HIV Voluntary Counseling and Testing and Behavioral Risk Reduction in Developing Countries: A Meta-analysis, 1990–2005
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The effectiveness of HIV voluntary counseling and testing (VCT) in reducing HIV risk behaviors in developing countries was assessed using meta-analytic methods. A standardized protocol was used for searching, acquiring, and extracting study data and meta-analyzing the results. Seven studies met the inclusion criteria. VCT recipients were significantly less likely to engage in unprotected sex when compared to behaviors before receiving VCT, or as compared to participants who had not received VCT [OR 1.69; 95%CI 1.25–2.31]. VCT had no significant effect on the number of sex partners [OR 1.22; 95%CI 0.89–1.67]. While these findings provide only moderate evidence in support of VCT as an effective prevention strategy, neither do they negate the need to expand access to HIV testing and counseling services. Such expansion, however, must be accompanied by rigorous evaluation in order to test, refine and maximize the preventive benefits of learning one’s HIV infection status through HIV testing and counseling.
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- HIV Voluntary Counseling and Testing and Behavioral Risk Reduction in Developing Countries: A Meta-analysis, 1990–2005
AIDS and Behavior
Volume 12, Issue 3 , pp 363-373
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Developing countries
- HIV voluntary counseling and testing
- Behavioral risk reduction
- Author Affiliations
- 1. Department of International Health, Johns Hopkins University, Bloomberg School of Public Health, Baltimore, MD, USA
- 2. Behavioral and Biomedical Research, Family Health International, 2101 Wilson Blvd, Suite 700, Arlington, VA, 22201, USA
- 3. Department of HIV/AIDS, The World Health Organization, Geneva, Switzerland
- 4. Department of Psychiatry and Behavioral Sciences, The Medical University of South Carolina, Charleston, SC, USA