Historically, there has been concern that conflict may exacerbate the HIV epidemic. We conducted a systematic review to examine HIV prevalence in conflict-affected populations compared to district-level or countrywide HIV prevalence. Following PRISMA guidelines, studies presenting original HIV prevalence data published between 2005 and 2020 were drawn from PubMed, Scopus, and Embase. Data extracted included HIV prevalence, methods, dates, location, and population type. Studies were assessed for bias. Ten met criteria for data extraction; all focused on populations in sub-Saharan African. Most of the studies reported on mixed population settings while one was in a refugee camp. Six reported HIV prevalence higher than district- or country-level prevalence, while four reported lower HIV prevalence. Seven demonstrated moderate-to-high likelihood of bias in sampling, and five used methods limiting their comparability with local HIV prevalence. The relationship between armed conflict and HIV prevalence remains difficult to evaluate and likely varies by socioeconomic indicators.

中文翻译：

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一项评估 2005-2020 年受冲突影响人群中艾滋病毒流行率的系统评价。

从历史上看，人们一直担心冲突可能会加剧艾滋病毒的流行。我们进行了一项系统评价，比较了受冲突影响人群的 HIV 流行率与地区或全国的 HIV 流行率。遵循 PRISMA 指南，呈现 2005 年至 2020 年间发表的原始 HIV 流行数据的研究来自 PubMed、Scopus 和 Embase。提取的数据包括 HIV 流行率、方法、日期、地点和人口类型。对研究进行了偏倚评估。十个符合数据提取标准；都集中在撒哈拉以南非洲的人口。大多数研究报告了在难民营中的混合人口环境。六个报告的艾滋病毒流行率高于地区或国家一级的流行率，而四个报告的艾滋病毒流行率较低。七人在抽样中表现出中等至高度的偏倚可能性，五人使用的方法限制了它们与当地艾滋病毒流行率的可比性。武装冲突与艾滋病毒流行之间的关系仍然难以评估，并且可能因社会经济指标而异。