基于激励的干预措施,以改善艾滋病毒预防和护理连续性:全球系统性审查和元分析
Jing Zhang1, Fanshun Zhao1, Guomei Huang1
1School of Public Health, Shenzhen University Medical School, Shenzhen, China.
EClinicalMedicine
|February 3, 2026
概括
基于激励的干预措施显著提高了艾滋病毒检测和病毒抑制. 然而,效率因激励类型,持续时间和国家收入水平而异,需要进一步研究以实现最佳实施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 行为科学 行为科学
背景情况:
- 基于激励的干预措施越来越多地用于HIV预防和护理.
- 对新的证据进行全面的综合分析对于有效实施至关重要.
研究的目的:
- 系统地审查和元分析基于激励的干预措施对艾滋病毒预防和护理的影响.
- 评估不同的激励类型和实施策略的有效性.
主要方法:
- 来自多个数据库的随机对照试验 (RCT) 的全球系统审查和元分析.
- 包括的研究评估了各种激励措施 (金钱,非金钱,彩票) 和与艾滋病毒相关的结果.
- 使用标准工具 (Cochrane ROB,GRADE) 评估了偏差风险和证据分级.
主要成果:
- 分析了62个涉及118,432名参与者的RCT.
- 与标准护理相比,激励措施增加了艾滋病毒检测 (RR 1.83) 和病毒抑制 (RR 1.25) 的使用率.
- 货币激励措施显示艾滋病毒检测的普及率更高 (RR 2.13);较短的实施时间 (2-3个月) 也促进了检测 (RR 2.82).
结论:
- 基于激励的干预措施有望改善艾滋病毒预防和护理连续结果.
- 根据激励类型,持续时间和国家收入,有效性的变化存在.
- 需要进一步的研究来优化干预设计并确保长期的有效性.
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