%0期刊文章%@ 1438- 8871% I JMIR出版物%V 19卡塔尔世界杯8强波胆分析% N 11% P e394% T社交媒体干预促进艾滋病毒检测，联系，坚持和保留:系统回顾与meta分析%A曹，Bolin %A Gupta,Somya %A Wang，江涛%A hightowa - weidman,Lisa B %A Muessig,Kathryn E %A Tang, weming %A Pan,Stephen %A Pendse,Razia %A Tucker,Joseph D %+深圳南山区南海大道3688号，中国深圳518000,86 13247393943，深圳大学媒体与传播学院，caobolin@szu.edu.cn %K社交媒体%K HIV %K MSM %K干预%K检测%K坚持%D 2017 %7 24.11.2017 %9原始论文%J J医学互联网Res %G英文%X背景:社交媒体越来越多地用于为全球关键人群提供HIV干预。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。我们系统地搜索了六个数据库和三个会议网站，使用了与艾滋病毒、社交媒体和关键人群相关的搜索词。我们纳入了以下研究:(1)干预措施是在社交媒体平台上创建或实施的，(2)研究人群包括男男性行为者(MSM)、变性人、注射吸毒者(PWID)和/或性工作者，(3)结果包括促进艾滋病毒检测、联系、坚持和/或保留。meta分析由Review Manager 5.3版进行。通过随机效应模型计算汇总相对风险(RR)和95%置信区间。 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) %M 29175811 %R 10.2196/jmir.7997 %U //www.mybigtv.com/2017/11/e394/ %U https://doi.org/10.2196/jmir.7997 %U http://www.ncbi.nlm.nih.gov/pubmed/29175811