Sexual risk reduction interventions for patients attending sexually transmitted disease clinics in the United States: a meta-analytic review, 1986 to early 2009.

Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine
Lori A J Scott-SheldonMichael P Carey

Abstract

Sexually transmitted disease (STD) patients are more likely to experience a future STD including human immunodeficiency virus (HIV). The aim of this study was to examine the efficacy of behavioral interventions to reduce sexual risk behavior and incident STDs among patients attending STD clinics in the United States. A meta-analysis of 32 studies with 48 separate interventions targeting STD patients (N = 67,538) was conducted. Independent raters coded study, sample, and intervention characteristics. Effect sizes, using both fixed- and random-effects models, were calculated. Potential moderators of intervention efficacy were assessed. Relative to controls, intervention participants increased their condom use and had fewer incident STDs, including HIV, across assessment intervals (d (+)s ranging from 0.05 to 0.64). Several sample (e.g., age and ethnicity) and intervention features (e.g., targeting intervention to a specific group) moderated the efficacy of the intervention. Behavioral interventions targeted to STD clinic patients reduce sexual risk behavior and prevent HIV/STDs. Widespread use of behavioral interventions in STD clinics should be a public health priority.

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Citations

Mar 7, 2012·AIDS and Behavior·Joan S TuckerSamuel Wertheimer
Sep 24, 2013·AIDS and Behavior·Beryl A KoblinThomas Coates
Feb 3, 2016·Journal of Behavioral Medicine·Judith CoveyStephanie J Howell
Jan 11, 2011·The Journal of the Association of Nurses in AIDS Care : JANAC·Sande Gracia JonesVicente Manuel Martinez Cardenas
Sep 28, 2015·Contraception·Arik V MarcellHarold P Lehmann
Dec 25, 2015·Journal of American College Health : J of ACH·Amy J StarostaMitch Earleywine
Aug 24, 2016·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Jennifer L WalshMichael P Carey
Nov 16, 2011·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Lori A J Scott-SheldonMichael P Carey
May 31, 2017·Journal of Physical Activity & Health·Kent A LorenzMelbourne F Hovell
Jul 10, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Blair T JohnsonLeslie B Snyder
Jul 10, 2019·JAMA Pediatrics·Lorraine I Kelley-QuonAdam M Leventhal

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