scholarly journals Sex Differences in HIV Testing among Older Adults in Sub-Saharan Africa: A Systematic Review

2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Akalewold T. Gebremeskel ◽  
Nathali Gunawardena ◽  
Olumuyiwa Omonaiye ◽  
Sanni Yaya
Keyword(s):  
Systematic Review ◽  
Older Adults ◽  
Sex Differences ◽  
Hiv Prevention ◽  
Hiv Testing ◽  
Older Adult ◽  
Sub Saharan Africa ◽  
Men And Women ◽  
Prevention And Treatment ◽  
Sub Saharan

Background. Despite being sexually active and engaging in risky sexual behaviours similar to young adults, older adults (50 years or older) are less likely to receive HIV testing, and disaggregated data are still scarce about HIV prevention and treatment in this vulnerable population in sub-Saharan Africa (SSA). This systematic review is aimed at examining sex differences in HIV testing and counseling (HTC) among older adults in SSA. Methods. A systematic search of four databases, namely, MEDLINE (Ovid), EMBASE (Ovid), Web of Science, and Global Health, was conducted from 2000 to January 2020. The primary outcome of interest for this study was gender differences in HTC among older adults in SSA. Observational studies including cross-sectional, retrospective, and prospective cohort studies were included. Eligible studies must have reported sex differences in HIV testing uptake in a standard HTC service among older adults in SSA. Results. From the database search, 4143 articles were identified. Five studies were ultimately included in the final review. Of the 1189 participants, 606 (51.1%) and 580 (48.9%) were female and male, respectively. The review findings suggested that both men and women preferred HTC providers that are the same sex as them with women additionally preferring a provider who is also of a similar age. Men and women differed in their pathways to getting tested for HIV. The review documented mixed results with regard to the associations between sex of older adults and uptake of HTC. Older adult HTC uptake data are limited in scope and coverage in sub-Saharan Africa. Conclusion. This review revealed shortage of evidence to evaluate optimum HTC utilization among older adults. Few studies examined sex differences in HIV testing among older adults in the region. There is a need for stakeholders working in the area of HIV prevention and treatment to focus on older adult health utilization evidence organization, disaggregated by age and sex. Hence, high-quality research designs are needed on the topic in order to generate good quality evidence for targeted interventions to improve HTC among older adults in sub-Saharan Africa.

scholarly journals Uptake and yield of HIV testing and counselling among children and adolescents in sub-Saharan Africa: a systematic review

2015 ◽  
Vol 18 (1) ◽  
pp. 20182 ◽  
Author(s):  
Darshini Govindasamy ◽  
Rashida A Ferrand ◽  
Stephanie MS Wilmore ◽  
Nathan Ford ◽  
Saeed Ahmed ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hiv Testing ◽  
Children And Adolescents ◽  
Sub Saharan Africa ◽  
Hiv Testing And Counselling ◽  
Sub Saharan

HIV Prevention in Young People in Sub-Saharan Africa: A Systematic Review

2011 ◽  
Vol 49 (6) ◽  
pp. 568-586 ◽  
Author(s):  
Sue M. Napierala Mavedzenge ◽  
Aoife M. Doyle ◽  
David A. Ross
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Hiv Prevention ◽  
Sub Saharan Africa ◽  
Sub Saharan

Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials

AIDS ◽  
2010 ◽  
Vol 24 (8) ◽  
pp. 1193-1202 ◽  
Author(s):  
Kristien Michielsen ◽  
Matthew F Chersich ◽  
Stanley Luchters ◽  
Petra De Koker ◽  
Ronan Van Rossem ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hiv Prevention ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
Sub Saharan

scholarly journals Systematic review protocol examining sex differences in survival among low birthweight newborns and infants in sub-Saharan Africa

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036645
Author(s):  
Akalewold T Gebremeskel ◽  
Arone W Fantaye ◽  
Lena E Faust ◽  
Sanni Yaya
Keyword(s):  
Systematic Review ◽  
Sex Differences ◽  
Low Birthweight ◽  
Data Extraction ◽  
Meta Analysis ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Mortality And Morbidity ◽  
Qualitative And Quantitative ◽  
Sub Saharan

IntroductionIn sub-Saharan African countries, low birthweight (LBW) accounts for three-quarters of under-five mortality and morbidity. However, there is no systematic evidence of sex differences in LBW survival risk. The aim of this protocol is to outline the methodological process of a systematic review that will gather qualitative and quantitative data on sex differences in survival among LBW newborns and infants in sub-Saharan Africa.MethodsThis protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols reporting guidelines. We will conduct a systematic review to retrieve all qualitative and quantitative studies. Electronic search strategies are being finalised on 24 February 2020 for Ovid Medline and EMBASE, and on 28 February 2020 for CINAHL, Scopus and Global Health in collaboration with a Health Sciences librarian. The primary outcome of interest is indicating sex differences in survival among LBW newborns and infants. Secondary outcomes are sex-disaggregated differences in morbidity among LBW newborns and infants. Screening, data extraction and assessments of risk of bias will be performed independently. Narrative synthesis and a meta-analysis will be conducted with studies that are compatible based on population and outcome. The systematic review is focused on the analysis of secondary data and does not require ethics approval.Ethics and disseminationAs it will be a systematic review, without human participants’ involvement, there will be no requirement for ethical approval. The systematic review will present key evidence of sex-disaggregated differences in mortality and morbidity among LBW newborns and infants in sub-Saharan Africa. Programme managers, policy-makers and researchers can use the findings to evaluate LBW health outcomes in different sexes. The final manuscript will be disseminated through a peer-reviewed journal and scientific conferences.PROSPERO registration numberCRD42020163470

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