Meta-analysis of the effectiveness of HIV prevention interventions for women

Mize, Sara; Robinson, Beatrice “Bean” E.; Bockting, Walter; Scheltema, Karen

doi:10.1080/09540120220104686

Cited by 143 publications

(66 citation statements)

References 26 publications

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“…A few more qualitative reviews and meta-analytic studies have been published in the past few years (Elwy et al, 2002;Mize et al, 2002;van Empelen et al, 2003). These studies also indicated that drug users responded positively by adopting safer sex behaviors.…”

Section: Sex Risk Reduction Interventionsmentioning

confidence: 99%

“…Interventions-A review of intervention components delivered in U.S-based risk reduction intervention studies (Elwy et al, 2002;Mize et al, 2002;van Empelen et al, 2003) showed that different combinations of components were included in the interventions to reduce the sexually risky behavior of IDUs and crack cocaine smokers. Successful interventions used multiple theories and methods for NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author Manuscript behavior change.…”

Section: Components Of Sex Risk Reductionmentioning

confidence: 99%

“…Taken together, the qualitative reviews and the meta-analysis studies showed that drug users have reduced their sexual risk behaviors in response to the research interventions in which they participated. A stronger effect was obtained when the comparison group did not receive an intervention.A few more qualitative reviews and meta-analytic studies have been published in the past few years (Elwy et al, 2002;Mize et al, 2002;van Empelen et al, 2003). These studies also indicated that drug users responded positively by adopting safer sex behaviors.…”

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confidence: 99%

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Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Semaan

Jarlais

Malow

2006

Substance Use & Misuse

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Prevention of heterosexual transmission of HIV between and from drug users is important for controlling the local and global HIV heterosexual epidemic. Sex risk reduction interventions and health-related interventions are important for reducing the sex risk behaviors of drug users. Sex risk reduction interventions address individual-level, peer-level, and structural-level determinants of risk reduction. Health-related interventions include HIV counseling and testing, prevention and treatment of sexually transmitted diseases, and delivery of highly active antiretroviral therapy. It is important to adapt effective interventions implemented in resource-rich countries to the realities of the resourceconstrained settings and to address relevant contextual factors.RESUMEN-Il est important de prévenir la transmission hétérosexuelle du VIH à partir des usagers de drogue pour contrôler l'épidémie hétérosexuelle locale et mondiale de VIH. Des interventions ciblant à la fois la réduction de risque sexuel et la santé des usagers de drogue sont nécessaires. Les interventions de réduction de risque sexuel prennent en compte le niveau individuel, le niveau des pairs et celui des déterminants structurels de la réduction des risques. Les interventions visant l'amélioration de la santé comprennent le conseil et le dépistage du VIH, la prévention et le traitement des infections sexuellement transmissibles et la prescription d'antirétroviraux. Il est important d'adapter les interventions efficaces mises en place dans les pays riches aux réalités des contextes de pays à ressources limitées et de tenir compte des facteurs contextuels pertinents. Keywords global research; HIV; injection drug use; research interventions; sexual risk HIV Infection and Injection Drug UsersInjection drug use continues to complicate the control of the global HIV epidemic (UNAIDS, 2004). In 2003, 136 countries reported injecting drug use and 93 countries reported HIV infection among injection drug users (IDUs) (World Health Organization, 2003). IDUs are at risk for infection with HIV through both multiperson use ("sharing") of drug injection equipment and through unsafe sex behaviors (Aceijas et al., 2004). Although the scope and effectiveness of interventions aimed at reducing HIV infection through drug injection equipment has been well documented in the literature (Des Jarlais et al., 2005;Quan et This review describes sex risk reduction interventions with drug users and their effectiveness in reducing sexual risk behaviors of IDUs and other drug users. We highlight the needs and opportunities for these interventions, discuss the generalizability of the results to resourceconstrained settings, and outline the implications for global research efforts and public health practice. Although our literature review is not comprehensive, it highlights many areas that affect sexual transmission of HIV to and from drug users in both resource-rich and resourceconstrained settings. Efforts to reduce substance abuse and HIV risk associated with injection behav...

