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The efficacy of HIV/STI behavioral interventions for African American females in the United States: A meta-analysis

Author

Listed:
  • Crepaz, N.
  • Marshall, K.J.
  • Aupont, L.W.
  • Jacobs, E.D.
  • Mizuno, Y.
  • Kay, L.S.
  • Jones, P.
  • McCree, D.H.
  • O'Leary, A.

Abstract

Objectives. We evaluated the efficacy of HIV behavioral interventions for African American females in the United States, and we identified factors associated with intervention efficacy. Methods. We conducted a comprehensive literature review covering studies published from January 1988 to June 2007, which yielded 37 relevant studies. Data were analyzed using mixed-effects models and meta-regression. Results. Overall, behavioral interventions had a significant impact on reductions in HIV-risk sex behaviors (odds ratio [OR]=0.63; 95%confidence interval [CI]=0.54, 0.75; n=11239; Cochrane Q 32=84.73; P<.001) and sexually transmitted infections (STIs; OR=0.81; 95% CI=0.67, 0.98; n=8760; Cochrane Q16=22.77; P=.12). Greater intervention efficacy was observed in studies that specifically targeted African American females used gender- or culture-specific materials, used female deliverers, addressed empowerment issues, provided skills training in condom use and negotiation of safer sex, and used role-playing to teach negotiation skills. Conclusions. Behavioral interventions are efficacious at preventing HIV and STIs among African American females. More research is needed to examine the potential contribution of prevention strategies that attend to community-level and structural-level factors affecting HIV infection and transmission in this population.

Suggested Citation

  • Crepaz, N. & Marshall, K.J. & Aupont, L.W. & Jacobs, E.D. & Mizuno, Y. & Kay, L.S. & Jones, P. & McCree, D.H. & O'Leary, A., 2009. "The efficacy of HIV/STI behavioral interventions for African American females in the United States: A meta-analysis," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2069-2078.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.139519_1
    DOI: 10.2105/AJPH.2008.139519
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    Cited by:

    1. Lennon, Carter A. & Huedo-Medina, Tania B. & Gerwien, Daniel P. & Johnson, Blair T., 2012. "A role for depression in sexual risk reduction for women? A meta-analysis of HIV prevention trials with depression outcomes," Social Science & Medicine, Elsevier, vol. 75(4), pages 688-698.
    2. Angela Wangari Walter & Cesar Morocho, 2021. "HIV Related Knowledge, HIV Testing Decision-Making, and Perceptions of Alcohol Use as a Risk Factor for HIV among Black and African American Women," IJERPH, MDPI, vol. 18(9), pages 1-19, April.

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