关键词: HIV & AIDS epidemiology health services accessibility

Mesh : Male Humans Female HIV Self-Testing Homosexuality, Male Sexual and Gender Minorities HIV Infections / diagnosis HIV Testing Africa South of the Sahara Research Design Review Literature as Topic

来  源:   DOI:10.1136/bmjopen-2023-075880   PDF(Pubmed)

Abstract:
HIV self-testing (HIVST) is where individuals collect their specimens and perform the HIV test privately. HIVST has improved testing uptake and coverage, especially among vulnerable groups of sub-Saharan Africa (SSA). Vulnerable groups include key populations such as men who have sex with men, sex workers, people who inject drugs, lesbian, gay, bisexual and transgender persons and young women. However, little is known about the determinants and acceptability of HIVST among these groups in SSA. Therefore, this scoping review aims to explore the determinants and acceptability of HIVST among vulnerable groups in SSA.
A scoping review will be conducted using the Arksey and O\'Malley framework and further refined by Levac framework. The review will follow a six-step approach: (1) identifying the research question, (2) identifying relevant studies, (3) study selection eligibility, (4) charting the data, (5) collating, summarising and reporting the results and (6) consultation. A comprehensive search strategy will be developed, and the following electronic databases will be searched: MEDLINE, Embase, Global Health and the Cochrane Library. Grey literature will also be searched, including conference abstracts and reports. Eligibility criteria will include studies conducted in SSA, published between 2010 and 2023, focusing on vulnerable groups and exploring the determinants and acceptability of HIVST. Two independent reviewers will screen identified studies\' titles, abstracts and full texts. Any disagreements will be resolved through discussion or consultation with a third reviewer. Data extraction will be conducted using a standardised form.
This review, not requiring ethical approval, aims to inform policy and intervention design to boost HIV testing adoption within vulnerable communities. We plan to disseminate our findings via a peer-reviewed journal, policy briefs, conference presentations and stakeholder engagement.
摘要:
背景:HIV自我检测(HIVST)是个人收集标本并私下进行HIV检测的地方。HIVST提高了测试的吸收率和覆盖率,特别是在撒哈拉以南非洲(SSA)的弱势群体中。弱势群体包括重点人群,如男男性行为者,性工作者,注射毒品的人,拉拉,同性恋,双性恋和变性者以及年轻女性。然而,对SSA中这些群体中HIVST的决定因素和可接受性知之甚少。因此,本范围审查旨在探讨HIVST在SSA弱势群体中的决定因素和可接受性.
方法:将使用Arksey和O\'Malley框架进行范围审查,并由Levac框架进一步完善。审查将遵循六步方法:(1)确定研究问题,(2)确定相关研究,(3)研究选择资格,(4)绘制数据图表,(5)整理,总结和报告结果和(6)咨询。将制定全面的搜寻策略,将搜索以下电子数据库:MEDLINE,Embase,全球卫生和Cochrane图书馆。灰色文献也将被搜索,包括会议摘要和报告。资格标准将包括在SSA中进行的研究,2010年至2023年出版,重点关注弱势群体,探索HIVST的决定因素和可接受性。两名独立审稿人将筛选已确定的研究标题,摘要和全文。任何分歧将通过与第三审稿人讨论或协商解决。数据提取将使用标准化形式进行。
背景:这篇综述,不需要道德批准,旨在为政策和干预设计提供信息,以促进脆弱社区内艾滋病毒检测的采用。我们计划通过同行评审的期刊传播我们的发现,政策简报,会议演示和利益相关者参与。
公众号