自我检测艾滋病毒后与护理和预防的联系:系统性审查和元分析
Ying Zhang1,2, Su Mei Goh3, James Tapa1,2
1School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Journal of the International AIDS Society
|December 11, 2024
概括
在HIV自我测试 (HIVST) 后,与艾滋病毒确认测试和ART启动的联系很高,特别是在辅助测试或社交网络分发的情况下. 加强联系可以改善健康结果和艾滋病毒预防工作.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 预防艾滋病毒/艾滋病 预防
背景情况:
- 预防和护理的有效联系是艾滋病毒检测后的关键.
- 艾滋病毒自我检测 (HIVST) 为早期检测提供了一个有希望的途径.
- 了解链接率和影响因素对于优化HIVST计划至关重要.
研究的目的:
- 系统地审查和确定HIVST后的链接比例.
- 确定与成功与护理和预防联系相关的因素.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了八个数据库 (2010年至2023年10月) 关于HIVST后链接的研究.
- 超回归分析了区域,人口和交付模型等共变量.
主要成果:
- 包括173项研究;大多数专注于非洲的关键人口使用无助HIVST.
- 92%与确认测试相关,89%在反应性结果后启动了ART.
- 84%的总体与护理相关;在非反应性结果后,仅有9%与PrEP相关.
- 辅助HIVST和基于社交网络的分发 (SNA) 显示了更高的连接率.
结论:
- 与HIVST后的确认测试和ART启动的联系通常很高.
- 辅助HIVST和基于SNA的分发显著改善了链接.
- 加强及时联系对于全球艾滋病毒/艾滋病目标至关重要,需要持续的研究和合作.
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