Meta-analysis of prevalence and influencing factors of partner notification among HIV/AIDS patients in China

Abstract

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

CLC Number:

R181.2

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.

References

[1] World Health Organization.Guidelines on HIV self-testing and partner notification:Supplement to consolidated guidelines on HIV testing services[EB/OL].(2016-12)[2023-04-22].http://www.ncbi.nlm.nih.gov/books/NBK401684/.
[2] GLASPY S,COSMARO L,BOTSI C,et al.Integrating partner notification and contact tracing services across Europe:findings from the Integrate project[J].BMC Infect Dis,2021,21(S2):796.
[3] DALAL S,JOHNSON C,FONNER V,et al.Improving HIV test uptake and case finding with assisted partner notification services[J].AIDS,2017,31(13):1867-1876.
[4] HU Q H,QIAN H Z,LI J M,et al.Assisted partner notification and uptake of hiv testing among men who have sex with men:A randomized controlled trial in China[J].Lancet Reg Health West Pac,2021,12:100171.
[5] 苏叶,邢鹏博,张秀,等.HIV感染的男男性行为者对同性固定性伴阳性告知的质性研究[J].中国护理管理,2019,19(12):1774-1778.
[6] TOMNAY J E,HULME-CHAMBERS A,BILARDI J,et al.A qualitative study of means to improve partner notification after an HIV diagnosis among men who have sex with men in Australia[J].AIDS Patient Care STDS,2017,31(6):269-274.
[7] ZENG X,ZHANG Y,KWONG J S W,et al.The methodological quality assessment tools for preclinical and clinical studies,systematic review and meta-analysis,and clinical practice guideline:A systematic review: Methodological quality assessment tools[J].J Evid Based Med,2015, 8(1):2-10.
[8] 单多,葛增,王璐,等.农村地区HIV检测结果阳性者告知现状及影响因素调查[J].中华疾病控制杂志,2010,14(3):215-218.
[9] 冯帅新,刘珺,黄兆谦,等.广东省HIV/AIDS患者性伴告知情况及影响因素分析[J].中国艾滋病性病,2022,28(10):1145-1149.
[10] 陈婷婷,郭子韩,朱亚静,等.HIV感染者/AIDS患者家人告知现状及影响因素分析[J].中华疾病控制杂志,2015,19(12):1255-1259.
[11] 胡林凤. 柳州市HIV感染者/AIDS病人配偶/固定性伴告知现况及其影响因素研究[D].合肥:安徽医科大学,2014.
[12] 黄掣驰,毛翔,张伟,等.沈阳HIV阳性已婚男男性行为者的配偶告知状况及阻碍因素分析[J].中国艾滋病性病,2018,24(3):250-253.
[13] 庾泳,卢宇,李辉,等.经性途径感染HIV者告知家人和伴侣现状及影响因素[J].中国艾滋病性病,2022,28(4):425-429.
[14] 何慧婧,徐鹏,辛倩倩,等.中国4省艾滋病单阳家庭配偶告知方式和影响因素调查分析[J].中华流行病学杂志,2015,36(6):565-568.
[15] 倪明健,陈学玲,王吉亮,等.新疆HIV阳性者性伴告知现况及影响因素分析[J].中国公共卫生,2011,27(12):1508-1510.
[16] 莫金莉,田韦毅,张云,等.广西男男性行为者向性伴告知HIV感染状况与知晓性伴感染状况的影响因素分析[J].中国艾滋病性病,2023, 29(5):554-559.
[17] 崔岩,周月姣,李晓铭,等.有子女的HIV/AIDS病人告知状况及其影响因素分析[J].中国艾滋病性病,2019,25(6):588-591.
[18] 秦其荣,张凤林,豆正东,等.单阳家庭HIV/AIDS感染告知及性行为现况调查[J].职业与健康,2021,37(16):2216-2220.
[19] 孙美艳,高岩,章清,等.上海市268例HIV/AIDS患者性伴告知现状及影响因素[J].中国艾滋病性病,2021,27(11):1233-1237.
[20] 蓝光华,梁能秀,周月姣,等.广西HIV阳性男男性行为者告知女性固定性伴的影响因素[J].中国艾滋病性病,2020,26(9):949-953.
[21] 高丽,刘玉芬,李晓春,等.云南省澜沧县HIV感染者和AIDS患者固定性伴告知情况及影响因素分析[J].疾病监测,2010,25(7):562-565.
[22] 贺淑芳,王娟,陈婧,等.北京市2016—2019年报告的男性高校学生HIV感染者性伴告知情况[J].中国艾滋病性病,2021,27(8):817-821.
[23] 杨银梅,肖琛嫦,王威,等.HIV/AIDS病人家人告知现状及相关因素分析[J].中国艾滋病性病,2017,23(8):706-709.
[24] 陈继军,牛静萍,王宇红,等.HIV感染者/AIDS患者同伴告知现状及影响因素[J].中国公共卫生,2013,29(12):1742-1745.
[25] 陈芳,丁凡,林小杰,等.中国三城市HIV 感染者中男男性行为人群男性固定性伴告知状况及其影响因素[J].中华预防医学杂志,2014, 48(11):969-973.
[26] 卓玛拉措,赖文红,王秋实,等.四川省两个艾滋病疫情重点地区单阳家庭配偶告知情况差异分析[J].中华疾病控制杂志,2020,24(12):1441-1446.
[27] YAN H,CAO W,MO P,et al.Prevalence and associated factors of HIV serostatus disclosure to regular female sex partners among HIV-positive men who have sex with both men and women in China[J].AIDS Care,2019,31(8):1026-1034.
[28] XIAO Z,LI X,QIAO S,et al.Using communication privacy management theory to examine HIV disclosure to sexual partners/spouses among PLHIV in Guangxi[J].AIDS Care,2015,27(sup1):73-82.
