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Behavioral interventions to reduce HIV risk behavior for MSM and transwomen in Southeast Asia: a systematic review

机译:在东南亚MSM和Transwomen减少艾滋病毒风险行为的行为干预:系统审查

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摘要

This systematic review aims to gain insights from existing literature from Southeast Asian countries to improve future HIV prevention programs for men who have sex with men (MSM) and transgender women (transwomen). We conducted a systematic search in six international databases for literature published prior to 1 January 2015. We included studies describing behavioral interventions targeting MSM and/or transwomen, and conducted in at least one Southeast Asian country. Five out of 575 screened studies met the inclusion criteria and reported a significant intervention effect on at least one outcome measure, that is, condom use (with casual or commercial partner), water-based lubricant use, number of sex partners, HIV prevention knowledge, or willingness to use pre-exposure prophylaxis. Peer education/outreach was the most commonly employed type of intervention in the five included studies and was usually delivered as an element of a larger intervention package, together with condom distribution and the provision of drop-in centers. Motivational interviewing was effective, while internet-based interventions appeared to be a viable platform for intervention delivery. Nevertheless, research on behavioral interventions among MSM and transwomen in Southeast Asia is limited. Future interventions should be culturally appropriate, theoretically grounded, and rigorously evaluated. Only then can we best address the HIV epidemic among MSM and transwomen in this region.
机译:该系统审查旨在利用东南亚国家现有文学的见解,以改善与男性(MSM)和变性妇女发生性关系的未来艾滋病预防计划(Transwomen)。我们在2015年1月1日之前发布的六个国际数据库进行了系统搜索。我们包括描述针对MSM和/或Transwomen的行为干预的研究,并在至少一个东南亚国家进行。 575个筛选研究中的五项符合纳入标准,并报告了至少一个结果措施的显着干预效果,即安全套使用(带休闲或商业伴侣),水性润滑剂使用,性伴侣数量,艾滋病毒预防知识或者愿意使用预先预防性预防。同伴教育/外展是五项中最常用的干预类型,其中五项研究中最常用的干预类型,通常作为更大的干预套餐的要素,以及避孕套分配和提供中门中心。励志面试是有效的,而基于互联网的干预措施似乎是一个可行的干预交付平台。尽管如此,对东南亚MSM和Transwomen之间的行为干预研究有限。未来的干预措施应在理论上是合适的,理论上,并严格评估。只有这样,我们才能在该地区的MSM和传输委员会中最好地解决艾滋病病毒疫情。

著录项

  • 来源
    《AIDS care.》 |2017年第2期|共7页
  • 作者单位

    Univ Med Ctr Rotterdam Erasmus MC Dept Publ Hlth POB 2040 NL-3000 CA Rotterdam Netherlands;

    Univ Med Ctr Rotterdam Erasmus MC Dept Publ Hlth POB 2040 NL-3000 CA Rotterdam Netherlands;

    Municipal Publ Hlth Serv Rotterdam Rijnmond Dept Infect Dis Control Rotterdam Netherlands;

    Univ Med Ctr Rotterdam Erasmus MC Dept Publ Hlth POB 2040 NL-3000 CA Rotterdam Netherlands;

    Univ Med Ctr Rotterdam Erasmus MC Dept Publ Hlth POB 2040 NL-3000 CA Rotterdam Netherlands;

  • 收录信息
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 传染病;
  • 关键词

    MSM; transgender; behavioral intervention; Southeast Asia; review;

    机译:MSM;Transcender;行为干预;东南亚;审查;

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