Attributes of HIV infection over decades (1982–2018): A systematic review and meta‐analysis

Kabapy, Ahmed F; Shatat, Hanan Z.; El‐Wahab, Ekram W. Abd

doi:10.1111/tbed.13621

Cited by 27 publications

(20 citation statements)

References 125 publications

(178 reference statements)

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“…The wider treatment coverage and improved adherence among WLH has rapidly reduced AIDS-related deaths among women [ 3 ]. Increased access to highly active anti-retroviral therapy (HAART) shifted HIV from an acute illness to a chronic disease [ 4 ] for women in terms of life expectancy, quality of life, and the opportunity for motherhood [ 5 – 7 ]…”

Section: Introductionmentioning

confidence: 99%

Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis

et al. 2021

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Background Women living with HIV (WLH) lack evidence-based information about reproductive options while managing pressures from family, clinicians, and communities to give up the idea of having children. As the reproduction intentions of WLH are not well understood, stigmatizing behaviors force them to hide their disease to avoid rejection by their family, partner, and social networks. Compliance with social norms, fear of stigma, and discrimination influence their experience. Current research is individual qualitative studies lacking the synthesis perspective necessary to guide intervention development. The purpose of this study was to synthesize the evidence to explain the reproductive decision-making process for WLH in developed countries. Methods A systematic review with qualitative research synthesis was conducted through searches in 10 electronic databases (CINAHL, EMBASE, MEDLINE, Scopus, Social Science Citation Index, Web of Science, Google Scholar, Cuidatge, Cuiden Enfispo, and SciELO). Studies published in journals from 1995 to 2019 with qualitative data about reproductive decision-making among WLH in developed countries were eligible for inclusion. Developed country was operationalized by membership in the OECD for comparative conditions of social wellbeing and economic stability. The CASP and JBI checklists for qualitative research were used to assess study quality and methodological integrity. Thematic analysis and qualitative meta-summary techniques were used for the synthesis. Results Twenty studies from 12 developed countries were included in the synthesis. Findings were organized into 3 meta-themes from 15 themes and 45 subthemes, including: (1) Shattered identity, (2) Barriers, inequities, and misinformation, (3) Coping, resiliency, and support. Reproductive decision-making was perceived as a complex process influenced by facilitators and barriers. The facilitators helped WLH cope with their new situation to become more resilient, while the barriers made their situation more difficult to manage. Conclusion WLH encounter reproductive decision-making with knowledge deficits and limited social support. An integrated approach to holistic care with comprehensive multidisciplinary counseling is needed to support WLH. Clinicians could benefit from professional development to learn how to be authentically present for WLH, including engaging in conversations, demonstrating compassion, and understanding situations. Evidence-based clinical practice guidelines need to be tailored for the family planning and sexual health needs of WLH.

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Section: Introductionmentioning

confidence: 99%

Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis

et al. 2021

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“…Second, consider periodic routine microbiological etiology surveillance to guide syndromic management of STIs and minimize misdiagnosis. Third, given that STIs and HIV are synergistic [ 32 , 33 ] and that HIV testing in Tunisia is carried out in a few specific basic care centres and that testing is not systematic for all STI consultants(It is an anonymous test and its acceptance by the community remains limited), we suggest to properly screen for contacts and increase the rigour of HIV testing by systematically referring STI cases to the Centre’s anonymous and free HIV screening.…”

Section: Discussionmentioning

confidence: 99%

Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017

et al. 2021

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Background Sexually Transmitted Infections (STIs) are a public health problem, especially for reproductive-age women. The aim of this study was to determine the incidence and trend of STIs during 11 years in Tunisia (2007–17). Methods We conducted a descriptive study including all women with curable STIs (chlamydia, gonorrhea, syphilis and trichomoniasis) diagnosed with the syndromic approach in all basic health care centers of the Governorate of Monastir (Tunisia) from 2007 to 2017. Syndromes included, Pelvic Pain (PP), Vaginal Discharge (VD) and Genital Ulceration (GU). Results We analyzed 40,388 episodes of curable STIs with a crude incidence rate and age standardized incidence rate of 1393 (95% Confidence Interval (CI); 1348–1438) / 100,000 Person Year (PY) and 1328 (95%CI; 1284–1372) /100,000 PY respectively. The incidence rate showed a positive trend over 11 years for all age groups and syndromes. VD was the most common syndrome with a crude incidence rate of 1170/100,000 PY. For all syndromes, women aged 20 to 39 were the most affected age group (p < 0.001). Conclusion In conclusion, the incidence rate of STIs episodes among women diagnosed with the syndromic approach was high, consistent with the global evidence. Focusing on reviewing STIs surveillance system in low and middle-income countries could allow the achievement of the ending of STIs epidemics by 2030.

