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HIV 自我检测后进行衔接护理和预防干预的有效性:一项全球系统评价和荟萃分析方案。

Effectiveness of linkage to care and prevention interventions following HIV self-testing: a global systematic review and meta-analysis protocol.

机构信息

Lincoln International Institute for Rural Health, University of Lincoln, Lincoln, UK.

Population and Behavioural Sciences, University of Health and Allied Sciences, Hohoe, Ghana.

出版信息

BMJ Open. 2022 Sep 8;12(9):e055688. doi: 10.1136/bmjopen-2021-055688.


DOI:10.1136/bmjopen-2021-055688
PMID:36691210
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9462108/
Abstract

INTRODUCTION: Early identification of persons living with HIV (PLWH) is crucial to institute timely treatment to prevent HIV-related morbidity and mortality. The convenience, flexibility and confidentiality of HIV self-testing enhance the acceptability of HIV testing and early detection of PLWH. However, persons who tested positive after a self-test are more likely to present late for treatment. This review seeks to evaluate the effectiveness of interventions to improve linkage to care and prevention after self-testing. METHODS AND ANALYSIS: We will search PubMed, Embase, Web of Science, Cochrane Library, PsycInfo, Global Health Library, ClinicalTrials.gov and current controlled trials for all randomised and non-randomised studies published from 1 January 2010 to 31 July 2022 without language restriction. Two review authors will independently screen and select articles (based on the eligibility criteria for this review), extract data and assess the risk of bias in the included studies. Study-specific estimates will be converted to log risk ratios and weighted by the inverse of the variance of the log risk ratio before pooling into a fixed-effect model. The Cochrane's Q χ test and the I statistic will be used to assess and quantify heterogeneity in the included studies, respectively. The Egger's test and funnel plots will be used to assess publication bias. Sensitivity analysis will be conducted using leave-one-out analysis to assess the impact of outliers on the overall summary intervention effect. ETHICS AND DISSEMINATION: No ethical clearance is needed for the current study as it will be based on already published articles. We will publish the findings of this study in international peer-reviewed journals and present them at conferences.

摘要

简介:早期发现艾滋病毒感染者(PLWH)对于及时进行治疗以预防与艾滋病毒相关的发病率和死亡率至关重要。HIV 自我检测具有方便、灵活和保密的特点,提高了 HIV 检测和早期发现 PLWH 的可接受性。然而,自我检测呈阳性的人更有可能延迟接受治疗。本综述旨在评估改善自我检测后获得治疗和预防的干预措施的有效性。

方法和分析:我们将在 PubMed、Embase、Web of Science、Cochrane 图书馆、PsycInfo、全球卫生图书馆、ClinicalTrials.gov 和当前控制的试验中,对所有 2010 年 1 月 1 日至 2022 年 7 月 31 日发表的随机和非随机研究进行检索,不限制语言。两名综述作者将独立筛选和选择文章(基于本综述的纳入标准)、提取数据并评估纳入研究的偏倚风险。将研究特异性估计值转换为对数风险比,并在汇总为固定效应模型之前,根据对数风险比的方差进行加权。Cochrane's Q χ 检验和 I 统计量将分别用于评估和量化纳入研究的异质性。Egger's 检验和漏斗图将用于评估发表偏倚。敏感性分析将使用逐一剔除分析来评估异常值对总体综合干预效果的影响。

伦理和传播:由于本研究将基于已发表的文章,因此不需要伦理审查。我们将在国际同行评议期刊上发表研究结果,并在会议上展示。

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引用本文的文献

[1]
Effectiveness of Linkage to Care and Prevention Interventions Following HIV Self-Testing: A Global Systematic Review and Meta-analysis.

AIDS Behav. 2024-4

本文引用的文献

[1]
HIV self-testing for men who have sex with men: an implementation trial in Indonesia.

AIDS Care. 2022-4

[2]
Acceptability of oral HIV self-testing among female sex workers in Gaborone, Botswana.

PLoS One. 2020-7-27

[3]
HIV self-testing in Rwanda: awareness and acceptability among male clinic attendees in Kigali, Rwanda: A cross-sectional survey.

Heliyon. 2020-3-7

[4]
Men's perspectives on HIV self-testing in sub-Saharan Africa: a systematic review and meta-synthesis.

BMC Public Health. 2020-1-15

[5]
Strategies To Improve Linkage To HIV Care In Urban Areas Of Sub-Saharan Africa: A Systematic Review.

HIV AIDS (Auckl). 2019-12-2

[6]
Acceptability of HIV self-testing in African students: a cross-sectional survey in the Democratic Republic of Congo.

Pan Afr Med J. 2019-6-4

[7]
Treating all people living with HIV in sub-Saharan Africa: a new era calling for new approaches.

J Virus Erad. 2018-11-15

[8]
Achieving sustainable development goals for HIV/AIDS in the Republic of the Congo - Progress, obstacles and challenges in HIV/AIDS health services.

Int J Infect Dis. 2018-10-17

[9]
Acceptability of HIV self-testing among men and women in KwaZulu-Natal, South Africa.

AIDS Care. 2019-2

[10]
Linkage to HIV care following diagnosis in the WHO European Region: A systematic review and meta-analysis, 2006-2017.

PLoS One. 2018-2-16

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