【摘要】 本文着重探讨了艾滋病的全球及中国防控政策与策略，并针对其面临的挑战给出见解。开篇介绍了艾滋病现状，虽防治有成效，但离2030年终结目标尚存距离。国内外防控政策多样，国外注重宣传教育、综合干预和监测检测等，国内经历了从“外防传入”到全面防治的转变，形成政府主导、多部门合作、全社会参与的模式。中国艾滋病传播途径以性传播为主，在筛查、诊断和治疗方面面临诸多挑战。针对不同地区和群体，如重点人群、青少年和老年人，提出诸多不同的防控建议。强调尽早检测、扩大检测、健康教育宣讲、行为干预、暴露前预防等措施的关键作用。通过综合分析，为优化防控策略提供了新观点，指出加强省级防控政策、体系及效果的系统分析意义重大，有助于优化策略、提升能力，保障艾滋病防治工作的科学有效地开展。更多还原

【Abstract】 This paper focuses on the global and Chinese prevention and control policies and strategies for AIDS,and provides insights into the challenges faced.It begins by introducing the current situation of AIDS,noting that although prevention and control efforts have achieved significant progress,there is still a distance to the 2030 target of ending AIDS. Prevention and control policies vary between domestic and international levels, with foreign countries emphasizing publicity and education, comprehensive intervention, monitoring, and testing, while China has undergone a transition from “preventing the spread from abroad” to comprehensive prevention and control,forming a model that is government-led,involves multi-sectoral cooperation,and engages the entire society.The main route of transmission of AIDS in China is sexual transmission,and there are many challenges in screening,diagnosis,and treatment.Different prevention and control suggestions are put forward for different regions and groups,such as key populations,adolescents,and the elderly.The paper emphasizes the critical role of early detection,expanded testing,health education and promotion,behavioral intervention,and pre-exposure prophylaxis(PrEP) measures.Through comprehensive analysis,new perspectives are brought to optimizing prevention and control strategies,pointing out that strengthening systematic analysis of provincial-level prevention and control policies,systems,and effects is of great significance, which can optimize strategies, enhance capabilities, and ensure the scientific and effective implementation of AIDS prevention and control work.更多还原