NDLI: A meta-analysis of the efficacy of HIV/AIDS prevention interventions in Asia, 1995-2009.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tan, Judy Y. Huedo-Medina, Tania B. Warren, Michelle R. Carey, Michael P. Johnson, Blair T.
Spatial Coverage	Asia
Description	Country affiliation: United States Author Affiliation: Tan JY ( University of Connecticut, Department of Psychology, Center for Health, Intervention, and Prevention, Unit 1248, Storrs, CT 06269, United States. judy.tan@uconn.edu)
Abstract	The HIV/AIDS epidemic continues to grow in pockets across Asia, despite early successes at curtailing its spread in countries like Thailand. Recent evidence documents dramatic increases in incidence among risk groups and, alarmingly, the general population. This meta-analysis summarizes the sexual risk-reduction interventions for the prevention of HIV-infection that have been evaluated in Asia. Sexual risk-reduction outcomes (condom use, number of sexual partners, incident sexually transmitted infections [STI], including HIV) from 46 behavioral intervention studies with a comparison condition and available by August 2010 were included. Overall, behavioral interventions in Asia consistently reduced sexual risk outcomes. Condom use improved when interventions sampled more women, included motivational content, or did not include STI testing and treatment. Incident HIV/STI efficacy improved most when interventions sampled more women, were conducted more recently, or when they included STI counseling and testing. Sexual frequency efficacy improved more in interventions that were conducted in countries with lower human development capacities, when younger individuals were sampled, or when condom skills training was included. Behavioral interventions for reducing sexual risk in Asia are efficacious; yet, the magnitude of the effects co-varies with specific intervention and structural components. The impact of structural factors on HIV intervention efficacy must be considered when implementing and evaluating behavioral interventions. Implications and recommendations for HIV/AIDS interventions are discussed.
File Format	HTM / HTML
ISSN	02779536
e-ISSN	18735347
DOI	10.1016/j.socscimed.2011.08.038
Journal	Social Science & Medicine
Issue Number	4
Volume Number	75
Language	English
Publisher	Elsevier
Publisher Date	2012-08-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Discipline Medicine Hiv Infections Prevention & Control Health Promotion Risk Reduction Behavior Sexual Behavior Program Evaluation Randomized Controlled Trials As Topic Meta-analysis Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Medicine Health (social science) History and Philosophy of Science

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