中国HIV/AIDS患者性伴告知率及影响因素的meta分析

摘要/Abstract

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。

关键词: 艾滋病病毒, 性伴告知, 影响因素, Meta分析

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.

Key words: Human immunodeficiency virus, Partner notification, lnfluencing factors, Meta-analysis

中图分类号:

R181.2

李佳佳, 李凌华, 颜婵, 刘聪. 中国HIV/AIDS患者性伴告知率及影响因素的meta分析. [J]职业与健康, 2024, 40(21): 2994-2999.

LI Jiajia, LI Linghua, YAN Chan, LIU Cong. Meta-analysis of prevalence and influencing factors of partner notification among HIV/AIDS patients in China. [J]OCCUPATION AND HEALTH, 2024, 40(21): 2994-2999.

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