Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review
Abstract Background Interventions aimed at reducing risky sexual behavior are considered an important strategy for averting Human Immunodeficiency Virus (HIV) infection among youth (15–24 years) who continue to be at risk of the disease. Enhancing intervention success requires a comprehensive unders...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-022-07649-z |
| _version_ | 1818499049798500352 |
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| author | Fungai Mbengo Esther Adama Amanda Towell-Barnard Arvin Bhana Maggie Zgambo |
| author_facet | Fungai Mbengo Esther Adama Amanda Towell-Barnard Arvin Bhana Maggie Zgambo |
| author_sort | Fungai Mbengo |
| collection | DOAJ |
| description | Abstract Background Interventions aimed at reducing risky sexual behavior are considered an important strategy for averting Human Immunodeficiency Virus (HIV) infection among youth (15–24 years) who continue to be at risk of the disease. Enhancing intervention success requires a comprehensive understanding of the barriers and facilitators to interventions targeting youth. However, there is lack of a systematic review of both quantitative and qualitative studies to comprehensively identify and synthesize barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide. This review aimed to identify and synthesize barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth globally based on original peer-reviewed studies published in the last decade. Methods The Joanna Briggs Institute approach for mixed methods systematic reviews and Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were used to guide this review. Nine electronic databases, Joint United Nations Programme on HIV/AIDS and World Health Organization websites, and reference lists of included studies and systematic reviews on barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth were searched for eligible articles. Studies that met the inclusion criteria underwent quality appraisal and data extraction. Findings were analyzed using thematic synthesis and underpinned by Nilsen, 2015’s Determinant Framework. Results Overall 13 studies comprising of eight qualitative studies, four quantitative studies and one mixed methods study were included in the review. Several barriers and facilitators across the five Determinant Framework domains were identified. Most of the barriers fell under the characteristics of the context domain (e.g., gender-biased norms). The next important group of barriers emerged within the characteristics of the end users domain (e.g., fear of relationship breakdown). In terms of facilitators, the majority fell under the characteristics of the strategy of facilitating implementation domain (e.g., implementation of intervention with fidelity) and characteristics of the end users domain (e.g., fear of pregnancy or sexually transmitted infections). The next common set of facilitators appeared within the characteristics of the context domain (e.g., family support). Conclusion This review identified several multi-level barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth. Multi-level and combination approaches are needed to address these factors and enhance intervention success. |
| first_indexed | 2024-12-10T20:23:59Z |
| format | Article |
| id | doaj.art-92e3561125424caf8d3a09adb0bf2b56 |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-12-10T20:23:59Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-92e3561125424caf8d3a09adb0bf2b562022-12-22T01:34:56ZengBMCBMC Infectious Diseases1471-23342022-08-0122111710.1186/s12879-022-07649-zBarriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic reviewFungai Mbengo0Esther Adama1Amanda Towell-Barnard2Arvin Bhana3Maggie Zgambo4School of Nursing and Midwifery, Edith Cowan UniversitySchool of Nursing and Midwifery, Edith Cowan UniversitySchool of Nursing and Midwifery, Edith Cowan UniversityHealth Systems Research Unit, South African Medical Research CouncilSchool of Nursing and Midwifery, Edith Cowan UniversityAbstract Background Interventions aimed at reducing risky sexual behavior are considered an important strategy for averting Human Immunodeficiency Virus (HIV) infection among youth (15–24 years) who continue to be at risk of the disease. Enhancing intervention success requires a comprehensive understanding of the barriers and facilitators to interventions targeting youth. However, there is lack of a systematic review of both quantitative and qualitative studies to comprehensively identify and synthesize barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide. This review aimed to identify and synthesize barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth globally based on original peer-reviewed studies published in the last decade. Methods The Joanna Briggs Institute approach for mixed methods systematic reviews and Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines were used to guide this review. Nine electronic databases, Joint United Nations Programme on HIV/AIDS and World Health Organization websites, and reference lists of included studies and systematic reviews on barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth were searched for eligible articles. Studies that met the inclusion criteria underwent quality appraisal and data extraction. Findings were analyzed using thematic synthesis and underpinned by Nilsen, 2015’s Determinant Framework. Results Overall 13 studies comprising of eight qualitative studies, four quantitative studies and one mixed methods study were included in the review. Several barriers and facilitators across the five Determinant Framework domains were identified. Most of the barriers fell under the characteristics of the context domain (e.g., gender-biased norms). The next important group of barriers emerged within the characteristics of the end users domain (e.g., fear of relationship breakdown). In terms of facilitators, the majority fell under the characteristics of the strategy of facilitating implementation domain (e.g., implementation of intervention with fidelity) and characteristics of the end users domain (e.g., fear of pregnancy or sexually transmitted infections). The next common set of facilitators appeared within the characteristics of the context domain (e.g., family support). Conclusion This review identified several multi-level barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth. Multi-level and combination approaches are needed to address these factors and enhance intervention success.https://doi.org/10.1186/s12879-022-07649-zBarriersFacilitatorsHIV prevention interventionRisky sexual behaviorYouthSystematic review |
| spellingShingle | Fungai Mbengo Esther Adama Amanda Towell-Barnard Arvin Bhana Maggie Zgambo Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review BMC Infectious Diseases Barriers Facilitators HIV prevention intervention Risky sexual behavior Youth Systematic review |
| title | Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review |
| title_full | Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review |
| title_fullStr | Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review |
| title_full_unstemmed | Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review |
| title_short | Barriers and facilitators to HIV prevention interventions for reducing risky sexual behavior among youth worldwide: a systematic review |
| title_sort | barriers and facilitators to hiv prevention interventions for reducing risky sexual behavior among youth worldwide a systematic review |
| topic | Barriers Facilitators HIV prevention intervention Risky sexual behavior Youth Systematic review |
| url | https://doi.org/10.1186/s12879-022-07649-z |
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