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“…In addition,selfreporting STIs in the last year and staying in current residence for more than 12 months were signi cantly associated with HIV-1 infection in both LCFSWs and CMFSWs, while staying in current residence for more than 12 months were related to syphilis infection among CMFSWs and LCFSWs, respectively. A metaanalysis reported that STIs as a superior role for contributing to HIV infection [35]. Therefore, there is no doubt that self-reporting STIs has been a associatted factor to HIV infection among FSWs in a decade.…”

Section: Discussionmentioning

confidence: 99%

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: a Nine-year Consecutive Cross-sectional Study

Liang

Zhang

Wei³

et al. 2021

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Background To analyze the trends of HIV-1 and syphilis prevalence as well as associated factors among local Chinese female sex workers (LCFSWs) and cross-border migrant female sex workers (CMFSWs) in Sino-Vietnam border cities in Guangxi, China. Methods A consecutive cross-sectional study was conducted from 2010 to 2018 in three border cities in Guangxi. The survey was conducted through face-to-face interview with a structured questionnaire. HIV-1 and syphilis infections were tested simultaneously. Cochran-Armitage analysis was used to assess the trends of HIV-1, syphilis and HCV prevalence, as well as the trend of risk behaviors, HIV/AIDS knowledge and prevention services. Multivariate logistics regression analysis was used to identify factors associated with HIV-1 and syphilis infection.Results Totally, 19873 LCFSWs and 1723 CMFSWs were enrolled. The overall prevalence of HIV-1 and syphilis infection was 0.91% and 5.14%, respectively. The HIV-1 prevalence among CMFSWs was higher than that among LCFSWs, without a declined trend. However, a downward trend was observed among LCFSWs. Overall, the main associated factors of HIV-1 infection among CMFSWs shifted from age >35 years old, staying in current residence for >12 months, self-reporting sexually transmitted infections (STIs) in the last year during 2010-2015 to inconsistent condoms use in commercial sex in last month, not receiving peer education and self-reporting STIs in the last year during 2016-2018. The main correlated factors of syphilis infection among CMFSWs changed from history of illicit drug use, staying in current residence for more than 12 months, self-reporting of STIs and inconsistent condoms use in commercial sex in the past month during 2010-2015 to working in low-tier venues, self-reporting of STIs in the last year, and sexing with commercial male clients who used aphrodisiac drugs during 2016-2018. For LCFSWs, the relative strong associated factors of HIV-1 infection shifted from receiving less than 6 years of education, illicit drugs use, and self-reporting STIs in the last year during 2010-2015 to sexing with commercial male clients who use aphrodisiac drugs and self-reporting of STIs during 2016-2018, while the main factors of syphilis infection changed from self-reporting STIs in the last year, history of illicit drug use and receiving less than 9 years of education during 2010-2015 to self-reporting of STIs in the last year, sexing with commercial male clients who use aphrodisiac drugs, and history of illicit drugs use during 2016-2018.Conclusions The relatively higher prevalence of HIV-1 infection and frequent risk behaviours among CMFSWs in border cities in Guangxi, indicating that CMFSWs is the high-risk population for HIV-1 infection and transmission in the region, and is the key population of HIV/AIDS prevention and control. Meanwhile, the change of HIV infection-associated risk factors over time suggests that HIV intervention strategies need to be changed accordingly.

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Attributes of HIV infection over decades (1982–2018): A systematic review and meta‐analysis

Cited by 27 publications

References 125 publications

Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis

Motherhood and decision-making among women living with HIV in developed countries: a systematic review with qualitative research synthesis

Syndromic surveillance of female sexually transmitted infections in primary care: a descriptive study in Monastir, Tunisia, 2007─2017

HIV-1 and Syphilis Prevalence Among Local Chinese and Cross-border Migrant Female Sex Workers in Sino-Vietnam Border Cities in Guangxi, China: a Nine-year Consecutive Cross-sectional Study

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