全球跨性别人口中艾滋病毒/艾滋病流行情况的系统审查和元分析
Ghobad Moradi1, Marzieh Soheili2, Pourya Bahrami1
1Social Determinants of Health Research Center, Research Institute for Health Development Kurdistan University of Medical Sciences Sanandaj Iran.
Health science reports
|March 5, 2025
概括
在跨性别者中,全球艾滋病毒/艾滋病的流行率为24%,区域差异很大. 针对性的艾滋病毒预防干预措施对全球跨性别社区至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 人类免疫缺陷病毒/获得性免疫缺陷综合征 (HIV/AIDS) 构成了全球重大健康挑战.
- 变性人群在艾滋病毒/艾滋病感染率不成比例地高.
- 了解患病率的区域差异对于有针对性的干预措施至关重要.
研究的目的:
- 确定跨性别人群中艾滋病毒/艾滋病的全球流行率.
- 识别和分析跨性别社区内艾滋病毒/艾滋病流行率的区域差异.
- 为跨性别者制定有效的艾滋病毒/艾滋病预防策略提供信息.
主要方法:
- 在主要的科学数据库 (PubMed,Scopus,Web of Science,Embase,Ovid,PsycINFO) 进行了系统的文献搜索,直到2023年9月.
- 应用了包含和排除标准,并使用纽卡斯尔-太华尺度 (NOS) 评估了研究质量.
- 对37项符合条件的研究的数据进行了随机效应元分析,包括最初识别的3125篇文章.
主要成果:
- 在跨性别人群中,艾滋病毒/艾滋病的全球总流行率为24% (CI:12%-39%).
- 在亚洲 (30%) 和非洲 (35%) 的男性转女性 (MTF) 变性人群中观察到更高的艾滋病毒/艾滋病流行率.
- 亚洲的女性对男性 (FTM) 变性人群的患病率较高 (23%) 与美洲 (11%).
结论:
- 全球艾滋病毒/艾滋病在跨性别社区的高流行率需要紧急和全面的预防工作.
- 艾滋病毒/艾滋病发病率的显著区域差异强调了针对性公共卫生干预措施的必要性.
- 有效的艾滋病毒/艾滋病预防计划必须解决全球跨性别人口的特定需求和脆弱性.
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