Health Risk Behaviour among Adolescents Living with HIV in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.
Health Risk Behaviour among Adolescents Living with HIV in Sub-Saharan Africa: A Systematic Review and Meta-Analysis.
复制标题
DOI：
10.1155/2018/7375831
复制
发表时间：
2018
影响因子：
--
通讯作者：
Abubakar A
中科院分区：
文献类型：
--
作者：
Ssewanyana D;Mwangala PN;van Baar A;Newton CR;Abubakar A
撒哈拉以南非洲(SSA)艾滋病毒携带者(ALWHIV)青少年的健康危险行为负担目前尚不清楚。系统检索PubMed、Embase、CogcINFO、应用社会科学索引和文摘数据库，检索SSA中ALWHIV人群中HRB的相关文献。按照PRISMA系统评价和荟萃分析指南对结果进行总结。异质性用德西蒙尼和莱尔德方法进行评估，并计算合并估计值。在ALWHIV人群中，目前不使用安全套行为的患病率为59.8%(95%CI：47.9-71.3%)，危险性伴关系的患病率为32.9%(95%CI：15.4-53.2%)，交易性行为的患病率为20.1%(95%CI：9.2-33.8%)，性暴力经历的患病率为21.4%(95%CI：16.3-27.0%)。从这一荟萃分析中，我们没有发现ALWHIV和未感染HIV的青少年之间HRB流行率的合并估计有统计学上的显著差异。然而，关于酗酒和吸毒行为的发生，证据喜忧参半。总体而言，我们发现，在ALWHIV中关于HRB的研究往往集中在特定于性风险的行为上。由于HRB对个人和社会造成了如此高的负担，这些调查结果突显了对适合年龄的干预措施以满足这些青少年的行为需求的需求尚未得到满足。
The burden of health risk behaviour (HRB) among adolescents living with HIV (ALWHIV) in sub-Saharan Africa (SSA) is currently unknown. A systematic search for publications on HRB among ALWHIV in SSA was conducted in PubMed, Embase, PsycINFO, and Applied Social Sciences Index and Abstracts databases. Results were summarized following PRISMA guidelines for systematic reviews and meta-analyses. Heterogeneity was assessed by the DerSimonian and Laird method and the pooled estimates were computed. Prevalence of current condom nonuse behaviour was at 59.8% (95% CI: 47.9–71.3%), risky sexual partnerships at 32.9% (95% CI: 15.4–53.2%), transactional sex at 20.1% (95% CI: 9.2–33.8%), and the experience of sexual violence at 21.4% (95% CI: 16.3–27.0%) among ALWHIV. From this meta-analysis, we did not find statistically significant differences in pooled estimates of HRB prevalence between ALWHIV and HIV uninfected adolescents. However, there was mixed evidence on the occurrence of alcohol and drug use behaviour. Overall, we found that research on HRB among ALWHIV tends to focus on behaviour specific to sexual risk. With such a high burden of HRB for the individuals as well as society, these findings highlight an unmet need for age-appropriate interventions to address the behavioural needs of these adolescents.
登录
查看更多内容
影响因子：
7.6
作者：
Jaspan, Heather B.;Berwick, Jessica R.;Bekker, Linda-Gail
通讯作者：
Bekker, Linda-Gail
DOI：
10.1097/qai.0b013e31822f0d82
发表时间：
2011-11-01
影响因子：
3.6
作者：
Cluver, Lucie;Orkin, Mark;Meinck, Franziska
通讯作者：
Meinck, Franziska
影响因子：
3.8
作者：
Bunnell, Rebecca;Opio, Alex;Mermin, Jonathan
通讯作者：
Mermin, Jonathan
DOI：
10.1080/09540120701867099
发表时间：
2008-01-01
影响因子：
1.7
作者：
Bakeera-Kitaka, Sabrina;Nabukeera-Barungi, Nicolette;Colebunders, Robert
通讯作者：
Colebunders, Robert
影响因子：
11.8
作者：
Helleberg, Marie;Afzal, Shoaib;Obel, Niels
通讯作者：
Obel, Niels