Noar, 2008.
Noar08.pdf Behavioral interventions to reduce HIV-related sexual risk behavior: Review and syntehsis of meta-analytic evidence.

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Abstract
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Over the past 25 years, scores of behavioral

interventions to reduce HIV-related sexual risk behavior

have been developed and evaluated. The purpose of the

current study was to synthesize what is known about such

interventions by systematically reviewing and synthesizing

extant meta-analyses of the literature. Comprehensive

search procedures resulted in a set of 18 meta-analyses that

targeted HIV-related sexual risk behavior in a defined

target population. The median meta-analysis in the review

contained

 

k = 19 primary studies with a cumulative

 

N

 

= 9,423 participants. All meta-analyses (11/11) that

 

examined condom use found a statistically significant

increase (median effect: OR = 1.34); 9/11 for reducing

unprotected sex (median effect: OR = .76); 3/8 for reducing

numbers of sexual partners (median effect: OR = .87);

4/6 for reduction of STDs (median effect: OR = .74); and

5/5 for reducing composite sexual risk (median effect:

OR = .78). Summaries of moderator analyses suggested

particular participant, intervention, and methodological

characteristics that may influence the success of interventions.

Implications include achieving a broader

understanding of intervention moderators as well as

increasing effectiveness trials and translation/dissemination

of efficacious interventions to those populations most at

risk.

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