Systematic Review of Interventions to Prevent Spread of Sexually Transmitted Infections, Including HIV, Among Young People in Europe

Lazarus, Jeffrey V.; Sihvonen-Riemenschneider, Henna; Laukamm-Josten, U; Wong, Francis; Liljestrand, Jerker

doi:10.3325/cmj.2010.51.74

Cited by 44 publications

(36 citation statements)

References 29 publications

(81 reference statements)

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“…There have been a large number of systematic reviews that evaluated the effectiveness of these programmes (Chin 2012; Dick 2006; DiClemente 2008; Flisher 2008; Gallant 2004; Harrison 2010; Johnson 2003; Johnson, 2011; Kim 2008; Kirby 2007; Lazarus 2010; Magnussen 2004; Medley 2009; Michielsen 2010; Paul 2008; Shepherd 2010; Yankah 2008), including reviews that have focused solely on school-based interventions (Bennet 2005; Fonner 2014; Kirby 2006; Lopez 2016; Paul 2008), and a review of reviews (Mavedzenge 2013). Many of these reviews have suggested that school- and community-based prevention programmes for adolescents have been effective in delaying self-reported sexual activity, HIV-related preventative behaviours, adolescent pregnancy, and STIs (Chin 2012; Fonner 2014; Johnson 2003; Johnson, 2011; Kirby 2009; Laud 2016), although others have reported less, or mixed, success (Bennet 2005; DiCenso 2002; Lopez 2016 Oringanje 2016).…”

Section: Introductionmentioning

confidence: 99%

School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents

Mason‐Jones

Sinclair

Mathews

et al. 2016

Cochrane Database of Systematic Reviews

143

152

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BackgroundSchool-based sexual and reproductive health programmes are widely accepted as an approach to reducing high-risk sexual behaviour among adolescents. Many studies and systematic reviews have concentrated on measuring effects on knowledge or self-reported behaviour rather than biological outcomes, such as pregnancy or prevalence of sexually transmitted infections (STIs).ObjectivesTo evaluate the effects of school-based sexual and reproductive health programmes on sexually transmitted infections (such as HIV, herpes simplex virus, and syphilis), and pregnancy among adolescents.Search methodsWe searched MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) for published peer-reviewed journal articles; and ClinicalTrials.gov and the World Health Organization's (WHO) International Clinical Trials Registry Platform for prospective trials; AIDS Educaton and Global Information System (AEGIS) and National Library of Medicine (NLM) gateway for conference presentations; and the Centers for Disease Control and Prevention (CDC), UNAIDS, the WHO and the National Health Service (NHS) centre for Reviews and Dissemination (CRD) websites from 1990 to 7 April 2016. We handsearched the reference lists of all relevant papers.Selection criteriaWe included randomized controlled trials (RCTs), both individually randomized and cluster-randomized, that evaluated school-based programmes aimed at improving the sexual and reproductive health of adolescents.Data collection and analysisTwo review authors independently assessed trials for inclusion, evaluated risk of bias, and extracted data. When appropriate, we obtained summary measures of treatment effect through a random-effects meta-analysis and we reported them using risk ratios (RR) with 95% confidence intervals (CIs). We assessed the certainty of the evidence using the GRADE approach.Main resultsWe included eight cluster-RCTs that enrolled 55,157 participants. Five trials were conducted in sub-Saharan Africa (Malawi, South Africa, Tanzania, Zimbabwe, and Kenya), one in Latin America (Chile), and two in Europe (England and Scotland).Sexual and reproductive health educational programmesSix trials evaluated school-based educational interventions.In these trials, the educational programmes evaluated had no demonstrable effect on the prevalence of HIV (RR 1.03, 95% CI 0.80 to 1.32, three trials; 14,163 participants; low certainty evidence), or other STIs (herpes simplex virus prevalence: RR 1.04, 95% CI 0.94 to 1.15; three trials, 17,445 participants; moderate certainty evidence; syphilis prevalence: RR 0.81, 95% CI 0.47 to 1.39; one trial, 6977 participants; low certainty evidence). There was also no apparent effect on the number of young women who were pregnant at the end of the trial (RR 0.99, 95% CI 0.84 to 1.16; three trials, 8280 participants; moderate certainty evidence).Material or monetary incentive-based programmes to promote school attendanceTwo trials evaluated incentive-based programmes to promote school attendance.In these two trials, the inc...

