@Article{信息:doi 10.2196 / / jmir。7997,作者=“曹,Bolin和Gupta, Somya和Wang,江涛和hightowo - weidman, Lisa B和Muessig, Kathryn E和Tang, Weiming和Pan, Stephen和Pendse, Razia和Tucker, Joseph D”,标题=“社交媒体干预促进艾滋病毒检测、联系、坚持和保留:系统回顾和元分析”,期刊=“J Med Internet Res”,年=“2017”,月=“11月”,日=“24”,卷=“19”,数=“11”,页=“e394”,关键词=“社交媒体;艾滋病毒;二甲基砜;干预;测试;背景:社交媒体越来越多地用于为全球关键人群提供艾滋病毒干预措施。然而,人们对社交媒体在人类免疫缺陷病毒(HIV)干预中的具体用途和影响知之甚少。目的:本系统综述审查了社交媒体干预措施在关键人群中促进艾滋病毒检测、联系、坚持和保留方面的有效性。方法:我们使用系统评价和荟萃分析首选报告项目(PRISMA)检查表和Cochrane指南进行本综述,并在国际系统评价前瞻性登记册(PROSPERO)上注册。 We systematically searched six databases and three conference websites using search terms related to HIV, social media, and key populations. We included studies where (1) the intervention was created or implemented on social media platforms, (2) study population included men who have sex with men (MSM), transgender individuals, people who inject drugs (PWID), and/or sex workers, and (3) outcomes included promoting HIV testing, linkage, adherence, and/or retention. Meta-analyses were conducted by Review Manager, version 5.3. Pooled relative risk (RR) and 95{\%} confidence intervals were calculated by random-effects models. Results: Among 981 manuscripts identified, 26 studies met the inclusion criteria. We found 18 studies from high-income countries, 8 in middle-income countries, and 0 in low-income countries. Eight were randomized controlled trials, and 18 were observational studies. All studies (n=26) included MSM; five studies also included transgender individuals. The focus of 21 studies was HIV testing, four on HIV testing and linkage to care, and one on antiretroviral therapy adherence. Social media interventions were used to do the following: build online interactive communities to encourage HIV testing/adherence (10 studies), provide HIV testing services (9 studies), disseminate HIV information (9 studies), and develop intervention materials (1 study). Of the studies providing HIV self-testing, 16{\%} of participants requested HIV testing kits from social media platforms. Existing social media platforms such as Facebook (n=15) and the gay dating app Grindr (n=10) were used most frequently. Data from four studies show that HIV testing uptake increased after social media interventions (n=1283, RR 1.50, 95{\%} CI 1.28-1.76). In the studies where social media interventions were participatory, HIV testing uptake was higher in the intervention arm than the comparison arm (n=1023, RR 1.64, 95{\%} CI 1.19-2.26). Conclusions: Social media interventions are effective in promoting HIV testing among MSM in many settings. Social media interventions to improve HIV services beyond HIV testing in low- and middle-income countries and among other key populations need to be considered. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO): CRD42016048073; http://www.crd.york.ac.uk/PROSPERO/display{\_}record.php?ID=CRD42016048073 (Archived by WebCite at http://www. webcitation.org/6usLCJK3v) ", issn="1438-8871", doi="10.2196/jmir.7997", url="//www.mybigtv.com/2017/11/e394/", url="https://doi.org/10.2196/jmir.7997", url="http://www.ncbi.nlm.nih.gov/pubmed/29175811" }
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