2014组会—文献献阅读方法与思路.pptx

文献阅读思路和流程Background800 FSWs知识：HIV防治知识态度：安全套使用的态度行为：安全套使用的行为Risk： HIV 0.5%， 梅毒 10%Topic? ? SCI 文章What to do？？从特殊人群的角度去检索文献，采用头脑风暴法提出问题：1.性伴感染的问题？ 商业性、非商业性。可不可能快检？2.独特的检查指标？ HCV，HPV3.特殊的FSWs人群！4.其他领域的研究。。。5.新的研究结论？思考New exposure? New Population?New outcome?New association?ExposureoutcomeGeneral PopulationFSWs每篇文章根据这个思路去分析，并绘制思路图，用2-3页PPT例如：Association between condom use and use of other contraceptive methods among female sex workers in Swaziland: a relationship-level analysis of condom and contraceptive useContraceptive userCondom use Intimate sex partnerFSWsMethodsMultivariate logistic regressionAnalysed 3 partner types (new clients, regular clients, noncommercial partners) relate to condom useTake new clients as reference.OutcomeThe OR of Condom use is 0.3(0.19,0.47) for regular clients,0.15(0.09-0.24) for noncommercial partner, take new clients as reference.There were no significant association between condom use and contraceptive use.Positive impact of a large-scale HIV prevention programme among female sex workers and clients in South IndiaSelf-reported condom useAvahan ProgrammeFSWsHIV PrevalenceMETHODSerial cross-sectional survey-5 years Exam time trends in STI infection prevalenceLatin hypercube samplingA bayesian frameworkOutcomeIncreases in CCU averted 25-64% HIV infectionsAvahan has reduce HIV transmission among FSWs and their clients.Identifying the HIV transmission bridge: which men are having unsafe sex with female sex workers and with their own wives or steady partners?“bridgers”HIV,syphilis, chlamydiaMale clientsMethod Cross-sectional studyGroup1 bridger: client who had unprotected sex with FSWs and with a wife or steady partnerGroup 2: non-bridger.Outcome STI prevalence of bridger is higher than non-The risk of drug user, sensation seeking, unprotected sex of bridger is higher than non-Interventions are needed that target clients rather than rely on FSWs to change behaviors that may not be under their control.Global epidemiology of HIV among