Justin Knox, Christopher Magana, Dustin T Duncan, Cho-Hee Shrader, Allison Wilson, Sarah Keedy, Jade Pagkas-Bather, Yen-Tyng Chen, John A Schneider
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引用次数: 0
Abstract
Objective: We conducted a systematic review evaluating the extant literature examining the impacts of cannabis use on HIV-related outcomes among Black sexual minoritized men (BSMM).
Design: A systematic review.
Methods: We conducted a search in November 2024 of PubMed, EMBASE, CINAHL, PsycINFO, and Web of Science using keywords related to BSMM, HIV, and cannabis. Study quality was assessed utilizing a tool developed for observational studies. One hundred eight unique articles were screened with 55 undergoing full-text review, and 20 met inclusion criteria. Results were synthesized and presented utilizing a narrative review process.
Results: We identified 20 studies published between 1999 and 2024. Measures of cannabis use included any use (e.g., ever, past 30 days), daily/intermittent/heavy use, use before/during sex, and problematic use. Outcomes included HIV positivity/seroconversion, HIV Continuum of Care (CoC), PrEP CoC, and sex behavior strengths, vulnerabilities, and assets. Study findings were generally mixed, however positive associations between cannabis use and HIV seroconversion, inconsistent condom use, being HIV-positive and unaware of one's serostatus, and suboptimal ART adherence were reported.
Conclusion: This systematic review identified a growing literature on cannabis use and HIV among Black SMM. Conclusions that can be drawn from the evidence are limited. There is a critical need for studies that more rigorously measure cannabis use by considering contexts of cannabis use. In addition, there is a need for research that examines the pathways and mechanisms through which cannabis use may affect prevention and treatments outcomes related to HIV among Black SMM.
目的：我们对现有文献进行了系统回顾，评估大麻使用对黑人性少数男性（BSMM）艾滋病相关结果的影响。设计：系统回顾。方法：我们于2024年11月检索PubMed、EMBASE、CINAHL、PsycINFO和Web of Science，使用与BSMM、HIV和大麻相关的关键词。使用为观察性研究开发的工具评估研究质量。筛选了108篇独特的文章，其中55篇进行了全文审查，20篇符合纳入标准。综合结果，并利用叙述性审查过程提出。结果：我们确定了1999-2024年间发表的20项研究。大麻使用的措施包括任何使用（例如，曾经，过去30天），每天/间歇性/大量使用，在性行为之前/期间使用，以及有问题的使用。结果包括：HIV阳性/血清转化、HIV持续护理（CoC）、PrEP CoC和性行为优势、脆弱性和资产。研究结果通常是喜忧参半的，然而，大麻使用与艾滋病毒血清转化、不一致的安全套使用、艾滋病毒阳性但不知道自己的血清状态以及不理想的抗逆转录病毒治疗依从性之间存在正相关。结论：该系统综述确定了越来越多的关于大麻使用和黑人SMM中艾滋病毒的文献。从证据中得出的结论是有限的。迫切需要进行研究，通过考虑大麻使用的背景，更严格地衡量大麻的使用情况。此外，有必要进行研究，检查大麻使用可能影响黑人SMM中与艾滋病毒有关的预防和治疗结果的途径和机制。
期刊介绍：
Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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