中国HIV/AIDS患者性伴告知率及影响因素的meta分析  

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

作　　者：李佳佳 李凌华[2] 颜婵 刘聪 LI Jiajia;LI Linghua;YAN Chan;LIU Cong(School of Nursing,Guangzhou Medical University,Guangzhou,Guangdong 510180,China;Infectious Disease Center,Guangzhou Eighth People's Hospital,Guangzhou Medical University,Guangzhou,Guangdong 510440,China)

机构地区：[1]广州医科大学护理学院,广东广州510180 [2]广州医科大学附属市八医院感染病中心,广东广州510440

出　　处：《职业与健康》2024年第21期2994-2999,共6页Occupation and Health

基　　金：国家重点研发计划(2022YFC2304803);广州市校(院)联合资助项目(202201020285);2023—2025年华英科研基金项目(HY202301C02)。

摘　　要：目的通过meta分析中国人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染者/艾滋病(acquird immune deficiency syndrome,AIDS)患者性伴告知(partner notification,PN)率及其影响因素。方法检索中文数据库知网、万方、维普、CBM,外文数据库PubMed、Web of Science、Cochrane Library、Embase,搜集建库至2023年6月份公开发表的涉及我国HIV/AIDS患者PN的横断面研究。采用Stata 16.0和RevMan 5.4软件进行meta分析。结果共纳入28篇文献,16189例患者。我国HIV/AIDS患者PN率为59%(95%CI:50%~68%)。获得咨询服务(OR=2.39,95%CI:1.69~3.39)、已婚(OR=1.99,95%CI:1.14~3.49)、社会支持(OR=1.97,95%CI:1.25~3.10)、与家人居住(OR=1.73,95%CI:1.38~2.18)、女性(OR=1.60,95%CI:1.14~2.23)、感知歧视(OR=0.66,95%CI:0.42~1.05)均是我国HIV/AIDS患者PN率的影响因素(均P<0.05)。结论我国HIV/AIDS患者PN率相对较低,医务人员应个性化评估患者实际情况,根据可控因素提供针对性的干预措施,提高PN率。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 28literatures were included with 16189 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.

关 键 词：艾滋病病毒 性伴告知 影响因素 META分析 

分 类 号：R181.2[医药卫生—流行病学]