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HIV testing and seroprevalence among couples of people diagnosed with HIV in China: A meta-analysis

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  • Ci Zhang
  • Han-Zhu Qian
  • Xi Chen
  • Scottie Bussell
  • Yan Shen
  • Honghong Wang
  • Xianhong Li

Abstract

Background: Partner notification and testing could expand HIV testing and link infections to care. We performed a meta-analysis on HIV testing rate and prevalence among couples of people diagnosed with HIV in China. Methods: Six electronic databases (PubMed, Cochrane Library, Embase, Web of Science, the China National Knowledge Internet, and WanFang) and abstracts of five HIV/sexually transmitted infections conferences were searched up to February 1, 2020. Meta-analysis was conducted using a random-effects model to assess HIV testing rate and prevalence among couples of Chinese people diagnosed with HIV. Results: Of 3,657 records retrieved, 42 studies were identified. Among them, three studies were conducted among pregnant women and 10 among men who have sex with men. The pooled uptake rate of couples HIV testing among Chinese people diagnosed with HIV was 65% (95% confidence interval, 57% -73%; 23 studies). The pooled HIV prevalence among couples who had an HIV test was 28% [24%-32%] (38 studies). Subgroup analyses showed that the pooled couples HIV testing uptake rates among pregnant women and men who have sex with men were 76% [66%-86%] (3 studies) and 49% [30%-68%] (8 studies), and the pooled HIV prevalence in two populations was 53% [27%-78%] (3 studies) and 14% [10%-17%] (10 studies), respectively. Conclusions: Nearly two-thirds of couples of people diagnosed with HIV have had an HIV test, of whom 28% were positive. Couples of MSM with a positive HIV diagnosis had a lower testing rate, which indicates more effective strategies need to be carried out to improve couples HIV testing among Chinese MSM.

Suggested Citation

  • Ci Zhang & Han-Zhu Qian & Xi Chen & Scottie Bussell & Yan Shen & Honghong Wang & Xianhong Li, 2021. "HIV testing and seroprevalence among couples of people diagnosed with HIV in China: A meta-analysis," PLOS ONE, Public Library of Science, vol. 16(3), pages 1-17, March.
  • Handle: RePEc:plo:pone00:0247754
    DOI: 10.1371/journal.pone.0247754
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    References listed on IDEAS

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    1. Loubiere, Sandrine & Peretti-Watel, Patrick & Boyer, Sylvie & Blanche, Jérôme & Abega, Séverin-Cécile & Spire, Bruno, 2009. "HIV disclosure and unsafe sex among HIV-infected women in Cameroon: Results from the ANRS-EVAL study," Social Science & Medicine, Elsevier, vol. 69(6), pages 885-891, September.
    2. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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