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Section: Introductionmentioning

confidence: 99%

School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents

Mason‐Jones

Sinclair

Mathews

et al. 2016

Cochrane Database of Systematic Reviews

143

152

View full text Add to dashboard Cite

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“…While these factors are difficult or impossible to modify, knowing them allows nurses to adapt their care to this group's specific risk level. The cognitive and psychosocial factors are important because they are modifiable; these factors include knowledge, attitudes, self-efficacy, subjective norms and sensations seeking (Kirby et al 2011;Lazarus et al 2010;Sales et al 2013). Knowledge provides the foundation for an individual's attitude and is essential to reducing sexual risk-taking behaviours.…”

Section: Introductionmentioning

confidence: 99%

Risk factors that influence sexual and reproductive health in Portuguese university students

Santos

Ferreira

Duarte

et al. 2017

International Nursing Review

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“…Background every day about one million patients with curable sexually transmitted diseases (STDs) infected globally, of which 50% affect people under 25 years of age [1]. according to the Joint United Nations Programme on HIV/AIDS (UNaIDS), about 8,900 people are living with HIV/aIDS, and about 1,000 aIDS-related deaths had been reported in Bangladesh by the end of 2014.…”

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Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

Rana¹

2016

fmpcr

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Background. about 8,900 people are living with HIV/aIDS, and 1,000 aIDS-related deaths had been reported in Bangladesh by the end of 2014. Objectives. The study investigates the social determinants of awareness and behavior regarding STDs and HIV/aIDS among ever married women in Bangladesh. Material and methods. This cross-sectional research extracted data concerning 17,828 ever married women from the Bangladesh Demographic and Health Survey (BDHS) in 2014. The chi-square (χ 2 ) and multinomial logistic regression model were used to identify the factors associated with knowledge, awareness and behavior concerning STDs and HIV/aIDS. Results. Overall, 28.6% of examined ever married women have never heard of STDs or HIV/aIDS nor any of their prevention methods. also, only 15.6% of reported women were the decision makers regarding the use of contraception during sexual intercourse, and 91.3% of women had the capacity to refuse sexual contact with their STD-infected husband/partner. Women who belong to households classified as lower class (OR = 0.525, 95% CI = 0.461-0.598) or middle class (OR = 0.643, 95% CI = 0.564-0.733) had less comprehensive knowledge and awareness of STDs and HIV/AIDS than those categorized as upper class. Women at a level of education below secondary (OR = 0.200, 95% CI = 0.179-0.223) also had less comprehensive knowledge and awareness than highly educated women. Moreover, women living in an urban residence (OR = 1.141, 95% CI = 1.003-1.297) were more likely to make the decision of using contraception and (OR = 1.546, 95% CI = 1.351-1.770) more likely to refuse sexual contact with an STD-infected husband/partner than their rural counterparts. Formally unemployed women (OR = 0.894, 95% CI = 0.793-1.010) were less likely to refuse sexual intercourse with an STD-infected husband than employed women. Conclusions. Social determinants such as education, wealth and media exposure determine the level of knowledge and awareness and affect the behavior of women concerning STDs and HIV/aIDS.

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Systematic Review of Interventions to Prevent Spread of Sexually Transmitted Infections, Including HIV, Among Young People in Europe

Cited by 44 publications

References 29 publications

School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents

School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents

Risk factors that influence sexual and reproductive health in Portuguese university students

Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

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