The Prevalence of HIV at Voluntary Counseling and Testing Sites in China:A Systematic Review and Meta-analysis
Shi Luqian
He Na
Ding Yingying
Abstract：OBJECTIVE To systematically evaluate the prevalence of HIV among those who attending Voluntary Counseling and Testing(VCT)which wasan essential component of Chinese HIV prevention strategy.METHODS It conducted a comprehensive search of the CNKI,WanFang,VIP,PubMed,Web of Science,and EMBASE databases,using Meta terms and subheadings to identify observational studies reporting HIV diagnoses at VCT sites from January 1st 2013 to January 23th 2024.Random-effect meta-analysis was utilized and subgroup analysis,sensitivity analysis and meta-regression were employed to address heterogeneity.RESULTS A total of 59 articles were screened out,including 58 Chinese articles and 1 English article.The total number of tests was 777 186 cases,with 19 329 positive cases detected.Random-effect model showed that the overall prevalence was 5.18%(95%CI:3.62%～7.42%,I2=99.8%).The pooled prevalence was 2.66%(95%CI:1.64%～4.31%,I2=99.4%)for those who had commercial risk behaviors,2.73%(95%CI:1.71%～4.36%,I2=99.3%)for those who had noncommercial risk behaviors,and 15.37%(95%CI:12.86%～18.38%,I2=99.8%)for those who had MSM(men who have sex with men)behaviors.Meta regression indicated that the proportion of males might contribute to heterogeneity among studies.CONCLUSION The prevalence of HIV at VCT sites in China remains relatively high.However,significant heterogeneity exists due to variations in data reliability and sample sizes among included studies.Increased efforts are needed to expand testing and identify potentially infected individuals.
Keywords：voluntary counseling and testingHIVprevalencemeta-analysis
Publication Date：2025-02-09
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 57-62 )