Wang Ying, Mitchell Jason, Liu Yu
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA.
Department of Health Promotion and Disease Prevention, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA.
SAGE Open Med. 2022 Jun 29;10:20503121221107126. doi: 10.1177/20503121221107126. eCollection 2022.
Strengthening HIV testing uptake is critical to curtail the HIV epidemics among men who have sex with men in the United States. Despite the implementation of various interventions to promote HIV testing among men who have sex with men, few aggregated evidence is presented to reflect the "lessons learned" and inform future directions. The objective of this systematic review is to comprehensively summarize published studies that described, tested, and evaluated outcomes (e.g. efficacy, effectiveness, acceptability, feasibility and/or qualitative opinions) associated with an HIV testing intervention and identify gaps as well as opportunities to inform the design and implementation of future interventions to enhance HIV testing uptake among men who have sex with men in the United States.
We followed the PRISMA guidelines and conducted a systematic review of articles (published by 23 July 2021) by searching multiple databases (PubMed, MEDLINE, Web of Science and PsycINFO).
Among the total number of 3505 articles found through multiple databases, 56 papers were included into the review. Interventional modules that demonstrated acceptability, feasibility and efficacy to improve HIV testing uptake among men who have sex with men include: HIV self-testing, interpersonal-level (e.g. peer-led, couple-based) interventions, personalized interventions and technology-based interventions (e.g. mHealth). Aggregated evidence also reflects the lack of individualized interventions that simultaneously address time-varying needs across multiple socioecological levels (e.g. individual, interpersonal, community, structural and societal).
Development of interventions to improve HIV testing rates and frequency of men who have sex with men has proliferated in recent years. Our review presents important implications in sustaining and improving interventions to address HIV testing uptake among men who have sex with men in the United States.
提高艾滋病毒检测率对于遏制美国男男性行为者中的艾滋病毒流行至关重要。尽管实施了各种干预措施来促进男男性行为者进行艾滋病毒检测，但很少有汇总证据来反映“经验教训”并为未来方向提供参考。本系统评价的目的是全面总结已发表的研究，这些研究描述、测试并评估了与艾滋病毒检测干预相关的结果（如疗效、有效性、可接受性、可行性和/或定性意见），并找出差距以及机会，为未来干预措施的设计和实施提供参考，以提高美国男男性行为者的艾滋病毒检测率。
我们遵循PRISMA指南，通过搜索多个数据库（PubMed、MEDLINE、科学网和PsycINFO）对文章（截至2021年7月23日发表）进行系统评价。
在通过多个数据库找到的3505篇文章中，有56篇被纳入评价。对提高男男性行为者艾滋病毒检测率显示出可接受性、可行性和疗效的干预模块包括：艾滋病毒自我检测、人际层面（如同伴主导、基于伴侣）的干预、个性化干预和基于技术的干预（如移动健康）。汇总证据还反映出缺乏同时满足多个社会生态层面（如个人、人际、社区、结构和社会）随时间变化需求的个性化干预措施。
近年来，为提高男男性行为者艾滋病毒检测率和检测频率而开展的干预措施不断涌现。我们的评价对维持和改进旨在提高美国男男性行为者艾滋病毒检测率的干预措施具有重要意义。
