A decline in HIV and syphilis epidemics in Chinese female sex workers (2000-2011): a systematic review and meta-analysis.
A decline in HIV and syphilis epidemics in Chinese female sex workers (2000-2011): a systematic review and meta-analysis.
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中国女性性工作者艾滋病和梅毒疫情的下降（2000-2011年）：系统回顾和荟萃分析。
DOI：
10.1371/journal.pone.0082451
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发表时间：
2013
期刊：
影响因子：
3.7
通讯作者：
Wu N
中科院分区：
文献类型：
--
作者：
Yang Z;Su J;Peng X;Wu N
女性性工作者在将艾滋病毒和梅毒从高危人群传播到普通人群方面发挥着重要作用。然而，到目前为止，中国暗娼中艾滋病毒和梅毒的流行趋势尚不清楚。遵循了系统审查和荟萃分析说明的首选报告项目。在七个数据库中搜索已发表的同行评议文章。采用Meta分析方法，对中国地区不同时期、不同省份、不同工作场所暗娼艾滋病、梅毒的发病情况分别进行汇总。对HIV和梅毒的发病率和学习时间进行相关分析。通过对1662篇论文的筛选，最终纳入190篇已发表论文。估计艾滋病毒感染率在2000年至2002年期间为0.284%(95%可信区间：0.080-0.488%)，2003年至2005年为0.211%(95%可信区间：0.149-0.273%)，2006年至2008年为0.242%(95%可信区间：0.190-0.294%)，2009年至2011年为0.041%(95%可信区间：0.024-0.058%)。梅毒患病率分别为9.669%(95%可信区间：7.810~11.529%)、4.970%(95%可信区间：4.384~5.556%)、4.404%(95%可信区间：4.032~4.775%)和3.169%(95%可信区间：2.738~3.600%)。HIV感染率与研究时间的等级相关系数为−0.165(p = 0.002)，梅毒感染率与研究时间的等级相关系数为−0.209(p = 0.000)。中高端工作场所的综合艾滋病毒感染率为0.318%(95%CI：0.156-0.479%)，低档工作场所为0.393%(95%CI：0.176-0.610%)。梅毒患病率分别为3.216%(95%CI：2.192~4.240%)和13.817%(95%CI：10.589~17.044%)。我们的数据显示，在研究期间(2000年至2011年)，中国暗娼中的艾滋病和梅毒疫情呈下降趋势。低层工作场所的暗娼今后应该得到更多的关注，以确保她们被纳入艾滋病毒和性传播疾病的预防计划。
Female sex workers (FSWs) play an important role in transmitting HIV and syphilis from high-risk groups to the general population. However, the trends in HIV and syphilis epidemics in Chinese FSWs in the period after 2000 are unclear to date. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statement was followed. Seven databases were searched for published peer-reviewed articles. The incidence of HIV and syphilis in FSWs in different time periods, provinces and workplaces in China were separately pooled by meta-analysis. Correlation analysis was conducted between HIV and syphilis incidence and study time, respectively. After 1,662 articles were screened, 190 published papers were included in the final analysis. Estimated HIV prevalence was 0.284% (95% CI: 0.080–0.488%) in the period 2000–2002, 0.211% (95% CI: 0.149–0.273%) in 2003–2005, 0.242% (95% CI: 0.190–0.294%) in 2006–2008 and 0.041% (95% CI: 0.024–0.058%) in 2009–2011. The corresponding syphilis prevalence was 9.669% (95% CI: 7.810–11.529%), 4.970% (95% CI: 4.384–5.556%), 4.404% (95% CI: 4.032–4.775%) and 3.169% (95% CI: 2.738–3.600%), respectively. Spearman rank correlation coefficients were −0.165 (p = 0.002) between HIV prevalence and study time, and −0.209 (p = 0.000) between syphilis prevalence and study time. The combined HIV prevalence was 0.318% (95% CI: 0.156–0.479%) in medium and high-tier workplaces and 0.393% (95% CI: 0.176–0.610%) in low-tier workplaces. The corresponding syphilis prevalence was 3.216% (95% CI: 2.192–4.240%) and 13.817% (95% CI: 10.589–17.044%), respectively. Our data suggested a decline in HIV and syphilis epidemics in FSWs in China on a national level during the study period (2000–2011). FSWs in low-tier workplaces should be given more attention in the future to ensure they are included in prevention programs for HIV and sexually transmitted diseases.
影响因子：
15.8
作者：
Liberati A;Altman DG;Tetzlaff J;Mulrow C;Gøtzsche PC;Ioannidis JP;Clarke M;Devereaux PJ;Kleijnen J;Moher D
通讯作者：
Moher D
影响因子：
4.4
作者：
Li, Yan;Detels, Roger;Lin, Peng;Fu, Xiaobing;Deng, Zhongming;Liu, Yongying;Huang, Guohua;Li, Jie;Tan, Yihe
通讯作者：
Tan, Yihe