IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0199421.html
   My bibliography  Save this article

Interventions to reduce risk for sexually transmitted infections in adolescents: A meta-analysis of trials, 2008-2016

Author

Listed:
  • Alexandra Morales
  • José P Espada
  • Mireia Orgilés
  • Silvia Escribano
  • Blair T Johnson
  • Marguerita Lightfoot

Abstract

Background: Numerous studies have evaluated the efficacy of interventions to reduce risk for sexually transmitted infections in adolescents in recent years, but their global effects remain unknown since 2008, the last date of a comprehensive review of prior studies. Aims: This study aims at evaluating the efficacy of interventions to promote sexual health, reduce STIs and unplanned pregnancies targeted to adolescents available after 2008; and analyzing the moderators of their global efficacy. Methods: We searched electronic databases and manual searches of some journals focused on STIs in May 2016. The studies evaluated the efficacy of interventions to reduce sexual risk in adolescents (age range: 11–19) anywhere in the world. Effect size of the relevant outcomes for sexual risk was calculated for every study. Analyses incorporated random-effect assumptions for each outcome. The homogeneity in the results was examined with the I2 statistic and its associated 95% confident interval. Results: Data from 63 studies (59,795 participants) were analyzed for behavioral and non-behavioral outcomes. In the short term, interventions had a positive impact in sexual health-related knowledge (Hedges’g = 1.01), attitudes (g = 0.29), self-efficacy toward condom use (g = 0.22), intention to refuse sex (g = 0.56), condom use intention (g = 0.46), and condom use (g = 0.38). In the medium term, positive effects observed at the short-term were maintained, although effect size significantly decreased in all variables. In the long term, interventions improved condom use (g = 0.47). Moderators of the efficacy are discussed. Conclusions: Sexual health promotion interventions are effective to promote sexual health through increasing condom use. Effects on non-behavioral variables tend to decrease over time, while condom use increased in the long-term. Interventions should focus on the long-term efficacy, especially in behavioral and biological measures.

