■人们已经认识到,与艾滋病毒相关的污名阻碍了检测工作,治疗,和预防。在这次系统审查中,我们的目的是总结艾滋病毒相关的污名和年龄之间的关联的现有发现,社会支持,教育状况,抑郁症,就业状况,财富指数,性别,residence,关于艾滋病毒的知识,婚姻状况,自诊断以来的持续时间,和披露状况使用了大量的研究。
■电子数据库,包括Scopus,Medline/PubMed,WebofSciences(WOS),科克伦图书馆,谷歌学者,和开放研究数据集挑战进行了系统搜索,直到2023年4月15日。我们包括了各种艾滋病毒污名研究,不管语言,发布日期,或地理位置。40项研究符合纳入标准,共有171627名患者。使用混合效应模型来汇集估计值和评估发表偏差,以及进行敏感性分析。
■年龄等因素,社会支持,高等教育,更高的社会经济地位,良好的艾滋病毒知识,和更长的艾滋病毒感染年限显著降低了与艾滋病毒相关的耻辱的可能性。相反,抑郁等因素,居住在农村地区,女性受访者,和未披露HIV状况与HIV相关污名的高风险显著相关.
■为了对抗与艾滋病毒相关的系统性耻辱,通过提高社区一级的艾滋病毒认识,发展健康和全面的社会方法至关重要。除了激进主义,地方经济发展对于建立具有强大社会结构的繁荣社区也至关重要。
UNASSIGNED: It has been recognized that HIV-related stigma hinders efforts in testing, treatment, and prevention. In this systematic review, we aimed to summarize available findings on the association between HIV-related stigma and age, social support, educational status, depression, employment status, wealth index, gender, residence, knowledge about HIV, marital status, duration since diagnosis, and disclosure status using a large number of studies.
UNASSIGNED: Electronic databases including Scopus, Medline/PubMed, Web of Sciences (WOS), Cochrane Library, Google Scholar, and Open Research Dataset Challenge were systematically searched until 15 April 2023. We included all kinds of HIV-stigma studies, regardless of language, publishing date, or geographic location. The inclusion criteria were met by 40 studies, with a total of 171,627 patients. A mixed-effect model was used to pool estimates and evaluate publication bias, as well as to conduct sensitivity analysis.
UNASSIGNED: Factors such as older age, social support, greater education, higher socioeconomic status, good knowledge of HIV, and longer years of living with HIV significantly lowered the likelihood of HIV-related stigma. Contrarily, factors such as depression, residing in rural areas, female respondents, and non-disclosure of HIV status were significantly associated with a high risk of HIV-related stigma.
UNASSIGNED: To combat systemic HIV-associated stigma, it is crucial to develop wholesome and comprehensive social methods by raising community-level HIV awareness. In addition to activism, local economic development is also crucial for creating thriving communities with a strong social fabric.