A Meta-Analysis of the Efficacy of Behavioral Interventions to Reduce Risky Sexual Behavior and Decrease Sexually Transmitted Infections in Latinas Living in the United States
The objective of this meta-analysis was to determine the effect of behavioral interventions in reducing risky sexual behavior and incident sexually transmitted infections (STI) among Latina women living in the United States. Studies were found by systematically searching the MEDLINE, EMBASE, and Psy...
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| Veröffentlicht in: | Health education & behavior 2015-12, Vol.42 (6), p.709-718 |
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| container_title | Health education & behavior |
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| creator | Althoff, Meghan D. Grayson, Cary T. Witt, Lucy Holden, Julie Reid, Daniel Kissinger, Patricia |
| description | The objective of this meta-analysis was to determine the effect of behavioral interventions in reducing risky sexual behavior and incident sexually transmitted infections (STI) among Latina women living in the United States. Studies were found by systematically searching the MEDLINE, EMBASE, and Psychlnfo databases without language restriction. Two independent reviewers screened abstracts and full texts of articles to find randomized control trials testing the effects of behavioral interventions aimed at changing risky sexual behavior among Latinas. Articles were selected using prespecified inclusion criteria. Two independent reviewers extracted data from the included trials in duplicate using a standardized data extraction form. Six randomized control trials met the inclusion criteria for a total of 2,909 participants. Using random effects models with inverse variance weighting, we found a protective effect of the behavioral intervention on reported risky sexual behavior (odds ratio = 0.52; 95% confidence interval = 0.42, 0.64) and on incident nonviral STI (odds ratio = 0.65; 95% confidence interval = 0.46, 0.93). Behavioral interventions targeted toward Latina populations are effective in reducing risky sexual behaviors and incident STI and should be considered by policymakers as a potential tool for HIV/STI prevention in this population. |
| doi_str_mv | 10.1177/1090198114540461 |
| format | Article |
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Studies were found by systematically searching the MEDLINE, EMBASE, and Psychlnfo databases without language restriction. Two independent reviewers screened abstracts and full texts of articles to find randomized control trials testing the effects of behavioral interventions aimed at changing risky sexual behavior among Latinas. Articles were selected using prespecified inclusion criteria. Two independent reviewers extracted data from the included trials in duplicate using a standardized data extraction form. Six randomized control trials met the inclusion criteria for a total of 2,909 participants. Using random effects models with inverse variance weighting, we found a protective effect of the behavioral intervention on reported risky sexual behavior (odds ratio = 0.52; 95% confidence interval = 0.42, 0.64) and on incident nonviral STI (odds ratio = 0.65; 95% confidence interval = 0.46, 0.93). Behavioral interventions targeted toward Latina populations are effective in reducing risky sexual behaviors and incident STI and should be considered by policymakers as a potential tool for HIV/STI prevention in this population.</description><identifier>ISSN: 1090-1981</identifier><identifier>ISSN: 1552-6127</identifier><identifier>EISSN: 1552-6127</identifier><identifier>DOI: 10.1177/1090198114540461</identifier><identifier>PMID: 24986914</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; At Risk Persons ; Behavior Modification ; Condoms - statistics & numerical data ; Confidence intervals ; Cultural Relevance ; Disease prevention ; Efficacy ; Extraction ; Female ; Females ; Hispanic Americans ; Hispanic or Latino - education ; HIV ; HIV Infections - ethnology ; HIV Infections - prevention & control ; HIV Infections - transmission ; Human immunodeficiency virus ; Humans ; Intervention ; Latin American cultural groups ; Literature Reviews ; Meta Analysis ; Policy making ; Prevention ; Preventive medicine ; Random effects ; Randomization ; Randomized Controlled Trials as Topic ; Review ; Risk Reduction Behavior ; Safe sexual practices ; Sex education ; Sexual behavior ; Sexual Behavior - ethnology ; Sexuality ; Sexually Transmitted Diseases ; Sexually Transmitted Diseases - ethnology ; Sexually Transmitted Diseases - prevention & control ; Sexually Transmitted Diseases - transmission ; STD ; Systematic review ; United States ; Unsafe Sex - ethnology ; Unsafe Sex - prevention & control ; Weighting ; Women</subject><ispartof>Health education & behavior, 2015-12, Vol.42 (6), p.709-718</ispartof><rights>Copyright © 2015 Society for Public Health Education</rights><rights>2014 Society for Public Health Education</rights><rights>2014 Society for Public Health Education.