School of Nursing, University of North Carolina at Chapel Hill, Carrington Hall, S Columbia St, Chapel Hill, NC, 27599, USA.
School of Nursing, UNC-CH Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
AIDS Behav. 2020 Dec;24(12):3395-3413. doi: 10.1007/s10461-020-02914-1.
Adolescent girls and young women (AGYW) ages (15-24 years old) in Southern and Eastern Africa account for nearly 30% of all new HIV infections. We conducted a systematic review of studies examining the effectiveness of behavioral, structural, and combined (behavioral + structural) interventions on HIV incidence and risky sexual behaviors among AGYW. Following PRISMA guidelines, we searched PubMed, CINAHL, Web of Science, and Global Health. Twenty-two studies met inclusion criteria conducted in Eastern and Southern Africa and comprised behavioral, structural, or combined (behavioral and structural) interventions. All findings are based on 22 studies. HIV incidence was significantly reduced by one structural intervention. All three types of interventions improved condom use among AGYW. Evidence suggests that structural interventions can reduce HIV incidence, while behavioral and combined interventions require further investigation.
在南部和东部非洲，年龄在 15-24 岁的青少年女孩和年轻妇女（AGYW）占所有新感染 HIV 人数的近 30%。我们对研究进行了系统回顾，这些研究检查了行为、结构和联合（行为+结构）干预措施对 AGYW 中 HIV 发病率和危险性行为的有效性。根据 PRISMA 指南，我们在 PubMed、CINAHL、Web of Science 和全球卫生中进行了搜索。22 项符合纳入标准的研究在东部和南部非洲进行，包括行为、结构或联合（行为和结构）干预措施。所有研究结果均基于 22 项研究。一项结构干预措施显著降低了 HIV 发病率。所有三种干预措施都提高了 AGYW 的 condom 使用。有证据表明，结构干预措施可以降低 HIV 发病率，而行为和联合干预措施需要进一步研究。
