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加拿大男男性行为者的艾滋病毒预防和治疗干预措施:系统评价范围的方案。

HIV prevention and treatment interventions for black men who have sex with men in Canada: a protocol for a scoping systematic review.

机构信息

Health Research Methods, Evidence and Impact, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.

MAP Centre for Urban Health Solutions, Unity Health Toronto, Toronto, Ontario, Canada.

出版信息

BMJ Open. 2021 Mar 25;11(3):e043055. doi: 10.1136/bmjopen-2020-043055.

Abstract

INTRODUCTION

Globally, rates of HIV are disproportionately high among black men who have sex with men (MSM). In Canada, race, gender and sexuality have been investigated as separate factors that influence quality of care within and progression along the HIV care continuum. Traditional compartmental approaches to synthesising the HIV care continuum literature do not sufficiently account for intersectional experiences and marginalisation of Black MSM (BMSM). Moreover, there is limited research outlining access to and quality of care as specific barriers to progression along the care continuum among BMSM in Canada.

OBJECTIVES

The primary objective of this scoping review is to assess the state of the science regarding the influence of access to and quality of HIV care continuum outcomes for BMSM in Canada.

METHODS AND ANALYSIS

We will conduct a systematic search of published literature of quantitative and qualitative studies published on Canadian BMSM's healthcare and HIV status. The searches will be conducted through MEDLINE, Excerpta Medica Database, Cumulative Index to Nursing and Allied Health Literature, the Cochrane Library, the NHUS Economic Development Database, Global Health, APA PsychInfo, PubMed and Web of Science.

ELIGIBILITY CRITERIA

Eligible studies will include data on black MSM living with or without HIV in Canada and must be published after 1983 in either English or French. Screening and data extraction will be conducted in duplicate. Any discrepancies that arise will be resolved by consulting a third author. The findings will subsequently be reported according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews.

ETHICS AND DISSEMINATION

Ethics approval is not required as secondary published data will be used. Our findings will be disseminated as peer-reviewed manuscripts, at conferences, student rounds and could be of interest to government health agencies and HIV/AIDS service organisations.

摘要

简介

在全球范围内,与男性发生性关系的黑人男性(MSM)中艾滋病毒感染率过高。在加拿大,种族、性别和性取向被视为影响艾滋病毒护理连续体内部和进展的独立因素。综合艾滋病毒护理连续体文献的传统分隔方法并不能充分说明黑人男男性行为者(BMSM)的交叉体验和边缘化。此外,关于加拿大 BMSM 中艾滋病毒护理连续体进展的具体障碍,包括获得和护理质量,研究有限。

目的

本范围综述的主要目的是评估有关加拿大 BMSM 获得和艾滋病毒护理连续体结果质量对其护理连续体影响的科学现状。

方法和分析

我们将对加拿大 BMSM 医疗保健和艾滋病毒状况的定量和定性研究的已发表文献进行系统搜索。搜索将通过 MEDLINE、Excerpta Medica Database、Cumulative Index to Nursing and Allied Health Literature、Cochrane Library、NHUS Economic Development Database、Global Health、APA PsychInfo、PubMed 和 Web of Science 进行。

入选标准

合格的研究将包括生活在加拿大的黑人 MSM 或患有或未患有 HIV 的数据,并且必须在 1983 年后以英文或法文出版。将进行双重筛选和数据提取。出现的任何差异将通过咨询第三位作者来解决。随后将根据系统评价和元分析扩展的首选报告项目报告研究结果。

伦理和传播

不需要伦理批准,因为将使用已发表的二次数据。我们的研究结果将以同行评议的手稿、会议、学生轮次和政府卫生机构和艾滋病毒/艾滋病服务组织的兴趣形式传播。

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HIV in Canada-Surveillance Report, 2017.《2017年加拿大艾滋病毒监测报告》
Can Commun Dis Rep. 2018 Dec 6;44(12):348-356. doi: 10.14745/ccdr.v44i12a03. eCollection 2018 Nov 6.

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