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Studies focusing on any disparities in healthcare services among PLWH in China and published between January 2000 and July 2022 were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In all, 51 articles met the inclusion criteria, with 37 studies reporting HIV\u2010focused care, and 14 reporting non\u2010HIV\u2010focused care. PLWH aged \u226545\u2009years (vs. &lt;45\u2009years), female (vs. male), ethnic minority (vs. Han), and cases attributed to sexual transmission (vs. injecting drug use) were more likely to receive ART. Females living with HIV have higher ART adherence than males. Notably, 20% [95% confidence interval (CI): 9\u201343%,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200996%] of PLWH reported any illness in the previous 2\u2009weeks without medical consultation, and 30% (95% CI: 12\u201374%,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200990%) refused hospitalization when needed in the previous year. Barriers to HIV\u2010focused care included inadequate HIV\/ART knowledge and treatment side effects at the individual level; and social discrimination and physician\u2013patient relationships at the community\/social level. Structural barriers included medical costs and transportation issues. The most frequently reported barriers to non\u2010HIV\u2010focused care were financial constraints and the perceived need for medical services at individual\u2010level factors; and discrimination from physicians, and medical distrust at the community\/social level.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This review suggests disparities in access and utilization of healthcare among PLWH. Financial issues and social discrimination were prominent reasons. Creating a supportive social environment and expanding insurance policies could be considered to promote healthcare equity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.13523","type":"journal-article","created":{"date-parts":[[2023,7,5]],"date-time":"2023-07-05T21:14:35Z","timestamp":1688591675000},"page":"1093-1105","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Disparities in healthcare access and utilization among people living with\n                    <scp>HIV<\/scp>\n                    in China: A scoping review and meta\u2010analysis"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3168-3424","authenticated-orcid":false,"given":"Wei","family":"Ai","sequence":"first","affiliation":[{"name":"School of Public Health Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengxin","family":"Fan","sequence":"additional","affiliation":[{"name":"School of Public Health Nanjing Medical University  Nanjing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gifty","family":"Marley","sequence":"additional","affiliation":[{"name":"University of North Carolina Project\u2010China  Guangzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rayner K. 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