Prevalence of HIV Self-Testing Among Men Who Have Sex With Men: Evidence Synthesis by Systematic Review and Meta-Analysis.

IF 2.1 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Rekha Dutt, Kapil Goel, Muhammad Aaqib Shamim, Shalini Singh, Bijaya Kumar Padhi, Vaibhav Prakash Anjankar, Aravind Gandhi P
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Abstract

HIV self-testing (HIVST) plays a significant role in addressing the health care needs of high-risk populations, particularly men who have sex with men (MSM). The present systematic review and meta-analysis provide an assessment of the prevalence of HIVST among MSM within the last 5 years. Seven databases (PubMed, Web of Science, Cochrane, Scopus, EMBASE, ProQuest, and EBSCOhost) were searched systematically from January 1, 2018 to March 10, 2023. After an independent search and quality assessment, the pooled prevalence was calculated using a random-effects model. Eight relevant studies were finally included in our study from an initial pool of 288 articles identified through a systematic search. Our meta-analysis revealed that the pooled prevalence of HIVST among MSM is 8% (95% CI: 5%-14%). Significant heterogeneity was noticed among the studies, with an I2 value of 99% and a 95% prediction interval of 3% to 11%. Geography emerged as a significant moderator of this heterogeneity (p < .001). Specifically, studies from China reported a notably higher prevalence of 20% (15%-26%), while other countries reported a lower prevalence of 5% (3%-6%). A symmetrical Doi plot with a Luis-Furuya-Kanamori (LFK) index of -0.57 indicated no publication bias. HIVST has a low take-up among MSM globally. Factors leading to variation in HIVST need to be studied. The coordinated efforts of policymakers, health care providers, and affected communities are required in HIVST promotion.

男男性行为者中 HIV 自我检测的普遍性:通过系统回顾和元分析进行证据综合。
艾滋病毒自我检测(HIVST)在满足高危人群,尤其是男男性行为者(MSM)的医疗保健需求方面发挥着重要作用。本系统综述和荟萃分析评估了过去 5 年中 HIVST 在男男性行为者中的流行情况。从 2018 年 1 月 1 日至 2023 年 3 月 10 日,我们对七个数据库(PubMed、Web of Science、Cochrane、Scopus、EMBASE、ProQuest 和 EBSCOhost)进行了系统检索。经过独立检索和质量评估后,采用随机效应模型计算了汇总的患病率。在通过系统性检索确定的最初288篇文章中,我们的研究最终纳入了8项相关研究。我们的荟萃分析表明,男男性行为者中艾滋病毒检测的总体流行率为 8%(95% CI:5%-14%)。研究之间存在显著的异质性,I2 值为 99%,95% 预测区间为 3% 至 11%。地理位置是这种异质性的一个重要调节因素(p < .001)。具体来说,来自中国的研究报告的发病率明显较高,为 20%(15%-26%),而其他国家报告的发病率较低,为 5%(3%-6%)。路易斯-弗鲁亚-卡纳莫里(Luis-Furuya-Kanamori,LFK)指数为-0.57的对称Doi图表明没有发表偏倚。艾滋病毒检测在全球男男性行为者中的接受率很低。需要对导致艾滋病毒检测差异的因素进行研究。在推广 HIVST 的过程中,需要政策制定者、医疗保健提供者和受影响社区的协调努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
American Journal of Men's Health
American Journal of Men's Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.70
自引率
4.30%
发文量
107
审稿时长
15 weeks
期刊介绍: American Journal of Men"s Health will be a core resource for cutting-edge information regarding men"s health and illness. The Journal will publish papers from all health, behavioral and social disciplines, including but not limited to medicine, nursing, allied health, public health, health psychology/behavioral medicine, and medical sociology and anthropology.
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