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HIV 血清不一致夫妇的生殖健康需求：系统评价。

Reproductive health needs of HIV serodiscordant couples: a systematic review.

机构信息

Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.

School of Allied Medical Sciences, Shahroud University of Medical Sciences, Shahroud, Iran.

出版信息

Front Public Health. 2024 Aug 29;12:1348026. doi: 10.3389/fpubh.2024.1348026. eCollection 2024.

DOI:10.3389/fpubh.2024.1348026
PMID:39267649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11390637/
Abstract

OBJECTIVES

HIV is closely linked to reproductive and sexual health. HIV Serodiscordant couples face significant social, reproductive, and sexual challenges. This systematic review aimed to identify their reproductive health needs.

METHODS

A comprehensive literature search was conducted across six databases: Scopus, PubMed, Web of Science, Google Scholar, Magiran, and Iranmedex. No date restrictions were applied, and only English-language articles published before February 21, 2023, were included. We also searched the grey literature and conducted forward/backward citation searches.

RESULTS

From an initial 758 articles, 18 met the inclusion criteria. Studies were qualitative ( = 10) and quantitative ( = 8). Key reproductive health needs included (1) childbearing intention, (2) HIV serodiscordance and sexuality, (3) psychological and social support, (4) training and consultation services, (5) access to reliable information, and (6) focused training for healthcare providers.

CONCLUSION

HIV-discordant couples face various reproductive health challenges. Implementing comprehensive guidelines for reproductive and sexual health, rehabilitation, and fertility planning is crucial to improving their quality of life and health.

SYSTEMATIC REVIEW REGISTRATION

https://www.crd.york.ac.uk/prospero/, identifier CRD42023393567.

摘要

目的

艾滋病毒与生殖和性健康密切相关。艾滋病毒血清不一致的夫妇面临着重大的社会、生殖和性挑战。本系统评价旨在确定他们的生殖健康需求。

方法

在 Scopus、PubMed、Web of Science、Google Scholar、Magiran 和 Iranmedex 这六个数据库中进行了全面的文献检索。没有应用日期限制，只包括 2023 年 2 月 21 日之前发表的英文文章。我们还搜索了灰色文献，并进行了向前/向后引用搜索。

结果

从最初的 758 篇文章中，有 18 篇符合纳入标准。研究包括定性研究（=10 篇）和定量研究（=8 篇）。主要的生殖健康需求包括（1）生育意愿，（2）艾滋病毒血清不一致和性行为，（3）心理和社会支持，（4）培训和咨询服务，（5）获得可靠信息，以及（6）为医疗保健提供者提供重点培训。

结论

艾滋病毒血清不一致的夫妇面临着各种生殖健康挑战。实施全面的生殖和性健康、康复和生育计划指南对于提高他们的生活质量和健康至关重要。

系统评价注册

https://www.crd.york.ac.uk/prospero/，标识符 CRD42023393567。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d7/11390637/00799b79b7cb/fpubh-12-1348026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d7/11390637/00799b79b7cb/fpubh-12-1348026-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0d7/11390637/00799b79b7cb/fpubh-12-1348026-g001.jpg

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本文引用的文献

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Reproductive Desire in Women Living with HIV/AIDS with Serodiscordant Partners.与 HIV/AIDS 血清学不一致的伴侣生活的女性的生殖欲望。
Int J Environ Res Public Health. 2022 Oct 22;19(21):13763. doi: 10.3390/ijerph192113763.
2
Psychosocial support for HIV serodiscordant couples.为艾滋病毒血清学不一致的伴侣提供心理社会支持。
Health Psychol Behav Med. 2022 Jun 16;10(1):537-556. doi: 10.1080/21642850.2022.2084098. eCollection 2022.
3
The impact of condom use on the HIV epidemic.使用避孕套对艾滋病流行的影响。
Gates Open Res. 2022 Feb 11;5:91. doi: 10.12688/gatesopenres.13278.2. eCollection 2021.
4
Serodiscordance predictors among couples in the HIV context: implications for health care.HIV 感染者伴侣间血清不一致的预测因素：对医疗保健的影响。
BMC Public Health. 2021 Oct 13;21(1):1849. doi: 10.1186/s12889-021-11835-0.
5
Psychosocial support interventions for improved adherence and retention in ART care for young people living with HIV (10-24 years): a scoping review.心理社会支持干预对改善青少年艾滋病毒感染者接受抗逆转录病毒治疗的依从性和保留率的作用：系统评价。
BMC Public Health. 2020 Dec 1;20(1):1841. doi: 10.1186/s12889-020-09717-y.
6
HIV Serodiscordance among Couples in Cameroon: Effects on Sexual and Reproductive Health.喀麦隆夫妻间的艾滋病毒血清学不一致情况：对性健康和生殖健康的影响
Int J MCH AIDS. 2020;9(3):330-336. doi: 10.21106/ijma.370. Epub 2020 Aug 5.
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Indian J Dermatol. 2019 Sep-Oct;64(5):377-382. doi: 10.4103/ijd.IJD_367_18.
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