination in health-care settings in Thailand and Viet Nam" (2018)[URL]

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