Behavioral interventions have been shown to both promote and change many health-related behaviors and issues. This meta-analysis was performed to assess whether behavioral interventions have the potential to increase condom use and HIV testing uptake among men who have sex with men (MSM) in China. PubMed, Elsevier Science Direct, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), and Wanfang (Chinese) were searched to June 2011 to identify relevant articles. Data of eligible citations were extracted by two reviewers. Sixteen studies were identified. Aggregated findings indicated that interventions were associated with a significant increase in condom use between MSM and male sex partners in the last anal sex act (RR=1.17, 95% CI=1.05-1.29) and consistent condom use between MSM and male sex partners in the past 6 months (RR=1.36, 95% CI=1.15-1.60) and HIV testing (RR=2.22, 95% CI=1.72-2.88). However, no significant increase was detected in condom use over the course of the intervention among MSM engaging in sex with women. In the subgroup analyses, the positive effects were not detected in some subgroups such as anal sex with casual partners and intervention interval less than or equal to 6 months. The sensitivity analysis showed that these estimates were unchanged after removal of the study that had the biggest sample or the studies that had the most rigorous study design. This meta-analysis can inform future intervention design and implementation in terms of sample size, target populations, settings, goals for process measures, and intervention interval.

译文

行为干预已被证明可以促进和改变许多与健康相关的行为和问题。进行了这项荟萃分析,以评估行为干预是否有可能增加中国男男性行为者 (MSM) 中安全套的使用和HIV检测的摄入量。搜索PubMed,Elsevier Science Direct,中国生物医学文献数据库 (CBM),中国国家知识基础设施 (CNKI) 和万方 (中文) 进行了2011年6月,以识别相关文章。合格引用的数据由两名审阅者提取。确定了16项研究。汇总结果表明,干预措施与上一次肛交行为中MSM和男性性伴侣之间安全套使用的显着增加有关 (RR = 1.17,95% CI = 1.05-1.29),以及MSM和男性性伴侣之间持续使用安全套在过去6个月 (RR = 1.36,95% CI = 1.15-1.60) 和HIV检测 (RR = 2.22,95% CI = 1.72-2.88)。但是,在与女性发生性行为的MSM中,在干预过程中,安全套的使用没有显着增加。在亚组分析中,在某些亚组中未检测到积极影响,例如与休闲伴侣进行肛交以及干预间隔小于或等于6个月。敏感性分析表明,在删除样本最大的研究或研究设计最严格的研究后,这些估计值没有变化。该荟萃分析可以在样本量,目标人群,设置,过程措施的目标和干预间隔方面为未来的干预设计和实施提供信息。

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