经济干预对儿科和青少年艾滋病毒治疗结果的影响:系统性审查
Christopher B Bosma1, Judith J Toromo2, Morgan J Ayers1
1Departments of Medicine and Pediatrics, Indiana University School of Medicine, Indianapolis, IN, USA.
AIDS care
|August 22, 2023
概括
经济干预措施有望改善年轻人艾滋病毒治疗结果. 有限的证据表明,激励和现金转移可以帮助艾滋病毒感染的年轻人保持和抑制病毒.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 儿科艾滋病毒护理儿童艾滋病毒护理
背景情况:
- 经济不安全和贫困是年轻人获得和坚持HIV护理的重要障碍.
- 由于社会经济因素,儿童,青少年和青年 (0-24岁) 等儿科患者在艾滋病毒管理方面面临着独特的挑战.
研究的目的:
- 系统地审查现有证据,以了解经济干预措施对0-24岁的人群艾滋病毒治疗结果的影响.
- 综合评估各种经济策略的研究结果,旨在改善儿童群体的艾滋病毒治疗.
主要方法:
- 2022年10月12日,在六个主要数据库 (PubMed MEDLINE,Cochrane,Embase,Scopus,CINAHL,Global Health) 中进行了全面的系统搜索.
- 包括的研究集中在25岁以下的参与者身上,采用经济干预措施,并测量了临床HIV结果. 数据提取和质量评估是独立进行的.
- 综合包括了13项研究,报告了9项不同的经济干预措施 (激励措施,储蓄/贷款计划,现金转移).
主要成果:
- 有限但有希望的证据表明,经济干预可以支持在艾滋病毒护理中的保留,并提高病毒抑制率.
- 这些积极影响特别在未达到最佳参与护理或可检测的病毒载量的人群中被注意到.
- 干预措施包括金融激励,储蓄和贷款计划以及政府现金转移,研究设计多样,如RCT和队列研究.
结论:
- 经济干预是改善年轻人艾滋病毒护理成果的潜在策略.
- 需要进一步的研究来优化对艾滋病毒感染儿童和青少年的这些干预措施的设计和实施.
- 解决经济障碍对于提高儿童群体艾滋病毒护理和治疗计划的有效性至关重要.
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