Lincoln International Institute for Rural Health, University of Lincoln, Lincoln, UK.
Population and Behavioural Sciences, University of Health and Allied Sciences, Hohoe, Ghana.
BMJ Open. 2022 Sep 8;12(9):e055688. doi: 10.1136/bmjopen-2021-055688.
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.
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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