Abstract
In China, migrants with acquired immunodeficiency syndrome (AIDS) have become a serious problem in the field of AIDS prevention. This study aimed to evaluate the efficacy of interventions for human immunodeficiency virus (HIV) infection prevention for migrants in China and to identify factors associated with intervention efficacy. A computerized literature search of the Chinese National Knowledge Infrastructure, Wan Fang, and PubMed databases was conducted to collect related articles published in China. Only self-control intervention studies or studies containing sections regarding self-control interventions wherein the method of intervention was health education were included. Rev Manager 5.3 software was used to analyze the intervention effects in terms of knowledge, attitude, and behavior indexes. Relative to pre-intervention, the HIV interventions showed statistically significant efficacy in terms of sexual transmission of HIV, condom use for HIV prevention, change in attitude towards HIV/AIDS patients, incidence of commercial sex behavior, and recent condoms use during sex (P < .01). Moreover, the baseline rate of migrants, intervention time, peer education, region, and education background were factors influencing the efficacy of the intervention. Significant improvement in terms of knowledge of sexual transmission of HIV and attitudes and behaviors among migrants was observed; however, based on the findings of previous studies, the interventions should be customized for different people from different districts in China. Further research is needed to evaluate subgroups of migrants in China according to their baseline characteristics.
Highlights
As a malignant disease, acquired immunodeficiency syndrome (AIDS) causes severe harm to human health and hinders economic development
We performed a systematic literature search using several strategies: (1) electronic database searches, such as PubMed, Wan Fang, and China National Knowledge Infrastructure (CNKI), and keywords such as ‘AIDS’, ‘human immunodeficiency virus (HIV)’, ‘Migrants’, ‘Intervention’, and ‘Health Education’ were used; (2) requested for articles sent to researchers; and (3) reviewed reference sections of articles obtained in the searches
Social inclusion of patients with AIDS is key for HIV/AIDS prevention, and acceptance of such migrants had a positive effect on the prevention of AIDS; changing the attitude towards these patients was selected as indicator 3
Summary
As a malignant disease, acquired immunodeficiency syndrome (AIDS) causes severe harm to human health and hinders economic development. AIDS is characterized by rapid dissemination and high mortality rates. Since AIDS is globally widespread, it has become a serious public issue and an urgent social problem (Liu & Tang, 2010). Movement of individuals and populations is an important factor in the spread of the human immunodeficiency virus (HIV) (Soskolne & Shtarkshall, 2002). In many countries, including China, migrants have been identified as a high-risk population of HIV transmission, who may become ‘bridge populations’, transferring HIV from high-risk populations to a low-risk population. In 2016, the number of migrants in China exceeded 245 million
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