School of Medicine & Dentistry, Griffith University, Gold Coast, QLD, Australia.
Department of Medical Research, China Medical University Hospital, Taichung City, Taiwan.
Epidemiol Infect. 2023 Aug 1;151:e138. doi: 10.1017/S0950268823001243.
This study aims to estimate the prevalence of HIV among each of the three key populations in Vietnam: people who inject drugs (PWID), female sex workers (FSW), and men who have sex with men (MSM) and quantify their shared risk factors for HIV infection through a systematic review and meta-analysis of recent literature (published in 2001-2017) in the relevant topics. A total of 17 studies consisting of 16,304 participants were selected in this review. The meta-analysis results revealed that the pooled prevalence estimates with 95% confidence intervals (CIs) among PWID, FSW, and MSM were: 0.293 (0.164, 0.421), 0.075 (0.060, 0.089), and 0.085 (0.044, 0.126), respectively. The findings also indicated that injecting drug use (OR: 9.88, 95%CI: 4.47-15.28), multiperson use of injecting equipment (OR: 2.91, 95%CI: 1.69, 4.17), and inconsistent condom use (OR: 2.11, 95%CI: 1.33, 2.90) were the shared risk factors for HIV infection among these population groups. The findings highlighted the importance of HIV prevention approaches to addressing the shared sexual and drug-related practices among the key populations in consideration of their overlapping social networks.
本研究旨在估算越南三个重点人群（注射毒品者、性工作者和男男性行为者）中的每一个人群的艾滋病毒感染率，并通过对相关主题的近期文献（2001-2017 年发表）进行系统回顾和荟萃分析，量化他们共同的艾滋病毒感染风险因素。本综述共纳入了 17 项研究，包含 16304 名参与者。荟萃分析结果显示，PWID、FSW 和 MSM 的合并感染率（95%CI）分别为：0.293（0.164，0.421）、0.075（0.060，0.089）和 0.085（0.044，0.126）。研究结果还表明，注射吸毒（OR：9.88，95%CI：4.47-15.28）、多人共用注射设备（OR：2.91，95%CI：1.69-4.17）和不规律使用安全套（OR：2.11，95%CI：1.33-2.90）是这些人群中 HIV 感染的共同风险因素。这些发现强调了针对重点人群共同的性和与吸毒相关的行为采取艾滋病毒预防措施的重要性，因为这些行为考虑到了他们重叠的社会网络。