</rights><rights>Copyright SAGE PUBLICATIONS, INC. 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Behavioral interventions targeted toward Latina populations are effective in reducing risky sexual behaviors and incident STI and should be considered by policymakers as a potential tool for HIV/STI prevention in this population.</description><subject>Adult</subject><subject>At Risk Persons</subject><subject>Behavior Modification</subject><subject>Condoms - statistics & numerical data</subject><subject>Confidence intervals</subject><subject>Cultural Relevance</subject><subject>Disease prevention</subject><subject>Efficacy</subject><subject>Extraction</subject><subject>Female</subject><subject>Females</subject><subject>Hispanic Americans</subject><subject>Hispanic or Latino - education</subject><subject>HIV</subject><subject>HIV Infections - ethnology</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - transmission</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Intervention</subject><subject>Latin American cultural groups</subject><subject>Literature Reviews</subject><subject>Meta Analysis</subject><subject>Policy making</subject><subject>Prevention</subject><subject>Preventive medicine</subject><subject>Random effects</subject><subject>Randomization</subject><subject>Randomized Controlled Trials as Topic</subject><subject>Review</subject><subject>Risk Reduction Behavior</subject><subject>Safe sexual practices</subject><subject>Sex education</subject><subject>Sexual behavior</subject><subject>Sexual Behavior - ethnology</subject><subject>Sexuality</subject><subject>Sexually Transmitted Diseases</subject><subject>Sexually Transmitted Diseases - ethnology</subject><subject>Sexually Transmitted Diseases - prevention & control</subject><subject>Sexually Transmitted Diseases - transmission</subject><subject>STD</subject><subject>Systematic review</subject><subject>United States</subject><subject>Unsafe Sex - ethnology</subject><subject>Unsafe Sex - prevention & control</subject><subject>Weighting</subject><subject>Women</subject><issn>1090-1981</issn><issn>1552-6127</issn><issn>1552-6127</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kk1v1DAQhiMEoqVw5wKyxIVLwE4cf5zQUhYoWoTUj3PkOJNdL1m72M6K_Cr-Io6yXZVKnPzxPvN6xjNZ9pLgd4Rw_p5giYkUhNCKYsrIo-yUVFWRM1Lwx2mf5HzST7JnIWwxxkzi6ml2UlApmCT0NPuzQN8hqnxhVT8GE5DrUNwAWnad0UqP0_kjbNTeOK96dGEj-D3YaJwNKDp0Ce2gAV2a8HNEV_B7SNAdj5Rt0SfQHlSAg9iP6NorG3YmRmiTXwd6NjMWrVQ0VgW0Mntj19PNlMqNNRN6FVWE8Dx70qk-wIvDepbdfF5en3_NVz--XJwvVrmmrIo5tIQ3XLeCUtbQQklJOloKKSsGmDGBhZCi44rLpuMMd5RLzEpSCEkbpltVnmUfZt_bodlBq1PJqf761pud8mPtlKn_VazZ1Gu3rwmpSk44Tg5vDw7e_RogxHpngoa-VxbcEGrCS8JFkRqS0DcP0K0bfOrIRKV6pBR4MsQzpb0LwUN3zIbgehqH-uE4pJDX96s4Btz1PwGvZgC80Ud5-Y1ggSWbMstnPag13Mvq_w8e_LYhOn80pFX68ELy8i8S69Ft</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Althoff, Meghan D.</creator><creator>Grayson, Cary T.</creator><creator>Witt, Lucy</creator><creator>Holden, Julie</creator><creator>Reid, Daniel</creator><creator>Kissinger, Patricia</creator><general>SAGE Publications</general><general>SAGE PUBLICATIONS, INC</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20151201</creationdate><title>A Meta-Analysis of the Efficacy of Behavioral Interventions to Reduce Risky Sexual Behavior and Decrease Sexually Transmitted Infections in Latinas Living in the United States</title><author>Althoff, Meghan D. ; Grayson, Cary T. ; Witt, Lucy ; Holden, Julie ; Reid, Daniel ; Kissinger, Patricia</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-ed17b7cd8446b42a991f4389956e066808898f7a79bf760f47906312894b6cda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>At Risk Persons</topic><topic>Behavior Modification</topic><topic>Condoms - statistics & numerical data</topic><topic>Confidence intervals</topic><topic>Cultural Relevance</topic><topic>Disease prevention</topic><topic>Efficacy</topic><topic>Extraction</topic><topic>Female</topic><topic>Females</topic><topic>Hispanic Americans</topic><topic>Hispanic or Latino - education</topic><topic>HIV</topic><topic>HIV Infections - ethnology</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - transmission</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Intervention</topic><topic>Latin American cultural groups</topic><topic>Literature Reviews</topic><topic>Meta Analysis</topic><topic>Policy making</topic><topic>Prevention</topic><topic>Preventive medicine</topic><topic>Random