ART uptake and adherence among female sex workers (FSW) globally: A scoping review.

ART uptake and adherence among female sex workers (FSW) globally: A scoping review.
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DOI:
10.1080/17441692.2020.1858137
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发表时间:
2022-03
影响因子:
3.3
通讯作者:
Sherman SG
Sherman SG
中科院分区:
医学3区
文献类型:
--
作者:
Glick JL;Russo RG;Huang AK;Jivapong B;Ramasamy V;Rosman LM;Pelaez DL;Sherman SG

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根据PRISMA-ScR指南,我们对女性性工作者(FSW)的ART摄取和依从性进行了第一次范围文献综述。在PubMed、Embase、CINAHL、PsycInfo和Sociological Abstracts上进行了检索。合格标准包括:报告18岁或以上FSW的ART吸收或依从性结果;同行评审; 1996-2018年期间以英语发表。我们的检索识别了6,735项研究; 30项符合资格要求。抗逆转录病毒疗法的吸收范围为0-100%,依从性范围为50- 90%,具体取决于测量方法。摄取和坚持的影响因素映射到社会生态模型(SEM)。知识和信仰,物质使用,粮食不安全和性工作的参与呈负相关,而年龄较大,关系和社会支持与ART的吸收和坚持呈正相关。必须建立标准化的方法来衡量接受率和依从率,以便进行数据比较。关于ART吸收和坚持障碍和促进因素的证据跨越SEM的多个层面,尽管需要更多的研究结构和职业层面的影响因素。结果表明,FSW面临的多层次ART吸收和坚持障碍需要复杂的多层次循证干预。研究结果可以为ART干预,未来的研究提供信息,并为FSW的其他支持服务提供指导,例如PrEP干预。
We conducted the first scoping literature review on ART uptake and adherence among Female Sex Workers (FSW), following PRISMA-ScR guidelines. Searches were conducted in PubMed, Embase, CINAHL, PsycInfo, and Sociological Abstracts. Eligibility criteria included: reporting an ART uptake or adherence result among FSW aged 18 or older; peer-reviewed; published in English between 1996-2018. Our search identified 6,735 studies; 30 met eligibility requirements. ART uptake ranges from 0-100% and adherence ranges from 50-90%, depending on measurement methods. Uptake and adherence influencing factors are mapped onto a social ecological model (SEM). Knowledge and beliefs, substance use, food insecurity and sex-work engagement were negatively associated, while older age, relationships and social support were positively associated with ART uptake and adherence. Standardized methods to measure uptake and adherence prevalence must be established for data comparison. Evidence regarding ART uptake and adherence barriers and facilitators span multiple levels of a SEM, although more research is needed regarding structural and occupational level influencers. Results suggest that the multi-level ART uptake and adherence barriers faced by FSW require complex multi-level evidence-based interventions. Study findings can inform ART interventions, future research, and offer guidance to other support services with FSW, such as PrEP interventions.
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