Suggested Citation

  • Alexandra Morales & José P Espada & Mireia Orgilés & Silvia Escribano & Blair T Johnson & Marguerita Lightfoot, 2018. "Interventions to reduce risk for sexually transmitted infections in adolescents: A meta-analysis of trials, 2008-2016," PLOS ONE, Public Library of Science, vol. 13(6), pages 1-26, June.
    • Handle: RePEc:plo:pone00:0199421
    DOI: 10.1371/journal.pone.0199421
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0199421
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0199421&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0199421?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Cronin, Jacob & Heflin, Colleen & Price, Ashley, 2014. "Teaching teens about sex: A fidelity assessment model for Making Proud Choices," Evaluation and Program Planning, Elsevier, vol. 46(C), pages 94-102.
    2. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    3. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
    4. Lisa Lieberman & Haiyan Su, 2012. "Impact of the Choosing the Best Program in Communities Committed to Abstinence Education," SAGE Open, , vol. 2(1), pages 21582440124, January.
    5. Lyles, C.M. & Kay, L.S. & Crepaz, N. & Herbst, J.H. & Passin, W.F. & Kim, A.S. & Rama, S.M. & Thadiparthi, S. & DeLuca, J.B. & Mullins, M.M., 2007. "Best-evidence interventions: Findings from a systematic review of HIV behavioral interventions for US populations at high risk, 2000-2004," American Journal of Public Health, American Public Health Association, vol. 97(1), pages 133-143.
    6. Reid, Allecia E. & Dovidio, John F. & Ballester, Estrellita & Johnson, Blair T., 2014. "HIV prevention interventions to reduce sexual risk for African Americans: The influence of community-level stigma and psychological processes," Social Science & Medicine, Elsevier, vol. 103(C), pages 118-125.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Morales, Alexandra & Garcia-Montaño, Eileen & Barrios-Ortega, Cristian & Niebles-Charris, Janivys & Garcia-Roncallo, Paola & Abello-Luque, Daniella & Gomez-Lugo, Mayra & Saavedra, Diego Alejandro & Va, 2019. "Adaptation of an effective school-based sexual health promotion program for youth in Colombia," Social Science & Medicine, Elsevier, vol. 222(C), pages 207-215.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Smith, Stephanie R. & Kroon, Jeroen & Schwarzer, Ralf & Hamilton, Kyra, 2020. "Parental social-cognitive correlates of preschoolers’ oral hygiene behavior: A systematic review and meta-analysis," Social Science & Medicine, Elsevier, vol. 264(C).
    2. Lütjens, Henk & Eisenbeiss, Maik & Fiedler, Maximilian & Bijmolt, Tammo, 2022. "Determinants of consumers’ attitudes towards digital advertising – A meta-analytic comparison across time and touchpoints," Journal of Business Research, Elsevier, vol. 153(C), pages 445-466.
    3. Nguyen, Tuyet-Mai & Nham, Phong Tuan & Hoang, Viet Ngu, 2018. "The theory of planned behavior and knowledge sharing: A systematic review and meta-analytic structural equation modelling," MPRA Paper 106892, University Library of Munich, Germany, revised 20 Dec 2018.
    4. Gimpel, Henner & Graf, Vanessa & Graf-Drasch, Valerie, 2020. "A comprehensive model for individuals’ acceptance of smart energy technology – A meta-analysis," Energy Policy, Elsevier, vol. 138(C).
    5. Johannes Knoll & Jörg Matthes, 2017. "The effectiveness of celebrity endorsements: a meta-analysis," Journal of the Academy of Marketing Science, Springer, vol. 45(1), pages 55-75, January.
    6. Amy Cox & Ryan Rhodes, 2020. "Increasing Physical Activity in Empty Nest and Retired Populations Online: A Randomized Feasibility Trial Protocol," IJERPH, MDPI, vol. 17(10), pages 1-16, May.
    7. Tanja Burgard & Holger Steinmetz, 2023. "Evidence in management science related to psychology: benefits, tools, and an example of a community-augmented meta-analysis," Management Review Quarterly, Springer, vol. 73(3), pages 1135-1150, September.
    8. Nohe, Christoph & Hüffmeier, Joachim & Bürkner, Paul & Mazei, Jens & Sondern, Dominik & Runte, Antonia & Sieber, Franziska & Hertel, Guido, 2022. "Unethical choice in negotiations: A meta-analysis on gender differences and their moderators," Organizational Behavior and Human Decision Processes, Elsevier, vol. 173(C).
    9. Leonidou, Leonidas C. & Eteokleous, Pantelitsa P. & Christofi, Anna-Maria & Korfiatis, Nikolaos, 2022. "Drivers, outcomes, and moderators of consumer intention to buy organic goods: Meta-analysis, implications, and future agenda," Journal of Business Research, Elsevier, vol. 151(C), pages 339-354.
    10. Guangchao Charles Feng & Zhiliang Lin & Wanhua Ou & Xianglin Su & Qing Yan, 2021. "A Model-Based Meta-Analysis of Willingness to Participate in Cancer Screening," IJERPH, MDPI, vol. 18(5), pages 1-18, March.
    11. Maria Andersson & Ola Eriksson & Chris Von Borgstede, 2012. "The Effects of Environmental Management Systems on Source Separation in the Work and Home Settings," Sustainability, MDPI, vol. 4(6), pages 1-17, June.
    12. Tran Huy Phuong & Thanh Trung Hieu, 2015. "Predictors of Entrepreneurial Intentions of Undergraduate Students in Vietnam: An Empirical Study," International Journal of Academic Research in Business and Social Sciences, Human Resource Management Academic Research Society, International Journal of Academic Research in Business and Social Sciences, vol. 5(8), pages 46-55, August.
    13. Whitney S Beck & Ed K Hall, 2018. "Confounding factors in algal phosphorus limitation experiments," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-19, October.
    14. Clara Cardone-Riportella & María José Casasola-Martinez & Isabel Feito-Ruiz, 2014. "Do Entrepreneurs Come From Venus Or Mars? Impact Of Postgraduate Studies: Gender And Family Business Background," Working Papers 14.04, Universidad Pablo de Olavide, Department of Financial Economics and Accounting (former Department of Business Administration), revised Sep 2014.
    15. Peng Cheng & Zhe Ouyang & Yang Liu, 0. "The effect of information overload on the intention of consumers to adopt electric vehicles," Transportation, Springer, vol. 0, pages 1-20.
    16. Ruijie Zhu & Guojing Zhao & Zehai Long & Yangjie Huang & Zhaoxin Huang, 2022. "Entrepreneurship or Employment? A Survey of College Students’ Sustainable Entrepreneurial Intentions," Sustainability, MDPI, vol. 14(9), pages 1-15, May.
    17. Alsalem, Amani & Fry, Marie-Louise & Thaichon, Park, 2020. "To donate or to waste it: Understanding posthumous organ donation attitude," Australasian marketing journal, Elsevier, vol. 28(3), pages 87-97.
    18. Pan, Jing Yu & Liu, Dahai, 2022. "Mask-wearing intentions on airplanes during COVID-19 – Application of theory of planned behavior model," Transport Policy, Elsevier, vol. 119(C), pages 32-44.
    19. Benoît Lécureux & Adrien Bonnet & Ouassim Manout & Jaâfar Berrada & Louafi Bouzouina, 2022. "Acceptance of Shared Autonomous Vehicles: A Literature Review of stated choice experiments," Working Papers hal-03814947, HAL.
    20. Jacqueline Ruth & Steffen Willwacher & Oliver Korn, 2022. "Acceptance of Digital Sports: A Study Showing the Rising Acceptance of Digital Health Activities Due to the SARS-CoV-19 Pandemic," IJERPH, MDPI, vol. 19(1), pages 1-16, January.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0199421. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.