[29] CHENG W,JIN W,GU Y,et al.HIV partner notification across different sexual partner types among men who have sex with men in Guangzhou,China[J].AIDS Patient Care STDS,2019,33(7):295-298.
[30] MA J,JIAO K,LIAO M,et al.HIV status disclosure and associated characteristics among HIV-Positive MSM receiving antiretroviral therapy in Jinan,China[J].AIDS Behav,2023,27(7):2205-2215.
[31] JIA W,JIAO K,MA J,et al.HIV infection disclosure,treatment self-efficacy and quality of life in HIV-infected MSM receiving antiretroviral therapy[J].BMC Infect Dis,2022,22(1):937.
[32] WANG L,SHAN D,CHAN S,et al.Disclosure of HIV-positive serostatus to sexual partners and associated factors in southern China[J].Int J STD AIDS,2010,21(10):685-690.
[33] QIAO S,LI X,ZHOU Y,et al.AIDS impact special issue 2015:interpersonal factors associated with HIV partner disclosure among HIV-infected people in China[J].AIDS Care,2016,28(sup1):37-43.
[34] MAO Y,LI X,QIAO S,et al.Social support,stigma,and HIV disclosure among parents living with HIV in Guangxi,China[J].AIDS Care,2018, 30(2):168-172.
[35] YIN Y,YANG H,XIE X,et al.Status and associated characteristics of HIV disclosure among people living with HIV/AIDS in Liangshan,China:A cross-sectional study[J].Medicine(Baltimore),2019,98(31):e16681.
[36] COOK C L,STARAS S A S,ZHOU Z,et al.Disclosure of HIV serostatus and condomless sex among men living with HIV/AIDS in Florida[J].PLoS One,2018,13(12):e0207838.
[37] FOR THE ASTRA STUDY GROUP,DASKALOPOULOU M,LAMPE F C,et al.Non-disclosure of HIV status and associations with psychological factors,art non-adherence,and viral load non-suppression among people living with HIV in the UK[J].AIDS Behav,2017,21(1):184-195.
[38] LEHMAN J S,CARR M H,NICHOL A J,et al.Prevalence and public health implications of state laws that criminalize potential hiv exposure in the united states[J].AIDS Behav,2014,18(6):997-1006.
[39] 毛俊响,周蓉.人权视角下我国艾滋病告知制度的完善[J].人权,2019(1):57-69.
[40] YU Y,QIN K,XIAO F,et al.HIV disclosure among sexually infected people living with hiv and aids in china:prevalence,influencing factors,and negative outcomes[J].AIDS Behav,2023,27(7):2411-2429.
[41] COLOMBINI M,JAMES C,NDWIGA C,et al.The risks of partner violence following HIV status disclosure,and health service responses:Narratives of women attending reproductive health services in Kenya[J].J Int AIDS Soc,2016,19(1):20766.
[42] SMITH R,ROSSETTO K,PETERSON B L.A meta-analysis of disclosure of one's HIV-positive status,stigma and social support[J].AIDS Care,2008,20(10):1266-1275.
[43] LIFSON A R,WORKNEH S,HAILEMICHAEL A,et al.Disclosure of HIV status among patients new to HIV care in Southern Ethiopia:Role of perceived social support and other factors[J].AIDS Care,2021, 33(9):1133-1138.
[44] JACOBI C A,ATANGA P N J I,BIN L K,et al.HIV/AIDS-related stigma felt by people living with HIV from Buea,Cameroon[J].AIDS Care,2013,25(2):173-180.
[45] YAN X,XU Y,TUCKER J D,et al.Facilitators and barriers of HIV partner notification services among men who have sex with men in China:A qualitative analysis using a socioecological framework[J].Sex Transm Dis,2022,49(8):541-545.
[46] YEHUALASHET F,TEGEGNE E,TESSEMA M,et al.Human immunodeficiency virus positive status disclosure to a sexual partner and its determinant factors in Ethiopia:A systematic review and meta-analysis[J].BMC Infect Dis,2020,20(1):382.