Determinants of Voluntary Counseling and Testing Service Uptake Among Adult Sub-Saharan Africans: A Systematic Review and Meta-Analysis.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC

ACS Applied Electronic Materials Pub Date : 2022-08-03 eCollection Date: 2022-01-01 DOI:10.3389/phrs.2022.1604065

Muhammed Lamin Sambou, Juncheng Dai, Xiaoyu Zhao, Tongtong Hong, Til Bahadur Basnet, Gifty Marley, Alima Sambou, El Hafa Fadoua, Muhammad Naveed

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Abstract

Objective: To examine the major determinants of VCT service uptake among adults in SSA. Methods: Electronic databases were searched to identify eligible English language publications. Reporting of the study selection procedure was done according to PRISMA and the selected articles were also critically appraised. Results: We found 8 significant determinants of VCT uptake among adults in SSA, such as less physical access [OR (Odds ratio): 0.77 (95% CI (Confidence interval): 0.62-0.96), p < 0.01], older age [OR: 1.36 (95% CI: 1.08-1.73), p < 0.01], higher education level [OR: 1.60 (95% CI: 1.24-2.05), p < 0.01], high knowledge of HIV and VCT awareness [OR: 1.40 (95% CI: 1.03-1.90), p < 0.01], unprotected sexual practices [OR: 1.75 (95% CI: 1.18-2.58), p < 0.01], discussion on HIV among partners and others [OR: 1.76 (95% CI: 1.10-2.81), p < 0.01], other STIs [OR: 1.40 (95% CI: 1.00-1.98), p < 0.01], and divorced/separated [OR: 1.39 (95% CI: 1.12-1.72), p < 0.01]. Conclusion: This study showed that 8 determinants were significantly associated with VCT service uptake in SSA. Thus, HIV interventions and policy initiatives should be tailored to these determinants to ensure scale-up of VCT service uptake in SSA.

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撒哈拉以南非洲成年人接受自愿咨询和检测服务的决定因素:系统回顾和荟萃分析。

目的:探讨影响SSA成人VCT服务接受程度的主要因素。方法:检索电子数据库，确定符合条件的英文出版物。根据PRISMA报告研究选择程序，并对选定的文章进行严格评价。结果:我们发现SSA成人中VCT摄入的8个重要决定因素，如身体接触较少[OR(优势比):0.77 (95% CI: 0.62-0.96)， p < 0.01]，年龄较大[OR: 1.36 (95% CI: 1.08-1.73)， p < 0.01]，高等教育程度[OR: 1.60 (95% CI: 1.24-2.05)， p < 0.01]，对艾滋病毒和VCT的认识较高[OR: 1.40 (95% CI: 1.03-1.90)， p < 0.01]，无保护的性行为[OR: 1.75 (95% CI: 1.03-1.90)， p < 0.01];(1.18-2.58)， p < 0.01)，伴侣及其他人对HIV的讨论[OR: 1.76 (95% CI: 1.10-2.81)， p < 0.01]，其他性传播感染[OR: 1.40 (95% CI: 1.00-1.98)， p < 0.01]，离婚/分居[OR: 1.39 (95% CI: 1.12-1.72)， p < 0.01]。结论:本研究显示8个决定因素与SSA的VCT服务摄取显著相关。因此，艾滋病毒干预措施和政策举措应根据这些决定因素进行调整，以确保在SSA扩大VCT服务的吸收。

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

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567

期刊介绍： ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/Abstracted： Web of Science SCIE Scopus CAS INSPEC Portico