Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
AIDS Rev. 2019;21(2):93-107. doi: 10.24875/AIDSRev.19000062.
With emerging contextual factors and epidemiological transition of HIV/AIDS, the role and contributions of health behavior theories (HBT) are a compelling question after three decades of efforts to eradicate HIV. This study aims at exploring the global and historical evolution of literature and suggesting the most frequent research topics and research gaps in relation to the use of HBT in HIV/AIDS. A cross-sectional analysis of global HIV/AIDS bibliography was conducted through Web of Science (WoS) up to December 31, 2017. We utilized exploratory factor analysis to test the likelihood of research domains and landscape from the abstracts. A total of 29,997 papers in 153 HIV-related research areas were retrieved from the WoS database. This study suggests that HIV/AIDS research based on HBTs is increasing, and mainly focuses on elucidating traditional HIV driven factors and consonant with western perspectives most HBTs tend to be individually focused. Despite its important advancement, more research based on HBTs is essential to provide cultural background, social value, and contextualized factors where the HIV pandemic is dynamic; where new cases are transmitted from high-risk subgroups to the general population; and where epidemiological, social, and behavioral transitions change new infection routes, new perspectives for health service delivery especially non-medical services, and resource allocation.
随着 HIV/AIDS 出现新的环境因素和流行病学转变,在努力消灭 HIV 三十年后,健康行为理论(HBT)的作用和贡献是一个引人关注的问题。本研究旨在探索 HIV/AIDS 领域中 HBT 应用的全球和历史文献演变,并提出最常见的研究主题和研究空白。通过 Web of Science(WoS)对全球 HIV/AIDS 文献进行了横断面分析,时间截止至 2017 年 12 月 31 日。我们利用探索性因素分析来测试摘要中研究领域和景观的可能性。从 WoS 数据库中检索到了 153 个与 HIV 相关的研究领域中的 29997 篇论文。本研究表明,基于 HBT 的 HIV/AIDS 研究正在增加,主要集中在阐明传统的 HIV 驱动因素,与西方观点一致,大多数 HBT 倾向于个体关注。尽管取得了重要进展,但仍需要更多基于 HBT 的研究来提供文化背景、社会价值和 HIV 大流行动态的背景因素;在这些地方,新的病例从高风险亚群传播到一般人群;在这些地方,流行病学、社会和行为的转变改变了新的感染途径,为医疗服务,特别是非医疗服务提供了新的视角,以及资源分配。