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撒哈拉以南非洲弱势群体中 HIV 自我检测的决定因素和可接受性:系统评价方案。

Determinants and acceptability of HIV self-testing among vulnerable groups in sub-Saharan Africa: A scoping review protocol.

机构信息

Health Sciences, Durban University of Technology, Durban, KwaZulu-Natal, South Africa.

Division of Research, Innovation and Engagement, Mangosuthu University of Technology, Jacobs, Umlazi, South Africa.

出版信息

BMJ Open. 2024 Jan 29;14(1):e075880. doi: 10.1136/bmjopen-2023-075880.


DOI:10.1136/bmjopen-2023-075880
PMID:38286696
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10826585/
Abstract

INTRODUCTION: HIV self-testing (HIVST) is where individuals collect their specimens and perform the HIV test privately. HIVST has improved testing uptake and coverage, especially among vulnerable groups of sub-Saharan Africa (SSA). Vulnerable groups include key populations such as men who have sex with men, sex workers, people who inject drugs, lesbian, gay, bisexual and transgender persons and young women. However, little is known about the determinants and acceptability of HIVST among these groups in SSA. Therefore, this scoping review aims to explore the determinants and acceptability of HIVST among vulnerable groups in SSA. METHODS: A scoping review will be conducted using the Arksey and O'Malley framework and further refined by Levac framework. The review will follow a six-step approach: (1) identifying the research question, (2) identifying relevant studies, (3) study selection eligibility, (4) charting the data, (5) collating, summarising and reporting the results and (6) consultation. A comprehensive search strategy will be developed, and the following electronic databases will be searched: MEDLINE, Embase, Global Health and the Cochrane Library. Grey literature will also be searched, including conference abstracts and reports. Eligibility criteria will include studies conducted in SSA, published between 2010 and 2023, focusing on vulnerable groups and exploring the determinants and acceptability of HIVST. Two independent reviewers will screen identified studies' titles, abstracts and full texts. Any disagreements will be resolved through discussion or consultation with a third reviewer. Data extraction will be conducted using a standardised form. ETHICS AND DISSEMINATION: This review, not requiring ethical approval, aims to inform policy and intervention design to boost HIV testing adoption within vulnerable communities. We plan to disseminate our findings via a peer-reviewed journal, policy briefs, conference presentations and stakeholder engagement.

摘要

简介:HIV 自我检测(HIVST)是指个体自行采集样本并进行 HIV 检测的方式。HIVST 提高了检测的参与度和覆盖率,尤其是在撒哈拉以南非洲(SSA)的弱势群体中。弱势群体包括男男性行为者、性工作者、注射毒品者、女同性恋者、男同性恋者、双性恋者和跨性别者以及年轻女性等关键人群。然而,对于这些人群在 SSA 中进行 HIVST 的决定因素和可接受性知之甚少。因此,本范围综述旨在探讨 SSA 中弱势群体进行 HIVST 的决定因素和可接受性。

方法:将使用 Arksey 和 O'Malley 框架进行范围综述,并进一步通过 Levac 框架进行细化。综述将遵循以下六个步骤进行:(1)确定研究问题,(2)确定相关研究,(3)研究选择资格,(4)绘制数据,(5)整理、总结和报告结果,(6)咨询。将制定全面的搜索策略,并将搜索以下电子数据库:MEDLINE、Embase、全球健康和 Cochrane 图书馆。还将搜索灰色文献,包括会议摘要和报告。纳入标准将包括在 SSA 进行的研究,发表时间在 2010 年至 2023 年之间,重点关注弱势群体,并探讨 HIVST 的决定因素和可接受性。两名独立评审员将筛选已确定研究的标题、摘要和全文。任何分歧将通过讨论或与第三名评审员协商解决。将使用标准化表格进行数据提取。

伦理与传播:本综述无需伦理批准,旨在为政策和干预措施的设计提供信息,以促进弱势群体中 HIV 检测的采用。我们计划通过同行评议期刊、政策简报、会议演讲和利益相关者参与来传播我们的研究结果。

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引用本文的文献

[1]
Evaluating HIV testing preferences and uptake of oral fluid-based HIV self-testing among men who have sex with men and transgender women in the Greater Manila Area of the Philippines: an explanatory sequential mixed-methods research protocol.

BMJ Open. 2025-8-26

[2]
Feasibility and acceptability of peer-delivered HIV and syphilis self-test kits and assisted partner notification services for gay, bisexual and other men who have sex with men: a qualitative study in Uganda.

J Int AIDS Soc. 2025-5

[3]
Factors Influencing the Acceptability and Uptake of HIV Self-Testing Among Priority Populations in Sub-Saharan Africa: A Scoping Review.

Public Health Rev. 2025-4-22

本文引用的文献

[1]
Acceptability and strategies for enhancing uptake of human immunodeficiency virus self-testing in Nigeria.

World J Methodol. 2023-6-20

[2]
Stakeholders' perception of a total market approach to HIV self-testing (HIVST) for the private sector in Nigeria.

BMC Public Health. 2023-3-23

[3]
The future of HIV testing in eastern and southern Africa: Broader scope, targeted services.

PLoS Med. 2023-3

[4]
Evaluation of factors associated with HIV self-testing Acceptability and Uptake among the MSM community in Nairobi, Kenya: A cross sectional study.

PLoS One. 2023

[5]
High HIV prevalence and associated factors in Lesotho: Results from a population-based survey.

PLoS One. 2022

[6]
HIV and STI Testing Preferences for Men Who Have Sex with Men in High-Income Countries: A Scoping Review.

Int J Environ Res Public Health. 2022-3-4

[7]
HIV self-testing may overcome stigma and other barriers to HIV testing among higher-socioeconomic status men in Botswana: A qualitative study.

Afr J AIDS Res. 2021-12

[8]
Online HIV Self-Testing (HIVST) Dissemination by an Australian Community Peer HIV Organisation: A Scalable Way to Increase Access to Testing, Particularly for Suboptimal Testers.

Int J Environ Res Public Health. 2021-10-26

[9]
The cost effectiveness and optimal configuration of HIV self-test distribution in South Africa: a model analysis.

BMJ Glob Health. 2021-7

[10]
Drivers and barriers to workplace-based HIV self-testing among high-risk men in Uganda: a qualitative study.

BMC Public Health. 2021-5-27

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