...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>AIDS care. >A systematic review of income generation interventions, including microfinance and vocational skills training, for HIV prevention
【24h】

A systematic review of income generation interventions, including microfinance and vocational skills training, for HIV prevention

机译：对预防艾滋病毒的创收干预措施（包括小额信贷和职业技能培训）进行系统审查

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Income generation interventions, such as microfinance or vocational skills training, address structural factors associated with HIV risk. However, the effectiveness of these interventions on HIV-related outcomes in low- and middle-income countries has not been synthesized. The authors conducted a systematic review by searching electronic databases from 1990 to 2012, examining secondary references, and hand-searching key journals. Peer-reviewed studies were included in the analysis if they evaluated income generation interventions in low- or middle-income countries and provided pre-post or multi-arm measures on behavioral, psychological, social, care, or biological outcomes related to HIV prevention. Standardized forms were used to abstract study data in duplicate and study rigor was assessed. Of the 5218 unique citations identified, 12 studies met criteria for inclusion. Studies were geographically diverse, with six conducted in sub-Saharan Africa, three in South or Southeast Asia, and three in Latin America and the Caribbean. Target populations included adult women (N— 6), female sex workers/bar workers (N= 3), and youth/orphans (N= 3). All studies targeted females except two among youth/orphans.. Study rigor was moderate, with two group-randomized trials and two individual-randomized trials. All interventions except three included some form of microfinance. Only a minority of studies found significant intervention effects on condom use, number of sexual partners, or other HIV-related behavioral outcomes; most studies showed no significant change, although some may have had inadequate statistical power. One trial showed a 55% reduction in intimate partner violence (adjusted risk ratio 0.45, 95% confidence interval 0.23-0.91). No studies measured incidence/prevalence of HIV or sexually transmitted infections among intervention recipients. The evidence that income generation interventions influence HIV-related behaviors and outcomes is inconclusive. However, these interventions may have important effects on outcomes beyond HIV prevention. Further studies examining not only HIV-related outcomes but also causal pathways and intermediate variables, are needed. Additional studies among men are also needed.
机译：诸如小额信贷或职业技能培训等创收干预措施可解决与艾滋病毒风险相关的结构性因素。但是，这些干预措施在低收入和中等收入国家中与艾滋病毒有关的结果的效果尚未综合。作者通过搜索1990年至2012年的电子数据库，检查二级参考文献以及手工搜索关键期刊进行了系统的综述。如果同行评议的研究评估了中低收入国家的创收干预措施，并提供了与艾滋病毒预防相关的行为，心理，社会，护理或生物学结果的事前或事后措施，则该分析包括在分析中。标准化表格用于一式两份地提取研究数据并评估研究的严谨性。在5218个独特的引文中，有12个研究符合纳入标准。研究在地理上是多样的，在撒哈拉以南非洲进行了六项，在南亚或东南亚进行了三项，在拉丁美洲和加勒比进行了三项。目标人群包括成年女性（N-6），女性性工作者/酒吧工作者（N = 3）和青年/孤儿（N = 3）。除两名青少年/孤儿外，所有研究均针对女性。研究严谨度中等，有两项小组随机试验和两项个人随机试验。除三个干预措施外，所有干预措施均包括某种形式的小额信贷。只有少数研究发现对使用安全套，性伴侣的数量或其他与HIV有关的行为结果有重大干预作用。大多数研究没有明显变化，尽管有些可能没有足够的统计能力。一项试验显示，亲密伴侣的暴力行为减少了55％（调整后的风险比为0.45，95％的置信区间为0.23-0.91）。没有研究测量接受干预者中艾滋病毒或性传播感染的发生率/流行率。关于创收干预措施会影响与HIV相关的行为和结果的证据尚无定论。但是，这些干预措施可能会对预防HIV以外的结果产生重要影响。需要进行进一步的研究，不仅要检查与HIV相关的结果，还要检查因果关系和中间变量。男性之间还需要进一步的研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号