Yang Zhongfang, Zhang Yue, Zhang Lin, Han Shuyu, Xu Zhijing, Hu Yan
School of Nursing, Fudan University Shanghai China.
JBI Fudan University Centre for Evidence-based Nursing Shanghai China.
Health Sci Rep. 2025 Apr 18;8(4):e70671. doi: 10.1002/hsr2.70671. eCollection 2025 Apr.
HIV-related stigma is a significant barrier to accessing public health resources and achieving health equity in women living with HIV (WLWH). The complexity of eliminating stigma against WLWH is compounded by the dual characteristics of HIV and its chronic nature. In addition, WLWH often face weak social support. They experience social alienation and isolation. They also have difficulties in self-identification and finding a sense of belonging within the new identity associated with their condition. These factors present considerable challenges to interventions aimed at combating HIV-related stigma among WLWH. The purpose of this review is to identify interventions aimed at alleviating HIV-related stigma among WLWH and evaluate their effectiveness.
A systematic search of published studies from the inception of the databases to December 2024 will be conducted in China National Knowledge Infrastructure (CNKI), Wanfang Data, Chinese Scientific Journal Database (VIP), China Biomedical Literature Service System (SinoMed), MEDLINE (OVID), Embase(OVID), CINAHL (EBSCO), ProQuest, Scopus, Cochrane Library to evaluate the effects of health promotion interventions on HIV-related stigma among WLWH. Two reviewers will independently assess the inclusion of each study, with any disagreements resolved by a third reviewer. Data will be extracted using predefined tables in accordance with best practices. Study quality will be assessed using the Effective Public Health Practice Project Quality Assessment Tool. A narrative synthesis of all studies will be presented, with appropriate statistical techniques applied to synthesize effectiveness data where feasible.
The results of this review will be disseminated through publication in a peer-reviewed journal and shared online and on social media using accessible language and relevant infographics.
This review evaluates health promotion interventions for reducing HIV-related stigma among WLWH, identifying effective types and contexts. It addresses methodological strengths and weaknesses, providing policymakers insights into impactful interventions for global health and social care systems.
The protocol was registered in PROSPERO (CRD42024571145).
与艾滋病毒相关的污名是感染艾滋病毒的女性（WLWH）获取公共卫生资源和实现健康公平的重大障碍。艾滋病毒及其慢性特征的双重特性加剧了消除对WLWH污名的复杂性。此外，WLWH往往面临薄弱的社会支持。她们遭受社会疏离和孤立。她们在自我认同以及在与其病情相关的新身份中找到归属感方面也存在困难。这些因素给旨在消除WLWH中与艾滋病毒相关污名的干预措施带来了巨大挑战。本综述的目的是确定旨在减轻WLWH中与艾滋病毒相关污名的干预措施并评估其有效性。
将在中国知网（CNKI）、万方数据、维普中文科技期刊数据库（VIP）、中国生物医学文献服务系统（SinoMed）、医学期刊数据库（MEDLINE，OVID平台）、荷兰医学文摘数据库（Embase，OVID平台）、护理学与健康领域数据库（CINAHL，EBSCO平台）、ProQuest、Scopus、考科蓝图书馆中对从数据库建立之初至2024年12月发表的研究进行系统检索，以评估健康促进干预措施对WLWH中与艾滋病毒相关污名的影响。两名评审员将独立评估每项研究的纳入情况，如有分歧由第三名评审员解决。将根据最佳实践使用预定义表格提取数据。将使用有效公共卫生实践项目质量评估工具评估研究质量。将对所有研究进行叙述性综合分析，并在可行的情况下应用适当的统计技术来综合有效性数据。
本综述的结果将通过在同行评审期刊上发表进行传播，并使用通俗易懂的语言和相关信息图表在网上和社交媒体上分享。
本综述评估了减少WLWH中与艾滋病毒相关污名的健康促进干预措施，确定了有效的类型和背景。它阐述了方法的优点和缺点，为政策制定者提供了有关对全球卫生和社会护理系统有影响力的干预措施的见解。
该方案已在国际前瞻性系统评价注册库（PROSPERO，注册号：CRD42024571145）注册。
