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Effectiveness of family-involved HIV interventions on young people's sexual behavior: a systematic review

Bangpan, Mukdarut (2014) Effectiveness of family-involved HIV interventions on young people's sexual behavior: a systematic review. In: 20th International AIDS Conference, 2014-07-20 - 2014-07-25, Melbourne.

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Background: Young people are at high risk of HIV infection and the need for effective preventions remains a priority. Researchers have underscored the importance of family in shaping young people''s sexual behavior. This systematic review assessed whether involving family in HIV interventions is effective in influencing young people''s sexual behavior. Methods: A systematic review of family-involved HIV interventions (FIHIs) was carried out. Eleven bibliographical databases, references of relevant studies and key websites were searched without language and geographical location restrictions. Studies were included if they experimentally evaluated FIHIs targeting young people and reported biological and/or sexual behavior outcomes. Study quality was assessed using a framework adapted from the existing quality assessing tool (Higgins and Altman, 2008). A sensitivity analysis was carried out, restricting findings to studies judged to be low risk of bias. Results: Eighteen studies met inclusion criteria. The majority of the studies were carried out in the US (n=14). The remaining studies each were from Mexico, Bahamas, Japan, and Zimbabwe. All but two studies were randomized controlled trials. Most studies aimed to assess the effect of FIHIs on specific or vulnerable groups including those from low SES, ethnic minorities, or with behavioral problems. Eleven studies were judged to be low risk of bias, employing methodologies to minimize selection and attrition bias, and confounding. Seven low risk of bias studies found significant benefits of FIHIs on one or two condom use measures. Three high risk of bias studies found no significant effect of FIHIs on condom use at last sex. However, there is evidence that FIHIs were unlikely to have the benefit in reducing sexual engagement, self-reported STDs, abstinence, and the number of sexual partners. No low risk studies measured HIV/STD incidence/prevalence were found. Conclusions: There is growing reliable evidence to support the notion that FIHIs can improve self-reported condom use outcomes. Future HIV interventions may benefit from more comprehensive and ecological approaches by involving family to improve safe sex practices in young people. Rigorous FIHI research that assesses biological outcomes is needed.

Item Type: Conference or Workshop Item (Poster)
Depositing User: Atira Pure
Date Deposited: 18 Nov 2014 14:26
Last Modified: 29 Jan 2015 10:39
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