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Behavioral interventions to promote condom use among women living with HIV: a systematic review update

Overview of attention for article published in Cadernos de Saúde Pública, January 2017
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Behavioral interventions to promote condom use among women living with HIV: a systematic review update
Published in
Cadernos de Saúde Pública, January 2017
DOI 10.1590/0102-311x00202515
Pubmed ID

Tonantzin Ribeiro Gonçalves, Evelise Rigoni Faria, Fernanda Torres de Carvalho, Cesar Augusto Piccinini, Jean Anne Shoveller


Behavioral interventions have been essential components of HIV prevention approaches, especially those aimed to promote safe sexual practices. We conducted a comprehensive literature search without language restrictions between 1980 and July 2014 to identify randomized controlled trials or controlled studies investigating behavioral interventions which: included women living with HIV; focused on condom use promotion; presented/analyzed outcomes by gender; used a 3-month follow-up or more; and considered at least one HIV-related behavioral or biological outcome. Eight studies comprising a total of 1,355 women living with HIV were included in the meta-analyses, and 13 studies were qualitatively described. When compared to standard care or minimal support intervention, behavioral interventions did not demonstrate an effect on increasing consistent condom use at the 3-month follow-up (RR = 0.92; 95%CI: 0.73, 1.16; p = 0.48), 6-month follow-up (RR = 1.13; 95%CI: 0.96, 1.34; p = 0.15), and 12-month follow-up (RR = 0.91; 95%CI: 0.77, 1.08; p = 0.30). Behavioral interventions also failed to reach positive effect in reduction of unprotected sexual intercourse at 6-months (MD = -1.80; 95%CI: -4.21, 0.62; p = 0.14) and 12-months follow-up (MD = -1.39; 95%CI: -2.29, 0.21; p = 0.09). These findings should be interpreted with caution since they are based on a few small trials. New researches are needed to assess the potential gains from a combination of interventions that promote safe sexual behavior with a harm reduction and gender approach, particularly in developing countries where HIV infection rates remain high.

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Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 8 18%
Researcher 8 18%
Student > Doctoral Student 4 9%
Student > Postgraduate 4 9%
Professor 4 9%
Other 8 18%
Unknown 9 20%
Readers by discipline Count As %
Nursing and Health Professions 11 24%
Psychology 8 18%
Social Sciences 6 13%
Medicine and Dentistry 4 9%
Economics, Econometrics and Finance 2 4%
Other 2 4%
Unknown 12 27%