社区特征和艾滋病毒治疗结果:一个范围审查
Linda Jepkoech Kimaru1, Magdiel A Habila2, Namoonga M Mantina1
1Department of Health Promotion Sciences, The University of Arizona, Tucson, Arizona, United States of America.
PLOS global public health
|February 13, 2024
概括
邻居因素显著影响艾滋病毒治疗结果,但研究结果不一致. 需要更多的标准化研究来了解社区特征如何影响艾滋病毒感染者治疗的有效性.
科学领域:
- 公共卫生 公共卫生
- 社会流行病学 社会流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 个人层面的干预对于艾滋病毒治疗结果至关重要.
- 社区因素对个别艾滋病毒干预措施的有效性有重大影响.
- 了解社区特征与艾滋病毒治疗结果的关联对于优化护理至关重要.
研究的目的:
- 系统地审查和总结有关社区特征与艾滋病毒治疗结果之间的联系的现有研究.
- 确定各种邻居因素与艾滋病毒治疗成功之间的关系中的模式和不一致性.
- 突出当前文献中关于社区特征标准化定义和指标的空白.
主要方法:
- 在PubMed,CINAHL,Embase和PsychINFO数据库中进行全面的文献搜索,截至2022年11月21日.
- 三位独立审稿人对7,822篇论文进行了选,包括所有研究设计的全文文章.
- 不包括会议记录,只有摘要和意见报告;没有语言或地理限制.
主要成果:
- 三十五项研究符合纳入标准,检查了社区的劣势,组成,社会经济地位,贫困,混乱和农村-城市地位.
- 在社区特征和艾滋病毒治疗结果之间发现了不一致的关联.
- 缺乏 (7项研究),特定的种族/族裔密度 (6项研究) 和疾病 (5项研究) 与艾滋病毒治疗结果的负面关联.
- 在三项研究中,农村居住与改善艾滋病毒治疗结果有关.
结论:
- 社区特征和艾滋病毒治疗结果之间的关系是复杂的,并且在研究中没有一致的定义.
- 缺乏对社区特征的标准化定义和指标,阻碍了强有力的评估.
- 需要进一步进行比较研究,以阐明特定的社区指标如何独立或共同影响艾滋病毒治疗结果.
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