Behavioral interventions to promote condom use among women living with HIV: a systematic review update
Abstract: Behavioral interventions have been essential components of HIV prevention approaches, especially those aimed to promote safe sexual practices. We conducted a comprehensive literature search without language restrictions between 1980 and July 2014 to identify randomized controlled trials or...
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| Format: | Article |
| Language: | English |
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
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| Series: | Cadernos de Saúde Pública |
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| Online Access: | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017000102001&lng=en&tlng=en |
| _version_ | 1818968644602822656 |
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| author | Tonantzin Ribeiro Gonçalves Evelise Rigoni Faria Fernanda Torres de Carvalho Cesar Augusto Piccinini Jean Anne Shoveller |
| author_facet | Tonantzin Ribeiro Gonçalves Evelise Rigoni Faria Fernanda Torres de Carvalho Cesar Augusto Piccinini Jean Anne Shoveller |
| author_sort | Tonantzin Ribeiro Gonçalves |
| collection | DOAJ |
| description | Abstract: Behavioral interventions have been essential components of HIV prevention approaches, especially those aimed to promote safe sexual practices. We conducted a comprehensive literature search without language restrictions between 1980 and July 2014 to identify randomized controlled trials or controlled studies investigating behavioral interventions which: included women living with HIV; focused on condom use promotion; presented/analyzed outcomes by gender; used a 3-month follow-up or more; and considered at least one HIV-related behavioral or biological outcome. Eight studies comprising a total of 1,355 women living with HIV were included in the meta-analyses, and 13 studies were qualitatively described. When compared to standard care or minimal support intervention, behavioral interventions did not demonstrate an effect on increasing consistent condom use at the 3-month follow-up (RR = 0.92; 95%CI: 0.73, 1.16; p = 0.48), 6-month follow-up (RR = 1.13; 95%CI: 0.96, 1.34; p = 0.15), and 12-month follow-up (RR = 0.91; 95%CI: 0.77, 1.08; p = 0.30). Behavioral interventions also failed to reach positive effect in reduction of unprotected sexual intercourse at 6-months (MD = -1.80; 95%CI: -4.21, 0.62; p = 0.14) and 12-months follow-up (MD = -1.39; 95%CI: -2.29, 0.21; p = 0.09). These findings should be interpreted with caution since they are based on a few small trials. New researches are needed to assess the potential gains from a combination of interventions that promote safe sexual behavior with a harm reduction and gender approach, particularly in developing countries where HIV infection rates remain high. |
| first_indexed | 2024-12-20T14:07:58Z |
| format | Article |
| id | doaj.art-3b5d521ce9504105a0e74033561e66fa |
| institution | Directory Open Access Journal |
| issn | 1678-4464 |
| language | English |
| last_indexed | 2024-12-20T14:07:58Z |
| publisher | Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
| record_format | Article |
| series | Cadernos de Saúde Pública |
| spelling | doaj.art-3b5d521ce9504105a0e74033561e66fa2022-12-21T19:38:13ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-446433110.1590/0102-311x00202515S0102-311X2017000102001Behavioral interventions to promote condom use among women living with HIV: a systematic review updateTonantzin Ribeiro GonçalvesEvelise Rigoni FariaFernanda Torres de CarvalhoCesar Augusto PiccininiJean Anne ShovellerAbstract: Behavioral interventions have been essential components of HIV prevention approaches, especially those aimed to promote safe sexual practices. We conducted a comprehensive literature search without language restrictions between 1980 and July 2014 to identify randomized controlled trials or controlled studies investigating behavioral interventions which: included women living with HIV; focused on condom use promotion; presented/analyzed outcomes by gender; used a 3-month follow-up or more; and considered at least one HIV-related behavioral or biological outcome. Eight studies comprising a total of 1,355 women living with HIV were included in the meta-analyses, and 13 studies were qualitatively described. When compared to standard care or minimal support intervention, behavioral interventions did not demonstrate an effect on increasing consistent condom use at the 3-month follow-up (RR = 0.92; 95%CI: 0.73, 1.16; p = 0.48), 6-month follow-up (RR = 1.13; 95%CI: 0.96, 1.34; p = 0.15), and 12-month follow-up (RR = 0.91; 95%CI: 0.77, 1.08; p = 0.30). Behavioral interventions also failed to reach positive effect in reduction of unprotected sexual intercourse at 6-months (MD = -1.80; 95%CI: -4.21, 0.62; p = 0.14) and 12-months follow-up (MD = -1.39; 95%CI: -2.29, 0.21; p = 0.09). These findings should be interpreted with caution since they are based on a few small trials. New researches are needed to assess the potential gains from a combination of interventions that promote safe sexual behavior with a harm reduction and gender approach, particularly in developing countries where HIV infection rates remain high.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017000102001&lng=en&tlng=enEnsaio ClínicoComportamento SexualHIVMulheres |
| spellingShingle | Tonantzin Ribeiro Gonçalves Evelise Rigoni Faria Fernanda Torres de Carvalho Cesar Augusto Piccinini Jean Anne Shoveller Behavioral interventions to promote condom use among women living with HIV: a systematic review update Cadernos de Saúde Pública Ensaio Clínico Comportamento Sexual HIV Mulheres |
| title | Behavioral interventions to promote condom use among women living with HIV: a systematic review update |
| title_full | Behavioral interventions to promote condom use among women living with HIV: a systematic review update |
| title_fullStr | Behavioral interventions to promote condom use among women living with HIV: a systematic review update |
| title_full_unstemmed | Behavioral interventions to promote condom use among women living with HIV: a systematic review update |
| title_short | Behavioral interventions to promote condom use among women living with HIV: a systematic review update |
| title_sort | behavioral interventions to promote condom use among women living with hiv a systematic review update |
| topic | Ensaio Clínico Comportamento Sexual HIV Mulheres |
| url | http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2017000102001&lng=en&tlng=en |
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