Efficacy of HIV interventions among factory workers in low- and middle-income countries: a systematic review
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RESEARCH ARTICLE
Open Access
Efficacy of HIV interventions among factory workers in low- and middle-income countries: a systematic review Dahui Chen1†, Ganfeng Luo1†, Xiaojun Meng2†, Zixin Wang3, Bolin Cao4, Tanwei Yuan1, Yu Xie1, Tian Hu5, Yaqi Chen5, Wujian Ke6, Zhenyu Wang7, Caijun Sun1, Kai Deng8, Yong Cai9*, Kechun Zhang5* and Huachun Zou1,10*
Abstract Background: Factory workers in low- and middle-income countries (LMICs) are vulnerable to HIV transmission. Interventions are needed to prevent HIV in this population. We systematically reviewed published literature on the efficacy of various HIV interventions in reducing stigma, risk behaviors and HIV transmission among factory workers. Methods: A systematic review was performed using predefined inclusion and exclusion criteria. Four databases (PubMed, PsycINFO, Scopus and EMBASE) were searched for relevant publications between January 1, 1990 and December 31, 2018. Two independent reviewers assessed the methodological quality of studies. Results: Thirteen articles were included, with 2 randomized controlled trials and 11 cohort studies. Five interventions and their combinations were summarized. Educational intervention increased condom use and reduced the use of recreational drugs and alcohol before sex. Community intervention that proactively provide HIV counselling and testing (HCT) services could increase the detection rate of HIV and other sexually transmitted diseases (STDs). Lottery intervention increased HCT uptake and decreased HIV public stigma. Education combined with community intervention reduced the proportion of workers with casual sex and enhanced HIV knowledge. Peer education combined with community intervention increased the proportion of workers who were willing to take their partners to HCT. Policy intervention combined with peer education enhanced HIV knowledge, perceived condom accessibility and condom use with regular partners. (Continued on next page)
* Correspondence: [email protected]; [email protected]; [email protected] † Dahui Chen, Ganfeng Luo and Xiaojun Meng contributed equally to this work. 9 Department of Community Health and Family Medicine, School of Public Health, Shanghai Jiao Tong University, Shanghai, PR China 5 Longhua District Center for Disease Control and Prevention, Shenzhen, Guangdong, PR China 1 School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, Guangdong, PR China Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material.
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