دورية أكاديمية
Law, criminalisation and HIV in the world: have countries that criminalise achieved more or less successful pandemic response?
| العنوان: | Law, criminalisation and HIV in the world: have countries that criminalise achieved more or less successful pandemic response? |
|---|---|
| المؤلفون: | Kavanagh MM; Department of International Health, Georgetown University, Washington, District of Columbia, USA matthew.kavanagh@georgetown.edu.; O'Neill Institute for National and Global Health Law, Georgetown University, Washington, District of Columbia, USA., Agbla SC; Department of Health Data Science, University of Liverpool, Liverpool, UK.; Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK., Joy M; O'Neill Institute for National and Global Health Law, Georgetown University, Washington, District of Columbia, USA., Aneja K; O'Neill Institute for National and Global Health Law, Georgetown University, Washington, District of Columbia, USA.; Society for Democratic Rights, New Delhi, India., Pillinger M; O'Neill Institute for National and Global Health Law, Georgetown University, Washington, District of Columbia, USA., Case A; Talus Analytics, Boulder, Colorado, USA., Erondu NA; O'Neill Institute for National and Global Health Law, Georgetown University, Washington, District of Columbia, USA., Erkkola T; Strategic Information Department, Joint United Nations Programme on HIV/AIDS (UNAIDS), Geneve, Switzerland., Graeden E; Talus Analytics, Boulder, Colorado, USA.; Center for Global Health Science and Security, Georgetown University, Washington, District of Columbia, USA. |
| المصدر: | BMJ global health [BMJ Glob Health] 2021 Aug; Vol. 6 (8). |
| نوع المنشور: | Journal Article; Research Support, U.S. Gov't, Non-P.H.S.; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101685275 Publication Model: Print Cited Medium: Print ISSN: 2059-7908 (Print) Linking ISSN: 20597908 NLM ISO Abbreviation: BMJ Glob Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BMJ Publishing Group Ltd, [2016]- |
| مواضيع طبية MeSH: | COVID-19* , HIV Infections*/drug therapy , HIV Infections*/epidemiology, Humans ; Pandemics/prevention & control ; SARS-CoV-2 ; Sex Work |
| مستخلص: | How do choices in criminal law and rights protections affect disease-fighting efforts? This long-standing question facing governments around the world is acute in the context of pandemics like HIV and COVID-19. The Global AIDS Strategy of the last 5 years sought to prevent mortality and HIV transmission in part through ensuring people living with HIV (PLHIV) knew their HIV status and could suppress the HIV virus through antiretroviral treatment. This article presents a cross-national ecological analysis of the relative success of national AIDS responses under this strategy, where laws were characterised by more or less criminalisation and with varying rights protections. In countries where same-sex sexual acts were criminalised, the portion of PLHIV who knew their HIV status was 11% lower and viral suppression levels 8% lower. Sex work criminalisation was associated with 10% lower knowledge of status and 6% lower viral suppression. Drug use criminalisation was associated with 14% lower levels of both. Criminalising all three of these areas was associated with approximately 18%-24% worse outcomes. Meanwhile, national laws on non-discrimination, independent human rights institutions and gender-based violence were associated with significantly higher knowledge of HIV status and higher viral suppression among PLHIV. Since most countries did not achieve 2020 HIV goals, this ecological evidence suggests that law reform may be an important tool in speeding momentum to halt the pandemic. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.) |
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| فهرسة مساهمة: | Keywords: HIV; health policy |
| تواريخ الأحداث: | Date Created: 20210803 Date Completed: 20210806 Latest Revision: 20210821 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC8330576 |
| DOI: | 10.1136/bmjgh-2021-006315 |
| PMID: | 34341021 |
| قاعدة البيانات: | MEDLINE |
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