A systematic review evaluating HIV prevalence among conflict-affected populations, 2005-2020.

A systematic review evaluating HIV prevalence among conflict-affected populations, 2005-2020.
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DOI:
10.24875/aidsrev.200001311
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发表时间:
2021-06-02
期刊:
影响因子:
2.2
通讯作者:
Spiegel, Paul
Spiegel, Paul
中科院分区:
医学4区
文献类型:
--
作者:
Mishra, Divya;O'Laughlin, Kelli;Spiegel, Paul

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从历史上看,人们一直担心冲突可能加剧艾滋病毒的流行。我们进行了一次系统性审查,以检查受冲突影响人口中的艾滋病毒流行率与地区一级或全国范围的艾滋病毒流行率的比较。根据PRISMA指南,2005年至2020年期间发表的原始HIV流行率数据来自PubMed,Scopus和Embase。提取的数据包括艾滋病毒流行率、方法、日期、地点和人口类型。评估研究的偏倚。其中10项符合数据提取标准;所有这些都侧重于撒哈拉以南非洲的人口。大多数研究报告了混合人口的情况,其中一项研究是在难民营中进行的。六个国家报告艾滋病毒流行率高于地区或国家一级的流行率,四个国家报告艾滋病毒流行率较低。7个国家在抽样方面表现出中度至高度的偏倚可能性,5个国家使用的方法限制了它们与当地艾滋病毒流行率的可比性。武装冲突与艾滋病毒流行率之间的关系仍然难以评价,可能因社会经济指标而异。
Historically, there has been concern that conflict may exacerbate the HIV epidemic. We conducted a systematic review to examine HIV prevalence in conflict-affected populations compared to district-level or countrywide HIV prevalence. Following PRISMA guidelines, studies presenting original HIV prevalence data published between 2005 and 2020 were drawn from PubMed, Scopus, and Embase. Data extracted included HIV prevalence, methods, dates, location, and population type. Studies were assessed for bias. Ten met criteria for data extraction; all focused on populations in sub-Saharan African. Most of the studies reported on mixed population settings while one was in a refugee camp. Six reported HIV prevalence higher than district- or country-level prevalence, while four reported lower HIV prevalence. Seven demonstrated moderate-to-high likelihood of bias in sampling, and five used methods limiting their comparability with local HIV prevalence. The relationship between armed conflict and HIV prevalence remains difficult to evaluate and likely varies by socioeconomic indicators.
DOI: 10.3855/jidc.1054
发表时间: 2011-02-01
影响因子: 1.9
作者:
Charpentier C;Koyalta D;Ndinaromtan M;Tchobkréo B;Jenabian MA;Day N;Si-Mohamed A;Weiss H;Bélec L
通讯作者: Bélec L