Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China.
Xiangya Center for Evidence-Based Nursing Practice & Healthcare Innovation (A JBI Affiliated Group), Changsha, Hunan Province, China.
PLoS One. 2021 Mar 19;16(3):e0247754. doi: 10.1371/journal.pone.0247754. eCollection 2021.
Partner notification and testing could expand HIV testing and link infections to care. We performed a meta-analysis on HIV testing rate and prevalence among couples of people diagnosed with HIV in China.
Six electronic databases (PubMed, Cochrane Library, Embase, Web of Science, the China National Knowledge Internet, and WanFang) and abstracts of five HIV/sexually transmitted infections conferences were searched up to February 1, 2020. Meta-analysis was conducted using a random-effects model to assess HIV testing rate and prevalence among couples of Chinese people diagnosed with HIV.
Of 3,657 records retrieved, 42 studies were identified. Among them, three studies were conducted among pregnant women and 10 among men who have sex with men. The pooled uptake rate of couples HIV testing among Chinese people diagnosed with HIV was 65% (95% confidence interval, 57% -73%; 23 studies). The pooled HIV prevalence among couples who had an HIV test was 28% [24%-32%] (38 studies). Subgroup analyses showed that the pooled couples HIV testing uptake rates among pregnant women and men who have sex with men were 76% [66%-86%] (3 studies) and 49% [30%-68%] (8 studies), and the pooled HIV prevalence in two populations was 53% [27%-78%] (3 studies) and 14% [10%-17%] (10 studies), respectively.
Nearly two-thirds of couples of people diagnosed with HIV have had an HIV test, of whom 28% were positive. Couples of MSM with a positive HIV diagnosis had a lower testing rate, which indicates more effective strategies need to be carried out to improve couples HIV testing among Chinese MSM.
性伴通知和检测可以扩大 HIV 检测范围，并将感染者与治疗联系起来。我们对中国 HIV 感染者性伴的 HIV 检测率和感染率进行了 meta 分析。
检索了 6 个电子数据库（PubMed、Cochrane Library、Embase、Web of Science、中国国家知识基础设施和万方）和 5 次 HIV/性传播感染会议的摘要，检索时间截至 2020 年 2 月 1 日。使用随机效应模型对中国 HIV 感染者性伴的 HIV 检测率和感染率进行 meta 分析。
共检索到 3657 条记录，确定了 42 项研究。其中，3 项研究在孕妇中进行，10 项研究在男男性行为者中进行。中国 HIV 感染者性伴 HIV 检测的总体检测率为 65%（95%置信区间，57% -73%；23 项研究）。有 HIV 检测的性伴中 HIV 感染率为 28%[24%-32%]（38 项研究）。亚组分析显示，孕妇和男男性行为者性伴 HIV 检测率分别为 76%[66%-86%]（3 项研究）和 49%[30%-68%]（8 项研究），两组人群 HIV 感染率分别为 53%[27%-78%]（3 项研究）和 14%[10%-17%]（10 项研究）。
近三分之二的 HIV 感染者性伴进行了 HIV 检测，其中 28%呈阳性。HIV 阳性诊断的男男性行为者性伴检测率较低，这表明需要采取更有效的策略来提高中国男男性行为者的性伴 HIV 检测率。