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Section: Sex Risk Reduction Interventionsmentioning

confidence: 99%

Section: Components Of Sex Risk Reductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Semaan

Jarlais

Malow

2006

Substance Use & Misuse

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“…In general, women in South Africa are disproportionately at risk because of power imbalances in relationships with men and cultural expectations with male partners (Wechsberg, Luseno, Riehman, & Karg, In Press) Because of South Africa's relatively high overall HIV prevalence among women, increasing HIV infection in certain regions and subpopulations, and the increasing substance use problem, brief behavioural interventions are urgently needed to address the intersection of these issues and in particular to help women learn how to reduce their risks. Investigators have recommended that interventions be grounded in social psychological theory; include multiple, women-only sessions led by peers; be culturally sensitive; and include both behavioural modeling and skill-based approaches (Exner, Seal & Ehrhardt, 1997;Mize, Robinson, Bockting & Scheltema, 2002;Sterk, 2002;Wingood & DiClemente, 1996;Cottler et al, 1998;Dushay, Singer, Weeks, Rohena & Gruber, 2001;St. Lawrence, Wilson, Eldridge, Brasfield & O'Bannon, 2001).…”

Section: Introductionmentioning

confidence: 99%

Alcohol, cannabis, and methamphetamine use and other risk behaviours among Black and Coloured South African women: A small randomized trial in the Western Cape

Wechsberg¹,

Luseno²,

Karg³

et al. 2008

International Journal of Drug Policy

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Background-There is a pressing need for brief behavioural interventions to address the intersection of high HIV prevalence, increasing substance use, and high-risk sex practices among South African women. The primary aim of this pilot, randomized trial was to examine whether an adapted evidence-based intervention would be equally, more, or less effective at reducing HIV risk behaviours when delivered using an individual or group format. The secondary aim was to examine differences between Black and Coloured South African women across pre-and post-intervention measures of alcohol and illicit drug use and sex risk behaviours.

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“…1 Some prior meta-analyses have investigated the effects of interventions targeted to particular groups. These syntheses suggest that preventive interventions are generally effective for women (Logan, Cole, & Leukefeld, 2002;Mize, Robinson, Bockting, & Scheltema, 2002), heterosexual adults (Neumann et al, 2002), drug users (Prendergast, Urada, & Podus, 2001;Semaan et al, 2002), adolescents (B. T. Johnson, Carey, Marsh, Levin, & Scott-Sheldon, 2003;Kim, Stanton, Li, Dickersin, & Galbraith, 1997;Mullen, Ramirez, Strouse, Hedges, & Sogolow, 2002;Robin et al, 2004), and gay men (W. D. Johnson et al, 2002). To this extent, many HIV-prevention interventions have demonstrated effectiveness when analyzed across and within populations.…”

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confidence: 99%

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

Albarracín¹,

Gillette²,

Earl³

et al. 2005

Psychological Bulletin

664

644

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This meta-analysis tested the major theoretical assumptions about behavior change by examining the outcomes and mediating mechanisms of different preventive strategies in a sample of 354 HIVprevention interventions and 99 control groups, spanning the past 17 years. There were 2 main conclusions from this extensive review. First, the most effective interventions were those that contained attitudinal arguments, educational information, behavioral skills arguments, and behavioral skills training, whereas the least effective ones were those that attempted to induce fear of HIV. Second, the impact of the interventions and the different strategies behind them was contingent on the gender, age, ethnicity, risk group, and past condom use of the target audience in ways that illuminate the direction of future preventive efforts. Keywords behavior change; active intervention; HIV; health; communicationThe development of effective health behavior interventions and adequate understanding of the processes that underlie change to risky behavior continues to top the agenda for reducing disease and death among at-risk populations. For example, infection with HIV has been diagnosed in almost 1 million people in the United States (Centers for Disease Control [CDC], 2003) as well as an estimated 40 million worldwide (UNAIDS/ WHO Working Group, 2002). In some countries, the epidemic continues to escalate, and even in nations that have successfully Copyright 2005 by the American Psychological AssociationCorrespondence concerning this article should be addressed to Dolores Albarracín, Department of Psychology, University of Florida, Gainesville, FL 32611. E-mail: E-mail: dalbarra@ufl.edu. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript curbed the spread of the disease, certain groups still show increases in infection rates (see, e.g., CDC, 2003). Given these distressing figures, it is no surprise that research on HIV prevention has become increasingly important and progressively more sophisticated. Indeed, HIV prevention presently constitutes one of the most significant paradigms for the discovery of health behavior change techniques and for the understanding of the theoretical processes that underlie such change.In fact, the HIV epidemic of the 1980s stimulated the uniting of funds and expertise from various disciplines in the development of a shared behavior-change paradigm. As a key example, in 1992, a group of behavioral researchers joined forces-upon request from the National Institutes of Health-to develop a paradigm for behavior change that would guide research and practice in the prevention of HIV (see Fishbein et al., 1992). Various models were examined, and the key assumptions were condensed into a limited number of premises that illuminated preventive efforts.Although the various models had independently received broad support, this support was derived almost entirely from behavior prediction studies. However, the formulation of these general assumptions contributed to...

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Meta-analysis of the effectiveness of HIV prevention interventions for women

Cited by 143 publications

References 26 publications

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Behavior Change and Health-Related Interventions for Heterosexual Risk Reduction Among Drug Users

Alcohol, cannabis, and methamphetamine use and other risk behaviours among Black and Coloured South African women: A small randomized trial in the Western Cape

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

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