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The efficacy of behavioral interventions in reducing HIV risk sex behaviors and incident sexually transmitted disease in Black and Hispanic sexually transmitted disease clinic patients in the United States: A meta-analytic review.
Sex Transm Dis 2007; 34(6):319-332.
Crepaz N, Horn AK, Rama SM, Griffin T, DeLuca JB, Mullins MM, Aral
SO and HIV/AIDS Prevention Research Synthesis Team.
Abstract
OBJECTIVES: Interventions targeting sexually transmitted disease (STD) clinic
patients provide an important opportunity to modify high-risk sex behaviors
related to HIV/STD transmission. Identifying efficacious interventions for
blacks and Hispanics is urgently needed because these 2 groups are disproportionately
affected by the HIV/STD epidemics. GOAL: This meta-analysis evaluates the
efficacy of behavioral interventions in reducing unprotected sex and incident
STD among black and Hispanic STD clinic patients. STUDY DESIGN: Comprehensive
searches, including electronic databases (1988-2004), hand searches of journals
(January 2004 to June 2005), reference lists of articles, and contacts with
researchers, identified 18 randomized, controlled trials meeting the selection
criteria. RESULTS: Interventions significantly reduced unprotected sex (odds
ratio [OR] = 0.77; 95% confidence interval [CI] = 0.68-0.87; 14 trials; N
= 11,590) and incident STD (OR = 0.85; 95% CI = 0.73-0.998; 13 trials; N =
16,172). CONCLUSIONS: Behavioral interventions provide an efficacious means
of HIV/STD prevention for blacks and Hispanics who attend STD clinics.