eHealth interventions for HIV prevention in high-risk men who have sex with men: a systematic review.

eHealth interventions for HIV prevention in high-risk men who have sex with men: a systematic review.
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DOI:
10.2196/jmir.3393
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发表时间:
2014-05-26
影响因子:
7.4
通讯作者:
Carballo-Diéguez A
Carballo-Diéguez A
中科院分区:
医学2区
文献类型:
--
作者:
Schnall R;Travers J;Rojas M;Carballo-Diéguez A

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虽然人类免疫缺陷病毒(HIV)的发病率在大多数群体中保持稳定,但在美国,男男性行为者(MSM)中HIV的总体发病率一直在稳步上升。电子健康是一个健康行为改变干预的平台,为提供艾滋病毒预防信息提供了新的机会。这项系统性综述的目的是研究在高危男男性行为者中使用电子健康干预措施预防艾滋病毒。我们系统地检索了PubMed、奥维德、ISI Web of Knowledge、Google Scholar和Google,以寻找报告与MSM中HIV预防相关的任何研究的原始结果的文章和灰色文献,并开发了标准数据收集表,以提取研究特征和结局数据的信息。共有13篇文章符合纳入标准,其中5篇针对HIV检测行为,8篇关注减少HIV风险行为。干预措施包括基于网络的教育模块、短信(SMS、短信息服务)、聊天室和社交网络。文献的方法学质量范围为49.4- 94.6%。干预措施的广泛差异意味着使用荟萃分析综合结果是不合适的。这项审查表明,有证据表明,在高风险男男性接触者中预防艾滋病毒的电子健康有可能在短期内有效地减少艾滋病毒风险行为和提高检测率。鉴于这些研究中有许多是短期的,并有其他限制,但显示出强有力的初步证据,改善成果,额外的工作需要严格评估使用电子卫生战略预防艾滋病毒的高风险男男性行为者。
While the human immunodeficiency virus (HIV) incidence rate has remained steady in most groups, the overall incidence of HIV among men who have sex with men (MSM) has been steadily increasing in the United States. eHealth is a platform for health behavior change interventions and provides new opportunities for the delivery of HIV prevention messages. The purpose of this systematic review was to examine the use of eHealth interventions for HIV prevention in high-risk MSM. We systematically searched PubMed, OVID, ISI Web of Knowledge, Google Scholar, and Google for articles and grey literature reporting the original results of any studies related to HIV prevention in MSM and developed a standard data collection form to extract information on study characteristics and outcome data. In total, 13 articles met the inclusion criteria, of which five articles targeted HIV testing behaviors and eight focused on decreasing HIV risk behaviors. Interventions included Web-based education modules, text messaging (SMS, short message service), chat rooms, and social networking. The methodological quality of articles ranged from 49.4-94.6%. Wide variation in the interventions meant synthesis of the results using meta-analysis would not be appropriate. This review shows evidence that eHealth for HIV prevention in high-risk MSM has the potential to be effective in the short term for reducing HIV risk behaviors and increasing testing rates. Given that many of these studies were short term and had other limitations, but showed strong preliminary evidence of improving outcomes, additional work needs to rigorously assess the use of eHealth strategies for HIV prevention in high-risk MSM.
DOI: 10.1371/journal.pone.0010448
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