Ci Zhang1,2, Han-Zhu Qian1,3, Xi Chen4, Scottie Bussell5, Yan Shen1,2, Honghong Wang1,2, Xianhong Li1,2. 1. Xiangya School of Nursing, Central South University, Changsha, Hunan Province, China. 2. Xiangya Center for Evidence-Based Nursing Practice & Healthcare Innovation (A JBI Affiliated Group), Changsha, Hunan Province, China. 3. School of Public Health, Yale University, New Haven, Connecticut, United States of America. 4. Hunan Provincial Central for Disease Control and Prevention, Changsha, Hunan Province, China. 5. Department of Health and Human Services, Parker Indian Hospital, Parker, Arizona, United States of America.
Abstract
BACKGROUND: Partner notification and testing could expand HIV testing and link infections to care. We performed a meta-analysis on HIV testing rate and prevalence among couples of people diagnosed with HIV in China. METHODS: Six electronic databases (PubMed, Cochrane Library, Embase, Web of Science, the China National Knowledge Internet, and WanFang) and abstracts of five HIV/sexually transmitted infections conferences were searched up to February 1, 2020. Meta-analysis was conducted using a random-effects model to assess HIV testing rate and prevalence among couples of Chinese people diagnosed with HIV. RESULTS: Of 3,657 records retrieved, 42 studies were identified. Among them, three studies were conducted among pregnant women and 10 among men who have sex with men. The pooled uptake rate of couples HIV testing among Chinese people diagnosed with HIV was 65% (95% confidence interval, 57% -73%; 23 studies). The pooled HIV prevalence among couples who had an HIV test was 28% [24%-32%] (38 studies). Subgroup analyses showed that the pooled couples HIV testing uptake rates among pregnant women and men who have sex with men were 76% [66%-86%] (3 studies) and 49% [30%-68%] (8 studies), and the pooled HIV prevalence in two populations was 53% [27%-78%] (3 studies) and 14% [10%-17%] (10 studies), respectively. CONCLUSIONS: Nearly two-thirds of couples of people diagnosed with HIV have had an HIV test, of whom 28% were positive. Couples of MSM with a positive HIV diagnosis had a lower testing rate, which indicates more effective strategies need to be carried out to improve couples HIV testing among Chinese MSM.
BACKGROUND: Partner notification and testing could expand HIV testing and link infections to care. We performed a meta-analysis on HIV testing rate and prevalence among couples of people diagnosed with HIV in China. METHODS: Six electronic databases (PubMed, Cochrane Library, Embase, Web of Science, the China National Knowledge Internet, and WanFang) and abstracts of five HIV/sexually transmitted infections conferences were searched up to February 1, 2020. Meta-analysis was conducted using a random-effects model to assess HIV testing rate and prevalence among couples of Chinese people diagnosed with HIV. RESULTS: Of 3,657 records retrieved, 42 studies were identified. Among them, three studies were conducted among pregnant women and 10 among men who have sex with men. The pooled uptake rate of couples HIV testing among Chinese people diagnosed with HIV was 65% (95% confidence interval, 57% -73%; 23 studies). The pooled HIV prevalence among couples who had an HIV test was 28% [24%-32%] (38 studies). Subgroup analyses showed that the pooled couples HIV testing uptake rates among pregnant women and men who have sex with men were 76% [66%-86%] (3 studies) and 49% [30%-68%] (8 studies), and the pooled HIV prevalence in two populations was 53% [27%-78%] (3 studies) and 14% [10%-17%] (10 studies), respectively. CONCLUSIONS: Nearly two-thirds of couples of people diagnosed with HIV have had an HIV test, of whom 28% were positive. Couples of MSM with a positive HIV diagnosis had a lower testing rate, which indicates more effective strategies need to be carried out to improve couples HIV testing among Chinese MSM.
Authors: Susan Allen; Jareen Meinzen-Derr; Michele Kautzman; Isaac Zulu; Stanley Trask; Ulgen Fideli; Rosemary Musonda; Francis Kasolo; Feng Gao; Alan Haworth Journal: AIDS Date: 2003-03-28 Impact factor: 4.177
Authors: Abigail M Hatcher; Lynae Darbes; Zachary Kwena; Pamela L Musoke; Anna Joy Rogers; George Owino; Anna Helova; Jami L Anderson; Patrick Oyaro; Elizabeth A Bukusi; Janet M Turan Journal: AIDS Behav Date: 2020-07
Authors: Susan Allen; Etienne Karita; Elwyn Chomba; David L Roth; Joseph Telfair; Isaac Zulu; Leslie Clark; Nzali Kancheya; Martha Conkling; Rob Stephenson; Brigitte Bekan; Katherine Kimbrell; Steven Dunham; Faith Henderson; Moses Sinkala; Michel Carael; Alan Haworth Journal: BMC Public Health Date: 2007-12-11 Impact factor: 3.295