The efficacy of HIV/STI behavioral interventions for African American females in the United States: a meta-analysis.

Full 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.

Author information

Author/s: Crepaz, Nicole (N); Marshall, Khiya J (KJ); Aupont, Latrina W (LW); Jacobs, Elizabeth D (ED); Mizuno, Yuko (Y); Kay, Linda S (LS); Jones, Patricia (P); McCree, Donna Hubbard (DH); O'Leary, Ann (A);

Affiliation: Centers for Disease Control and Prevention, Division of HIV/AIDS Prevention, Prevention Research Branch, 1600 Clifton Road, Mailstop E-37, Atlanta, GA 30333, USA. ncrepaz(-atsign-)cdc.gov

Journal and publication information

Publication Type: Journal Article; Meta-Analysis

Journal: American journal of public health (Am J Public Health), published in United States. (Language: eng)

Reference: 2009-Nov; vol 99 (issue 11) : pp 2069-78

Dates: Created 2009/10/12; Completed 2009/10/30;

PMID: 19762676, status: MEDLINE (last retrieval date: 10/30/2009, IMS Date: )

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

External Links for this article
(including full text providers, if available):

Click Electronic Full-text Provider Links to see options for finding the electronic full text links to this article. Note there may be a subscription or fee required for access to the full text. See our FAQ for information on finding FREE full text articles.

This article may also be located in paper journal collections available in many libraries. Use the Journal and Publication Information above to find the full article.