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STI Health Disparities: A Systematic Review and Meta-Analysis of the Effectiveness of Preventive Interventions in Educational Settings

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  • Nway Mon Kyaw Soe

    (School of Public Health, University of Saskatchewan, Saskatoon, SK S7N 2Z4, Canada)

  • Yelena Bird

    (School of Public Health, University of Saskatchewan, Saskatoon, SK S7N 2Z4, Canada)

  • Michael Schwandt

    (Medical Health Officer, Fraser Health Authority, Surrey, BC V3T 0H1, Canada)

  • John Moraros

    (School of Public Health, University of Saskatchewan, Saskatoon, SK S7N 2Z4, Canada)

Abstract

The purpose of this systematic review and meta-analysis was to address disparities related to sexual health among students by examining the effectiveness of sexually transmitted infection (STI) preventive interventions in educational settings. PubMed, Medline, Cochrane Library, Public Health Database, and EMBASE databases were used to conduct searches. Information relating to studies, programs, participants, and quantitative outcome variables were extracted. Risk of bias was assessed and meta-analysis was conducted. This systematic review included 16 articles. The outcomes were classified into behavioral and psychosocial categories. The behavioral category included sexual partners, sexual activity, condom use, STI/HIV testing, and alcohol/drug use before sex. The psychosocial category consisted of knowledge, motivational factors, and skills. Interventions had a significantly positive impact on both behavioral (OR, 1.28; 95% CI, 1.17–1.39) and psychosocial (OR, 1.92; 95% CI, 1.36–2.72) outcomes. Among the psychosocial outcomes, the interventions were most effective at promoting knowledge (OR, 3.17; 95% CI, 2.13–4.72), followed by enhancing motivational factors (OR, 1.69; 95% CI, 1.04–2.75) and increasing behavioral skills (OR, 1.43; 95% CI, 1.13–1.81). The results of this systematic review provide empirical evidence for public health professionals and policy makers regarding planning, implementation, evaluation, and modification of STI preventive intervention programs in educational settings.

Suggested Citation

  • Nway Mon Kyaw Soe & Yelena Bird & Michael Schwandt & John Moraros, 2018. "STI Health Disparities: A Systematic Review and Meta-Analysis of the Effectiveness of Preventive Interventions in Educational Settings," IJERPH, MDPI, vol. 15(12), pages 1-17, December.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:12:p:2819-:d:189602
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    References listed on IDEAS

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    1. Lucia Hlavinkova & Andrej Mentel & Jana Kollarova & Zuzana Kristufkova, 2014. "Effectiveness of a prevention campaign on HIV/AIDS knowledge among adolescents in Eastern Slovakia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(6), pages 905-911, December.
    2. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    3. Ian Lindong & Lorece Edwards & Sabriya Dennis & Olaoluwa Fajobi, 2017. "Similarities and Differences Matter: Considering the Influence of Gender on HIV Prevention Programs for Young Adults in an Urban HBCU," IJERPH, MDPI, vol. 14(2), pages 1-10, January.
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    1. White-Means, Shelley & Gaskin, Darrell J. & Osmani, Ahmad Reshad, 2019. "Intervention and Public Policy Pathways to Achieve Health Care Equity," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 16(14), pages 1-11.
    2. Matthew Middleton & Sarah Somerset & Catrin Evans & Holly Blake, 2020. "Test@Work Texts: Mobile Phone Messaging to Increase Awareness of HIV and HIV Testing in UK Construction Employees during the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(21), pages 1-23, October.

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