Behavior change interventions to prevent HIV infection among women living in low and middle income countries: a systematic review.

Autor: McCoy SI; Women's Global Health Imperative, RTI International, 114 Sansome Street, Suite 500, San Francisco, CA 94104, USA. mccoy.sandi@gmail.com, Kangwende RA, Padian NS
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2010 Jun; Vol. 14 (3), pp. 469-82.
DOI: 10.1007/s10461-009-9644-9
Abstrakt: We conducted a systematic review of behavioral change interventions to prevent the sexual transmission of HIV among women and girls living in low- and middle-income countries. PubMed/MEDLINE, Web of Science, the Cochrane Library, and other databases and bibliographies were systematically searched for trials using randomized or quasi-experimental designs to evaluate behavioral interventions with HIV infection as an outcome. We identified 11 analyses for inclusion reporting on eight unique interventions. Interventions varied widely in intensity, duration, and delivery as well as by target population. Only two analyses showed a significant protective effect on HIV incidence among women and only three of ten analyses that measured behavioral outcomes reduced any measure of HIV-related risk behavior. Ongoing research is needed to determine whether behavior change interventions can be incorporated as independent efficacious components in HIV prevention packages for women or simply as complements to biomedical prevention strategies.
Databáze: MEDLINE