中国HIV阳性已婚MSM配偶告知检测及感染状况的Meta分析

HIV disclosure,spousal testing and infectious status among HIV positive married MSM in China:a meta-analysis

目的了解中国HIV阳性已婚MSM配偶告知、配偶检测及配偶感染状况,为预防HIV在婚内传播提供科学依据。方法计算机检索PubMed、Web of Science、中国知网、万方等数据库,采用Comprehensive Meta-Analysis(Version 2.0)软件合并告知率、检测率及感染率。结果分别有3篇文献探讨了被调查者对配偶告知情况,439名HIV阳性已婚MSM配偶告知率为39.9%(95%CI:23.9%~70.4%);13篇文献评估了被调查者配偶HIV检测情况,13207名HIV阳性已婚MSM配偶检测率为52.1%(95%CI:42.2%~66.9%);12篇文献研究了被调查者配偶HIV感染情况,12802名HIV阳性已婚MSM配偶感染率为5.4%(95%CI:8.3%~16.9%)。结论HIV阳性已婚MSM配偶告知率和检测率均较低,配偶HIV感染率较高。应采取相应措施,以降低HIV在婚内传播的风险。

Objective To understand the prevalence of HIV disclosure,spousal testing,and infectious status among HIV-positive married MSM in China,to provide a scientific basis for preventing HIV transmission in marriage.Methods PubMed,Web of Science,CNKI,Wanfang,and other databases were searched by computer.Comprehensive MetaAnalysis(Version 2.0)software merged the HIV disclosure testing rate and prevenlance.Results There were three articles on the respondent’s information about their spouses.Among 439 HIV-positive married MSM,the prevalence of HIV disclosure was 39.9%(95%CI:23.9%-70.4%).13 literatures evaluated the HIV testing status of the spouses of the respondents and the prevalence of spousal testing of 13207 HIV-positive married MSM was 52.1%(95%CI:42.2%-66.9%).The prevalence of HIV infection among the spouses of 12802 HIV-positive married MSM was 5.4%(95%CI:8.3%-16.9%).Conclusions HIV-positive married MSM had a low rate of partner notification and detection.Meanwhile,HIV infection rate among MSM spouse were high.As a result.Corresponding measures should be taken to reduce the risk of HIV transmission within marriage.