Department of Epidemiology, Centers for Epidemiology and Environmental Health, Brown University School of Public Health, 121 South Main Street, Providence, RI, 02912, USA.
Department of Behavioral and Social Sciences, Center for Health Equity Research, Brown University School of Public Health, Providence, RI, USA.
AIDS Behav. 2017 Dec;21(12):3353-3365. doi: 10.1007/s10461-017-1771-0.
Empirical evidence indicates that aspects of the neighborhood environment may affect HIV prevention efforts. Therefore, the neighborhood environment should be considered when implementing prevention interventions. However, much of the empirical evidence is derived from studies conducted among drug users, men, or adolescents. Such evidence may not be as applicable to adult women whose primary risk for HIV infection is via heterosexual sexual behavior. Therefore, a systematic review examining the relationship between neighborhood environments and HIV sexual risk behaviors among adult U.S. women was conducted. Three databases were searched for articles published in English in peer-reviewed journals between 1/1/1980 and 12/31/2016 meeting relevant criteria. Seven articles identified from the three databases or additional hand searches met inclusion criteria and were summarized. Findings were mixed with several studies indicating associations between neighborhood environments and HIV sexual risk behaviors. However, all summarized studies were cross-sectional. Longitudinal studies conducted among women are needed.
实证证据表明，邻里环境的某些方面可能会影响艾滋病预防工作。因此，在实施预防干预措施时应考虑邻里环境。然而，大部分实证证据来自于对吸毒者、男性或青少年进行的研究。这些证据可能并不适用于主要通过异性性行为感染艾滋病毒的成年女性。因此，对美国成年女性的邻里环境与艾滋病毒性行为风险之间的关系进行了系统评价。在三个数据库中搜索了 1980 年 1 月 1 日至 2016 年 12 月 31 日期间在同行评议期刊上发表的英文文章，以满足相关标准。从三个数据库或其他人工搜索中确定了七篇符合纳入标准的文章，并进行了总结。研究结果喜忧参半，有几项研究表明邻里环境与艾滋病毒性行为风险之间存在关联。然而，所有总结的研究都是横断面研究。需要对女性进行纵向研究。
