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Effectiveness of Peer Education Interventions for HIV Prevention in Developing Countries: A Systematic Review and Meta-Analysis
Open accessAbstract
Peer education for HIV prevention has been widely implemented in developing countries, yet the effectiveness of this intervention has not been systematically evaluated. We conducted a systematic review and meta-analysis of peer education interventions in developing countries published between January 1990 and November 2006. Standardized methods of searching and data abstraction were utilized. Merged effect sizes were calculated using random effects models. Thirty studies were identified. In meta-analysis, peer education interventions were significantly associated with increased HIV knowledge (odds ratio [OR]: 2.28; 95%, confidence interval [CI]:1.88, 2.75), reduced equipment sharing among injection drug users (OR: 0.37; 95% CI: 0.20, 0.67), and increased condom use (OR: 1.92; 95% CI: 1.59, 2.33). Peer education programs had a nonsignificant effect on sexually transmitted infections (OR: 1.22; 95% CI:0.88, 1.71). Meta-analysis indicates that peer education programs in developing countries are moderately effective at improving behavioral outcomes but show no significant impact on biological outcomes. Further research is needed to determine factors that maximize the likelihood of program success.
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Meta-analysis of Observational Studies in Epidemiology<SUBTITLE>A Proposal for Reporting</SUBTITLE>
Stroup, D. F. (2000) · JAMA · doi:10.1001/jama.283.15.2008 · Cited by 20,623
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Valente, T. W. (2012) · Science · doi:10.1126/science.1217330 · Cited by 1,271
Chandra-Mouli, V., Lane, C., & Wong, S. (2015) · Global Health: Science and Practice · doi:10.9745/ghsp-d-15-00126 · Cited by 316
MacArthur, G. J., van Velzen, E., Palmateer, N., Kimber, J., Pharris, A., Hope, V., Taylor, A., Roy, K., Aspinall, E., Goldberg, D., et al. (2014) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2013.07.001 · Cited by 284
MacArthur, G. J., Harrison, S., Caldwell, D. M., Hickman, M., & Campbell, R. (2016) · Addiction · doi:10.1111/add.13224 · Cited by 265
Fuhr, D. C., Salisbury, T. T., De Silva, M. J., Atif, N., van Ginneken, N., Rahman, A., & Patel, V. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-0857-5 · Cited by 209
Metadata
- Authors
- Medley, A., Kennedy, C., O'Reilly, K., & Sweat, M.
- Venue
- AIDS Education and Prevention
- Publisher
- Guilford Publications
- Published
- 2009-06
- Volume
- 21
- Issue
- 3
- Pages
- 181-206
- ISSN
- 0899-9546 (ISSN-L)
- OpenAlex
- W2076285137
- Cited by
- 546
- References
- 1
- FWCI
- 4.99
- Type
- journal article
- Language
- en
- Open access
- green
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- Medley, A., Kennedy, C., O'Reilly, K., & Sweat, M. (2009). Effectiveness of Peer Education Interventions for HIV Prevention in Developing Countries: A Systematic Review and Meta-Analysis. AIDS Education and Prevention. https://doi.org/10.1521/aeap.2009.21.3.181
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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