中国HIV/AIDS患者性伴告知率及影响因素的meta分析
Meta-analysis of prevalence and influencing factors of partner notification among HIV/AIDS patients in China
李佳佳 1李凌华 2颜婵 2刘聪2
作者信息
- 1. 广州医科大学护理学院,广东 广州 510180
- 2. 广州医科大学附属市八医院感染病中心,广东 广州 510440
- 折叠
摘要
目的 通过meta分析中国人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者/艾滋病(acquird immune deficiency syndrome,AIDS)患者性伴告知(partner notification,PN)率及其影响因素.方法 检索中文数据库知网、万方、维普、CBM,外文数据库PubMed、Web of Science、Cochrane Library、Embase,搜集建库至2023年6月份公开发表的涉及我国HIV/AIDS患者PN的横断面研究.采用Stata 16.0和RevMan 5.4软件进行meta分析.结果 共纳入28篇文献,16 189例患者.我国 HIV/AIDS 患者 PN 率为 59%(95%CI:50%~68%).获得咨询服务(OR=2.39,95%CI:1.69~3.39)、已婚(OR=1.99,95%CI:1.14~3.49)、社会支持(OR=1.97,95%CI:1.25~3.10)、与家人居住(OR=1.73,95%CI:1.38~2.18)、女性(OR=1.60,95%CI:1.14~2.23)、感知歧视(OR=0.66,95%CI:0.42~1.05)均是我国HIV/AIDS患者PN率的影响因素(均P<0.05).结论 我国HIV/AIDS患者PN率相对较低,医务人员应个性化评估患者实际情况,根据可控因素提供针对性的干预措施,提高PN率.
Abstract
Objective To analyze the prevalence and influencing factors of partner notification(PN)among human immunodeficiency virus(HIV)/acquired immune deficiency syndrome(AIDS)patients in China by meta-analysis.Methods Retrieve Chinese databases such as CNKI,Wanfang,VIP,and CBM,as well as foreign databases such as PubMed,Web of Science,Cochrane Library,and Embase.Collect cross-sectional studies involving PN of HIV/AIDS patients in China that were published from the establishment of the database until June 2023.Meta-analysis was conducted using Stata 16.0 and RevMan 5.4 software.Results A total of 28 literatures were included with 16 189 patients.The prevalence of PN of HIV/AIDS patients in China was 59%(95%CI:50%-68%).Getting counseling services(OR=2.39,95%CI:1.69-3.39),being married(OR=1.99,95%CI:1.14-3.49),receiving social support(OR=1.97,95%CI:1.25-3.10),living with family members(OR=1.73,95%CI:1.38-2.18),female(OR=1.60,95%CI:1.14-2.23),and perceived discrimination(OR=0.66,95%CI:0.42-1.05)were all influencing factors of PN prevalence among HIV/AIDS patients in China(all P<0.05).Conclusion The PN prevalence of HIV/AIDS patients in China is relatively low.Medical staff should personally evaluate the actual situation of patients and provide targeted interventions based on controllable factors.
关键词
艾滋病病毒/性伴告知/影响因素/Meta分析Key words
Human immunodeficiency virus/Partner notification/Influencing factors/Meta-analysis引用本文复制引用
出版年
2024