Galjour Joshua, Havik Philip, Aaby Peter, Rodrigues Amabelia, Mpinga Emmanuel Kabengele
Institute of Global Health, University of Geneva, 1202 Geneva, Switzerland.
Centre for Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine, Universidade NOVA de Lisboa, 1349-008 Lisbon, Portugal.
Trop Med Infect Dis. 2021 Mar 16;6(1):36. doi: 10.3390/tropicalmed6010036.
Guinea-Bissau suffers from political instability and an unusually high HIV/AIDS burden compared to other countries in the West Africa region. We conducted a systematic review on the HIV/AIDS epidemic in Guinea-Bissau during the Millennium Development Goals (MDGs) period (2000-2015), which dovetailed with a period of chronic political instability in the country's history. We searched published works on the HIV/AIDS epidemic in Guinea-Bissau for references to chronic political instability. Six databases and the grey literature were searched, informed by expert opinion and manual research through reference tracing. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed. The search yielded 122 articles about HIV/AIDS in Guinea-Bissau during the MDG years. Biomedical, clinical, or epidemiological research predominated public health research production on HIV/AIDS in Guinea-Bissau in this period. Six articles addressing themes related to chronic political instability, including how political instability has affected the HIV/AIDS disease response, were identified. The results suggest the importance of considering a broader political epidemiology that accounts for socio-political aspects such as governance, human rights, and community responses into which any national HIV/AIDS response is integrated.
与西非地区的其他国家相比，几内亚比绍面临着政治不稳定的问题，且艾滋病毒/艾滋病负担异常沉重。我们对千年发展目标（MDGs）时期（2000 - 2015年）几内亚比绍的艾滋病毒/艾滋病疫情进行了系统综述，这一时期恰逢该国历史上一段长期政治不稳定的时期。我们在已发表的关于几内亚比绍艾滋病毒/艾滋病疫情的文献中搜索有关长期政治不稳定的参考文献。通过专家意见和参考文献追溯的手工检索，对六个数据库和灰色文献进行了搜索。遵循系统综述和Meta分析的首选报告项目（PRISMA）指南。搜索结果显示，在千年发展目标期间，有122篇关于几内亚比绍艾滋病毒/艾滋病的文章。在此期间，生物医学、临床或流行病学研究在几内亚比绍艾滋病毒/艾滋病公共卫生研究成果中占主导地位。我们确定了六篇涉及与长期政治不稳定相关主题的文章，包括政治不稳定如何影响艾滋病毒/艾滋病疾病应对。结果表明，考虑一种更广泛的政治流行病学很重要，这种政治流行病学要考虑到治理、人权和社区应对等社会政治方面，而任何国家的艾滋病毒/艾滋病应对措施都融入其中。
