Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials
Bibliographic Data
| ID | 23346366 |
|---|---|
| Authors | Nicole Crepaz (0000-0002-6940-9846, Division of Chemistry), Cynthia M Lyles (0000-0002-4203-0414, Division of Chemistry), Richard J Wolitski (Division of Chemistry), Warren F Passin (Division of Chemistry), Sima M Rama (Division of Chemistry), Jeffrey H Herbst (0000-0002-0432-2643, Division of Chemistry), David W Purcell (0000-0001-8125-5168, Division of Chemistry), Robert M Malow (Florida International University), Ron Stall (0000-0002-4741-4396, Centers for Disease Control and Prevention, corresponding author) |
| Year | 2006 |
| Volume | 20 |
| Issue | 2 |
| Pages | 143-157 |
| Publication date | 2006-01-09 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS (JOURNAL) |
| Journal identifiers | ISSN: 0269-9370 • E-ISSN: 1473-5571 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.aids.0000196166.48518.a0 |
| PMID | 16511407 |
| OpenAlex | W2046141153 |
| Language | EN |
| Citations received | 100 |
| References cited | 52 |
OBJECTIVE: To conduct a meta-analytic review of HIV interventions for people living with HIV (PLWH) to determine their overall efficacy in reducing HIV risk behaviours and identify intervention characteristics associated with efficacy. METHODS: Comprehensive searches included electronic databases from 1988 to 2004, hand searches of journals, reference lists of articles, and contacts with researchers. Twelve trials met the stringent selection criteria: randomization or assignment with minimal bias, use of statistical analysis, and assessment of HIV-related behavioural or biologic outcomes at least 3 months after the intervention. Random-effects models were used to aggregate data. RESULTS: Interventions significantly reduced unprotected sex [odds ratio (OR), 0.57; 95% confidence interval (CI) 0.40-0.82] and decreased acquisition of sexually transmitted diseases (OR, 0.20; 95% CI, 0.05-0.73). Non-significant intervention effects were observed for needle sharing (OR, 0.47, 95% CI, 0.13-1.71). As a whole, interventions with the following characteristics significantly reduced sexual risk behaviours: (1) based on behavioural theory; (2) designed to change specifically HIV transmission risk behaviours; (3) delivered by health-care providers or counsellors; (4) delivered to individuals; (5) delivered in an intensive manner; (6) delivered in settings where PLWH receive routine services or medical care; (7) provided skills building, or (8) addressed a myriad of issues related to mental health, medication adherence, and HIV risk behaviour. CONCLUSION: Interventions targeting PWLH are efficacious in reducing unprotected sex and acquisition of sexually transmitted diseases. Efficacious strategies identified in this review should be incorporated into community HIV prevention efforts and further evaluated for effectiveness.
Clinical trial · Confidence interval · Family medicine · Intervention (counseling) · Meta-analysis · Odds ratio · Psychiatry · Psychological intervention · Randomized controlled trial · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Internal Medicine · Medicine
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The Role of Self-Efficacy and Motivation to Explain the Effect of Motivational Interviewing Time on Changes in Risky Sexual Behavior among People Living with HIV
Feasibility of an Emotion Regulation Intervention to Improve Mental Health and Reduce HIV Transmission Risk Behaviors for HIV-Positive Gay and Bisexual Men with Sexual Compulsivity
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Beliefs about transmission risk and vulnerability, treatment adherence, and sexual risk behavior among a sample of HIV-positive men who have sex with men
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Factors associated with condom use
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Risk and protective factors related to HIV-risk behavior
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Fixed- and random-effects models in meta-analysis.
Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people1 1The full text of this article is available via AJPM Online at www.elsevier.com/locate/ajpmonline.
Sexual harm reduction practices of HIV-seropositive gay and bisexual men
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| Unique citing works | 100 |
|---|---|
| Citations per year | 5 |
| Citation span | 2006 - 2024 (19) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 92 |