effects</topic><topic>Randomization</topic><topic>Randomized Controlled Trials as Topic</topic><topic>Review</topic><topic>Risk Reduction Behavior</topic><topic>Safe sexual practices</topic><topic>Sex education</topic><topic>Sexual behavior</topic><topic>Sexual Behavior - ethnology</topic><topic>Sexuality</topic><topic>Sexually Transmitted Diseases</topic><topic>Sexually Transmitted Diseases - ethnology</topic><topic>Sexually Transmitted Diseases - prevention & control</topic><topic>Sexually Transmitted Diseases - transmission</topic><topic>STD</topic><topic>Systematic review</topic><topic>United States</topic><topic>Unsafe Sex - ethnology</topic><topic>Unsafe Sex - prevention & control</topic><topic>Weighting</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Althoff, Meghan D.</creatorcontrib><creatorcontrib>Grayson, Cary T.</creatorcontrib><creatorcontrib>Witt, Lucy</creatorcontrib><creatorcontrib>Holden, Julie</creatorcontrib><creatorcontrib>Reid, Daniel</creatorcontrib><creatorcontrib>Kissinger, Patricia</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Health education & behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Althoff, Meghan D.</au><au>Grayson, Cary T.</au><au>Witt, Lucy</au><au>Holden, Julie</au><au>Reid, Daniel</au><au>Kissinger, Patricia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1080965</ericid><atitle>A Meta-Analysis of the Efficacy of Behavioral Interventions to Reduce Risky Sexual Behavior and Decrease Sexually Transmitted Infections in Latinas Living in the United States</atitle><jtitle>Health education & behavior</jtitle><addtitle>Health Educ Behav</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>42</volume><issue>6</issue><spage>709</spage><epage>718</epage><pages>709-718</pages><issn>1090-1981</issn><issn>1552-6127</issn><eissn>1552-6127</eissn><abstract>The objective of this meta-analysis was to determine the effect of behavioral interventions in reducing risky sexual behavior and incident sexually transmitted infections (STI) among Latina women living in the United States. Studies were found by systematically searching the MEDLINE, EMBASE, and Psychlnfo databases without language restriction. Two independent reviewers screened abstracts and full texts of articles to find randomized control trials testing the effects of behavioral interventions aimed at changing risky sexual behavior among Latinas. Articles were selected using prespecified inclusion criteria. Two independent reviewers extracted data from the included trials in duplicate using a standardized data extraction form. Six randomized control trials met the inclusion criteria for a total of 2,909 participants. Using random effects models with inverse variance weighting, we found a protective effect of the behavioral intervention on reported risky sexual behavior (odds ratio = 0.52; 95% confidence interval = 0.42, 0.64) and on incident nonviral STI (odds ratio = 0.65; 95% confidence interval = 0.46, 0.93). Behavioral interventions targeted toward Latina populations are effective in reducing risky sexual behaviors and incident STI and should be considered by policymakers as a potential tool for HIV/STI prevention in this population.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>24986914</pmid><doi>10.1177/1090198114540461</doi><tpages>10</tpages></addata></record> |
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| ispartof | Health education & behavior, 2015-12, Vol.42 (6), p.709-718 |
| issn | 1090-1981 1552-6127 1552-6127 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Adult At Risk Persons Behavior Modification Condoms - statistics & numerical data Confidence intervals Cultural Relevance Disease prevention Efficacy Extraction Female Females Hispanic Americans Hispanic or Latino - education HIV HIV Infections - ethnology HIV Infections - prevention & control HIV Infections - transmission Human immunodeficiency virus Humans Intervention Latin American cultural groups Literature Reviews Meta Analysis Policy making Prevention Preventive medicine Random effects Randomization Randomized Controlled Trials as Topic Review Risk Reduction Behavior Safe sexual practices Sex education Sexual behavior Sexual Behavior - ethnology Sexuality Sexually Transmitted Diseases Sexually Transmitted Diseases - ethnology Sexually Transmitted Diseases - prevention & control Sexually Transmitted Diseases - transmission STD Systematic review United States Unsafe Sex - ethnology Unsafe Sex - prevention & control Weighting Women |
| title | A Meta-Analysis of the Efficacy of Behavioral Interventions to Reduce Risky Sexual Behavior and Decrease Sexually Transmitted Infections in Latinas Living in the United States |
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