Meta-analysis of HIV risk-reduction interventions within drug abuse treatment programs
Abstract
A meta-analysis was conducted on studies using a treatment-comparison group design to evaluate HIV/AIDS risk-reduction interventions for clients enrolled in drug abuse treatment programs. Overall, the interventions studied were found to have a reliable positive (weighted) effect size (d = 0.31), and this was unlikely to be due to publication bias. Effect sizes for specific categories of outcome variables were 0.31 for knowledge, attitudes, and beliefs; 0.26 for sexual behavior; 0.62 for risk-reduction skills; and 0.04 for injection practices. A number of potential moderators were examined. Effect sizes were negatively correlated with the presence of predominantly ethnic minority samples and positively correlated with the number of intervention techniques used, the intensity of the intervention, intervention delivery at a later stage of drug treatment or within methadone treatment, and the presence of a number of specific intervention techniques.
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Research on reducing sexual risk behaviour through substance misuse treatment also generally does not test whether lowering substance misuse alone is enough to lower sexual risk behaviours.
“The literature on sexual risk behaviour reduction through treatment for substance misuse also tends not to examine whether reducing substance misuse is, on its own, sufficient to reduce sexual risk behaviours.”
From Screening and Brief Intervention for Substance Misuse: Does It Reduce Aggression and HIV-Related Risk Behaviours? (2015) · cites this paper as Prendergast et al., 2001
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- Authors
- Prendergast, M. L., Urada, D., & Podus, D.
- Affiliations
- University of California, Los Angeles (US)
- ORCID
- Urada, Darren
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2001-06
- Volume
- 69
- Issue
- 3
- Pages
- 389-405
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2041399780
- Cited by
- 148
- References
- 42
- Citations by year
- 2024: 3 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 3 · 2019: 1 · 2018: 4 · 2017: 1 · 2016: 8 · 2015: 6 · 2014: 6 · 2013: 11 · 2012: 7
- FWCI
- 1.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01da009151-03)
- National Institute on Drug Abuse (R01 DA09151)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Keywords
- HIV risk reduction, HIV prevention, addiction treatment, sexual behavior, injection practices, methadone maintenance treatment, intervention moderators, publication bias
- MeSH terms
- Acquired Immunodeficiency Syndrome, Clinical Trials as Topic, Health Education, Humans, Methadone, Opioid-Related Disorders, HIV Infections, Substance Abuse, Intravenous, Outcome Assessment, Health Care
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