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针对男男性行为者(MSM)的艾滋病预防定性研究的主题综合分析

Thematic synthesis HIV prevention qualitative studies in men who have sex with men (MSM).

作者信息

Mathias Augusto, Alves Dos Santos Lorruan, Grangeiro Alexandre, Couto Marcia Thereza

机构信息

Universidade de São Paulo, Facultad de Medicina, Departamento de Medicina Preventiva, Programa de Salud Colectiva, São Paulo, Brasil.

Universidade de São Paulo, Facultad de Medicina, Departamento de Medicina Preventiva, São Paulo, Brasil.

出版信息

Colomb Med (Cali). 2019 Sep 30;50(3):201-214. doi: 10.25100/cm.v50i3.4078.

DOI:10.25100/cm.v50i3.4078
PMID:32284665
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7141148/
Abstract

BACKGROUND

Qualitative studies on HIV prevention strategies and methods among men who have sex with men (MSM) allow identify knowledge gaps and improve preventive actions.

OBJECTIVE

To make a thematic synthesis of the scientific productions that use the qualitative methodology in the strategies and methods of HIV prevention area among MSM.

METHODS

We conducted a literature review following the guidelines of the ENTREQ protocol. The analysis included 48 empirical studies published in Portuguese, English and Spanish between 2001 and 2018 available in the Medline, Embase, Scielo, Scopus, Bireme and Web of Science databases.

RESULTS

Where an increased production in the last six years and concentration in northern countries. Seven prevention methods were part of the study, with emphasis on pre-exposure prophylaxis, testing, condoms and behavioral strategies. The main topics discussed were stigma and support and care networks.

CONCLUSION

we notice that an increasing production on prevention in the men who have sex with men segment results from the emergence of multiple preventive methods and strategies and their combined actions beyond the star role of condoms.

摘要

背景

对男男性行为者(MSM)的艾滋病毒预防策略和方法进行定性研究有助于识别知识差距并改进预防措施。

目的

对在男男性行为者中使用定性方法进行艾滋病毒预防领域策略和方法的科学成果进行主题综合分析。

方法

我们按照ENTREQ方案指南进行了文献综述。分析包括2001年至2018年期间在Medline、Embase、Scielo、Scopus、Bireme和科学网数据库中以葡萄牙语、英语和西班牙语发表的48项实证研究。

结果

在过去六年中产量有所增加,且集中在北方国家。七种预防方法是研究的一部分,重点是暴露前预防、检测、避孕套和行为策略。讨论的主要主题是耻辱感以及支持和护理网络。

结论

我们注意到,男男性行为者群体中预防方面的产量增加是由于多种预防方法和策略的出现及其联合行动,而不仅仅是避孕套的核心作用。

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本文引用的文献

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Medicine (Baltimore). 2018 May;97(1S Suppl 1):S9-S15. doi: 10.1097/MD.0000000000010573.
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The Pre-Exposure Prophylaxis-Stigma Paradox: Learning from Canada's First Wave of PrEP Users.暴露前预防-污名悖论:从加拿大第一批 PrEP 用户中吸取经验教训。
AIDS Patient Care STDS. 2018 Jan;32(1):24-30. doi: 10.1089/apc.2017.0153. Epub 2017 Nov 29.
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Patterns of HIV testing practices among young gay and bisexual men living in Scotland: a qualitative study.
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Characterizing the Structure and Functions of Social Networks of Men Who Have Sex with Men in Ghana, West Africa: Implications for Peer-Based HIV Prevention.描述加纳(西非)男男性行为者社会网络的结构和功能:对基于同伴的艾滋病毒预防的启示。
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