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Cited by 75HIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskAdolescent Sexual and Reproductive Health

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Behavior Change Interventions to Prevent HIV Infection among Women Living in Low and Middle Income Countries: A Systematic Review

McCoy, Sandra I., Kangwende, Rugare A., Padian, Nancy S.·2010·AIDS and Behavior
DOI 10.1007/s10461-009-9644-9
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Abstract

We conducted a systematic review of behavioral change interventions to prevent the sexual transmission of HIV among women and girls living in low- and middle-income countries. PubMed/MEDLINE, Web of Science, the Cochrane Library, and other databases and bibliographies were systematically searched for trials using randomized or quasi-experimental designs to evaluate behavioral interventions with HIV infection as an outcome. We identified 11 analyses for inclusion reporting on eight unique interventions. Interventions varied widely in intensity, duration, and delivery as well as by target population. Only two analyses showed a significant protective effect on HIV incidence among women and only three of ten analyses that measured behavioral outcomes reduced any measure of HIV-related risk behavior. Ongoing research is needed to determine whether behavior change interventions can be incorporated as independent efficacious components in HIV prevention packages for women or simply as complements to biomedical prevention strategies.

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  • Meta-analyses generally report weak impacts of standalone HIV-education programs, irrespective of whether they are delivered via classroom-based courses or peer-provided courses.

    “However, meta-analyses generally report weak impacts of such standalone programs, irrespective of whether they are delivered via classroom-based courses [Gallant and Maticka-Tyndale 2004, McCoy et al. 2010, Du‡o et al. 2015] or peer-provided courses [Cornish and Campbell 2009].”

    From Women's Empowerment in Action: Evidence from a Randomized Control Trial in Africa (2020) · cites this paper as McCoy et al. 2010

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Metadata

Authors
McCoy, S. I., Kangwende, R. A., & Padian, N. S.
Affiliations
  • RTI International (US)
  • Africa University (ZW)
Corresponding author
McCoy, Sandra I.
ORCID
Venue
AIDS and Behavior
Publisher
Springer Science and Business Media LLC
Published
2009-12-01
Volume
14
Issue
3
Pages
469-482
ISSN
  • 1090-7165 (ISSN-L)
  • 1573-3254
DOI
10.1007/s10461-009-9644-9
OpenAlex
W2081860456
Cited by
75
References
1
Citations by year
2026: 2 · 2025: 1 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 4 · 2015: 8 · 2014: 8 · 2013: 5 · 2012: 11
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • AIDS and Behavior (publishedVersion)
  • PubMed (publishedVersion)
Funders
U.S. National Library of Medicine
Topics
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
Keywords
HIV prevention, behaviour change interventions, women, girls, sexual transmission of HIV, low- and middle-income countries, HIV risk behavior
MeSH terms
Adolescent, Adult, Counseling, Developing Countries, Female, Health Education, Humans, Health Knowledge, Attitudes, Practice, Male, Sexually Transmitted Diseases, HIV Infections, Randomized Controlled Trials as Topic, Young Adult

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