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在撒哈拉以南非洲的男性中改善艾滋病毒检测,预防和护理的同行网络方法:一个范围审查

Wilfred Ouma Otambo¹, Guy Harling^2,3,4,5, Maxime Inghels⁶

¹South Africa Centre of Excellence in Epidemiological Modelling and Analysis, Centre for Epidemic Response and Innovation, School of Data Science and Computational Thinking, Stellenbosch University, Stellenbosch, South Africa oumaotambo@gmail.com.

|March 12, 2026

概括

同行网络干预显著改善了撒哈拉以南非洲男性的艾滋病毒检测,治疗开始和坚持. 定制,基于社区和技术增强的战略是克服障碍和实现公平的艾滋病毒预防和护理成果的关键.

科学领域:

公共卫生公共卫生
全球健康全球健康
艾滋病毒/艾滋病研究研究

背景情况:

在撒哈拉以南非洲 (SSA),男性参与艾滋病毒预防和护理仍然是一个重大挑战,有助于持续的艾滋病毒传播.
同行网络干预措施在增强男性参与艾滋病毒服务方面显示出相当大的希望.

研究的目的:

系统地绘制和综合现有证据,对同行网络干预措施的系统地绘制和综合,用于SSA男性的HIV预防和护理.
确定干预策略,目标人群,以及这些方法如何解决整个艾滋病毒护理级联中的社会文化和结构障碍.

主要方法:

对同行评审文献进行了全面的范围审查,遵守PRISMA-ScR指南.
在主要数据库 (PubMed, Web of Science, Scopus, Cochrane) 进行了搜索,搜索了2013年11月至2024年11月期间发表的研究.
包括的研究重点是男性同行网络干预措施,用于SSA环境中的HIV预防和护理,包括多样化的男性群体.

主要成果:

75项研究符合纳入标准,揭示了SSA环境和男性群体中各种各样的同行网络干预措施.
诸如同行教育,艾滋病毒自我测试 (HIVST) 分发和技术支持等策略在艾滋病毒测试,与护理联系以及ART启动/坚持方面取得了持续的改善.
针对职业风险和经济因素的社区外展活动在吸引服务不足的男性方面被证明是有效的,尽管注意到了诸如可变链接到HIVST后护理和用户成本等挑战.

结论:

同行主导的干预措施有效地解决了预防艾滋病毒的文化,社会和结构障碍,并为SSA男性提供护理,加强检测,ART坚持和病毒抑制.
定制,技术增强和基于社区的方法对于确保公平的艾滋病毒治疗结果至关重要,尽管在护理链接方面存在持续的挑战.

关键词:

流行病学流行病学流行病学流行病学艾滋病毒和艾滋病病毒公共卫生公共卫生

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