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What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis

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  • Mirela Zaneva
  • Anne Philpott
  • Arushi Singh
  • Gerda Larsson
  • Lianne Gonsalves

Abstract

Despite billions of dollars invested into Sexual and Reproductive Health and Rights (SRHR) efforts, the effect of incorporating sexual pleasure, a key driver of why people have sex, in sexual health interventions is currently unclear. We carried out a systematic review and meta-analysis following PRISMA guidelines across 7 databases for relevant articles published between 1 January 2005–1 June, 2020. We included 33 unique interventions in our systematic review. Eight interventions reporting condom use outcomes were meta-analyzed together with a method random effects model. Quality appraisal was carried out through the Cochrane Collaborations’ RoB2 tool. This study was pre-registered on Prospero (ID: CRD42020201822). We identified 33 unique interventions (18886 participants at baseline) that incorporate pleasure. All included interventions targeted HIV/STI risk reduction, none occurred in the context of pregnancy prevention or family planning. We find that the majority of interventions targeted populations that authors classified as high-risk. We were able to meta-analyze 8 studies (6634 participants at baseline) reporting condom use as an outcome and found an overall moderate, positive, and significant effect of Cohen’s d = 0·37 (95% CI 0·20–0·54, p

Suggested Citation

  • Mirela Zaneva & Anne Philpott & Arushi Singh & Gerda Larsson & Lianne Gonsalves, 2022. "What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 17(2), pages 1-14, February.
    • Handle: RePEc:plo:pone00:0261034
    DOI: 10.1371/journal.pone.0261034
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