Institute for Mental Health Policy Research (IMHPR), Centre for Addiction and Mental Health (CAMH), Toronto, ON M5S 2S1, Canada.
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health (CAMH), Toronto, ON M5S 2S1, Canada.
Int J Environ Res Public Health. 2022 Oct 19;19(20):13528. doi: 10.3390/ijerph192013528.
Physical activity (PA) and exercise are an effective rehabilitation strategy to improve health outcomes among people living with HIV (PLWH). However, engagement in exercise among PLWH can vary. Our aim was to characterize the literature on the role of social determinants of health (SDOH) on engagement in PA or exercise among adults living with HIV. We conducted a scoping review using the Arksey and O'Malley Framework. We searched databases between 1996 and 2021. We included articles that examined PA or exercise among adults with HIV and addressed at least one SDOH from the Public Health Agency of Canada Framework. We extracted data from included articles onto a data extraction charting form, and collated results using content analytical techniques. Of the 11,060 citations, we included 41 articles, with 35 studies involving primary data collection 23 (66%) quantitative, 8 (23%) qualitative, and four (11%) mixed methods. Of the 14,835 participants, 6398 (43%) were women. Gender ( = 24 articles), social support ( = 15), and income and social status ( = 14) were the most commonly reported SDOH in the literature with the majority of studies addressing only one SDOH. Future research should consider the intersection between multiple SDOH to better understand their combined impact on engagement in PA or exercise among PLWH.
身体活动（PA）和运动是改善艾滋病毒感染者（PLWH）健康结果的有效康复策略。然而，PLWH 参与运动的情况可能有所不同。我们的目的是描述关于健康决定因素（SDOH）对成年 HIV 感染者参与 PA 或运动的作用的文献。我们使用 Arksey 和 O'Malley 框架进行了范围综述。我们在 1996 年至 2021 年期间搜索了数据库。我们纳入了检查成年 HIV 感染者 PA 或运动的文章，并至少从加拿大公共卫生署框架中涉及一个 SDOH。我们将纳入文章中的数据提取到数据提取图表上，并使用内容分析技术整理结果。在 11060 条引文中，我们纳入了 41 篇文章，其中 35 项研究涉及原始数据收集，23 项（66%）为定量研究，8 项（23%）为定性研究，4 项（11%）为混合方法研究。在 14835 名参与者中，有 6398 名（43%）为女性。性别（=24 篇文章）、社会支持（=15 篇文章）和收入和社会地位（=14 篇文章）是文献中报告最多的 SDOH，大多数研究仅涉及一个 SDOH。未来的研究应考虑多个 SDOH 的交叉点，以更好地了解它们对 PLWH 参与 PA 或运动的综合影响。
