了解艾滋病毒预防和护理的有效测试后链接策略:范围审查
Beatrice Wamuti1, Muhammad S Jamil2,3, Nandi Siegfried4
1Department of Global Health and Population, Harvard University, Cambridge, Massachusetts, USA.
Journal of the International AIDS Society
|April 11, 2024
概括
有效的艾滋病毒检测服务 (HTS) 联系对于预防和治疗目标至关重要. 这次审查强调了与艾滋病毒预防策略的联系存在重大差距,尽管有大量与护理研究的联系.
科学领域:
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 世界卫生组织建议迅速与艾滋病毒预防和治疗以及艾滋病毒检测后服务 (HTS) 建立联系,以实现全球95-95-95目标.
- 虽然与护理的联系和同一天的抗逆转录病毒疗法 (ART) 启动是常见的,但与艾滋病毒阴性个体的艾滋病毒预防的联系仍然不理想.
- 本综述涉及有效的HIV后HTS链接策略,重点关注预防链接的差距.
研究的目的:
- 进行有效的后艾滋病毒检测服务 (HTS) 链接策略的范围审查.
- 评估整体的艾滋病毒连接策略,并确定与艾滋病毒预防的连接的具体差距.
- 为制定更有效的艾滋病毒预防计划提供信息.
主要方法:
- 一个五步的Arksey和O'Malley框架被用于对已出版和灰色文献进行范围审查.
- 搜索了主要数据库 (PubMed,Cochrane,CINAHL,Web of Science,EMBASE) 的英语语言研究从2010年1月到2023年11月.
- 包括干预措施:简化服务,案例管理,激励,合作伙伴服务,虚拟/社交媒体,质量改进和基于同行的干预措施. 结果:与艾滋病毒预防和/或护理的联系,包括ART启动.
主要成果:
- 在2358篇选文章中,66项研究符合纳入标准.
- 只有14% (n=9) 的研究专注于与艾滋病毒预防的联系 (暴露前预防,自愿医疗男性割礼,性传播感染/宫癌查).
- 大多数研究 (86%,n=57) 专注于与护理的联系,特别是对关键人群的简化干预和病例管理.
结论:
- 关于艾滋病毒预防计划和"治疗作为预防"策略的文献中存在着很大的差距.
- 虽然确定了许多与护理研究的联系,但评估的虚拟干预,激励或质量改进方法较少.
- 需要进一步的研究,以了解如何有效地实施链接策略,以最大限度地影响艾滋病毒预防.
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