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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引用次数: 0
摘要
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。
Determinants of Voluntary Counseling and Testing Service Uptake Among Adult Sub-Saharan Africans: A Systematic Review and Meta-Analysis.
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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