Integrating HIV-related care with treatment for substance use disorder provides an opportunity to better meet the needs of people living with these conditions. People with substance use disorder are rendered especially vulnerable by prevailing policies, structural inequalities, and stigmatisation. In this Series paper we analyse existing literature and empirical evidence from scoping reviews on integration designs for the treatment of HIV and substance use disorder, to understand barriers to and facilitators of care integration and to map ways forward. We discuss how approaches to integration address two core gaps in current models: a failure to consider human rights when incorporating the perspectives of people living with HIV and people who use drugs, and a failure to reflect critically on structural factors that determine risk, vulnerability, health-care seeking, and health equity. We argue that successful integration requires a person-centred approach, which is grounded in human rights, treats both concerns holistically, and reconnects with underlying social, economic, and political inequalities.

将 HIV 相关护理与物质使用障碍治疗相结合，为更好地满足这些疾病患者的需求提供了机会。由于现行政策、结构性不平等和污名化，患有物质使用障碍的人特别容易受到伤害。在本系列论文中，我们分析了现有文献和经验证据，来自关于治疗 HIV 和物质使用障碍的整合设计的范围审查，以了解护理整合的障碍和促进因素，并规划前进的道路。我们讨论了整合方法如何解决当前模型中的两个核心差距：在纳入 HIV 感染者和吸毒者的观点时未能考虑人权，以及未能批判性地反思决定风险、脆弱性、寻求医疗保健和健康公平。我们认为，成功的融合需要一种以人为本的方法，该方法以人权为基础，从整体上处理这两个问题，并与潜在的社会、经济和政治不平等重新联系起来。