The Efficacy of HIV/STI Behavioral Interventions for African American Females in the United States: A Meta-Analysis

The Efficacy of HIV/STI Behavioral Interventions for African American Females in the United... Objectives. We evaluated the efficacy of HIV behavioral interventions for African American females in the United States, and we identified factors associated with intervention efficacy. Methods. We conducted a comprehensive literature review covering studies published from January 1988 to June 2007, which yielded 37 relevant studies. Data were analyzed using mixed-effects models and meta-regression. Results. Overall, behavioral interventions had a significant impact on reductions in HIV-risk sex behaviors (odds ratio OR = 0.63; 95% confidence interval CI = 0.54, 0.75; n = 11 239; Cochrane Q 32 = 84.73; P < .001) and sexually transmitted infections (STIs; OR = 0.81; 95% CI = 0.67, 0.98; n = 8760; Cochrane Q 16 = 22.77; P = .12). Greater intervention efficacy was observed in studies that specifically targeted African American females used gender- or culture-specific materials, used female deliverers, addressed empowerment issues, provided skills training in condom use and negotiation of safer sex, and used role-playing to teach negotiation skills. Conclusions. Behavioral interventions are efficacious at preventing HIV and STIs among African American females. More research is needed to examine the potential contribution of prevention strategies that attend to community-level and structural-level factors affecting HIV infection and transmission in this population. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

The Efficacy of HIV/STI Behavioral Interventions for African American Females in the United States: A Meta-Analysis

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Publisher
American Public Health Association
Copyright
Copyright © 2009 by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
DOI
10.2105/AJPH.2008.139519
pmid
19762676
Publisher site
See Article on Publisher Site

Abstract

Objectives. We evaluated the efficacy of HIV behavioral interventions for African American females in the United States, and we identified factors associated with intervention efficacy. Methods. We conducted a comprehensive literature review covering studies published from January 1988 to June 2007, which yielded 37 relevant studies. Data were analyzed using mixed-effects models and meta-regression. Results. Overall, behavioral interventions had a significant impact on reductions in HIV-risk sex behaviors (odds ratio OR = 0.63; 95% confidence interval CI = 0.54, 0.75; n = 11 239; Cochrane Q 32 = 84.73; P < .001) and sexually transmitted infections (STIs; OR = 0.81; 95% CI = 0.67, 0.98; n = 8760; Cochrane Q 16 = 22.77; P = .12). Greater intervention efficacy was observed in studies that specifically targeted African American females used gender- or culture-specific materials, used female deliverers, addressed empowerment issues, provided skills training in condom use and negotiation of safer sex, and used role-playing to teach negotiation skills. Conclusions. Behavioral interventions are efficacious at preventing HIV and STIs among African American females. More research is needed to examine the potential contribution of prevention strategies that attend to community-level and structural-level factors affecting HIV infection and transmission in this population.

Journal

American Journal of Public HealthAmerican Public Health Association

Published: Nov 1, 2009

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