Risk perception and the influence on uptake and use of biomedical prevention interventions for HIV in sub-Saharan Africa: A systematic literature review.
Risk perception and the influence on uptake and use of biomedical prevention interventions for HIV in sub-Saharan Africa: A systematic literature review.
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DOI：
10.1371/journal.pone.0198680
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发表时间：
2018
期刊：
影响因子：
3.7
通讯作者：
Larson HJ
中科院分区：
文献类型：
--
作者：
Warren EA;Paterson P;Schulz WS;Lees S;Eakle R;Stadler J;Larson HJ
人们发现，风险观念是造成艾滋病毒预防干预措施不一致或不使用的一个关键因素。对风险的考虑需要扩展到感染风险之外，还包括与预防干预措施使用相关的个人、社会、情感和经济风险。本系统性综述了撒哈拉以南非洲地区的定性同行评议文献，探讨了与艾滋病毒感染和艾滋病毒预防干预措施使用相关的风险的看法。我们检索了Medline、Embase、PsychInfo、Africa Wide Info、CINAHL和Global Health的出版物，并筛选了它们的相关性。自2003年以来发表的同行评议的定性研究，如果他们检查的风险认知或不确定性的背景下，医疗监管的干预是合格的。仅纳入了针对成年人的研究。使用Hawker方法对纳入的出版物进行质量评估，并按主题进行编码。10318独特的文件被确定，其中29个被包括在内。在所确定的主题中，一个特别突出的主题是艾滋病毒预防干预措施可能威胁到关系的稳定，并影响到人们可能选择或不选择使用预防干预措施的方式和时间。这篇文献综述排除了灰色文献，灰色文献可能具有独特的有价值的见解。我们还排除了可能对我们的研究结果提出质疑或进行三角分析的定量研究。在考虑感染艾滋病毒的风险时，将生物风险与使用干预措施所带来的个人、关系和经济成本分开来审查是不够的。这种情感、身体或物质支持的丧失可能被认为比预防潜在感染更重要。
Risk perception has been found to be a crucial factor explaining inconsistent or non-use of HIV prevention interventions. Considerations of risk need to expand beyond risk of infection to also include the personal, social, emotional, and economic risks associated with prevention intervention use. This systematic review of qualitative peer-reviewed literature from sub-Saharan Africa examines perceptions of risk associated with HIV infection and HIV prevention intervention use. We searched Medline, Embase, PsychInfo, Africa Wide Info, CINAHL, and Global Health for publications and screened them for relevance. Peer-reviewed qualitative studies published since 2003 were eligible for inclusion if they examined risk perception or uncertainty in the context of a medically regulated intervention. Only studies focusing on adults were included. Included publications were quality assessed using the Hawker method and coded thematically. 10318 unique papers were identified, of which 29 are included. Among the themes identified, a particularly salient one was the potential of HIV prevention interventions to threaten the stability of a relationship and impact on how and when people may—or may not—choose to use prevention interventions. This literature review excludes grey-literature, which may have distinct valuable insights. We also excluded quantitative studies that may have challenged or triangulated our findings. When considering the risk of HIV acquisition, it is insufficient to examine biological risk in isolation from the personal, relational and economic costs associated with intervention use. This loss of emotional, physical, or material support may be perceived as more consequential than the prevention of a potential infection.
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影响因子：
5.4
作者：
Kalipeni, Ezekiel;Ghosh, Jayati
通讯作者：
Ghosh, Jayati
DOI：
10.1080/09540129750125244
发表时间：
1997-04-01
影响因子：
1.7
作者：
Bajos, N
通讯作者：
Bajos, N
DOI：
10.1080/09540121.2011.554529
发表时间：
2011-01-01
影响因子：
1.7
作者：
Bandali, S.
通讯作者：
Bandali, S.
影响因子：
6
作者：
Corneli, Amy L;McKenna, Kevin;Agot, Kawango
通讯作者：
Agot, Kawango
影响因子：
2.8
作者：
Juergensen, Marte;Tuba, Mary;Blystad, Astrid
通讯作者：
Blystad, Astrid