Date: 09 Oct 2008
Couples-Focused Behavioral Interventions for Prevention of HIV: Systematic Review of the State of Evidence
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HIV is frequently transmitted in the context of partners in a committed relationship, thus couples-focused HIV prevention interventions are a potentially promising modality for reducing infection. We conducted a systematic review of studies testing whether couples-focused behavioral prevention interventions reduce HIV transmission and risk behavior. We included studies using randomized controlled trial designs, quasi-randomized controlled trials, and nonrandomized controlled studies. We searched five electronic databases and screened 7,628 records. Six studies enrolling 1,084 index couples met inclusion criteria and were included in this review. Results across studies consistently indicated that couples-focused programs reduced unprotected sexual intercourse and increased condom use compared with control groups. However, studies were heterogeneous in population, type of intervention, comparison groups, and outcomes measures, and so meta-analysis to calculate pooled effects was inappropriate. Although couples-focused approaches to HIV prevention appear initially promising, additional research is necessary to build a stronger theoretical and methodological basis for couples-focused HIV prevention, and future interventions must pay closer attention to same-sex couples, adolescents, and young people in relationships.
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- Couples-Focused Behavioral Interventions for Prevention of HIV: Systematic Review of the State of Evidence
AIDS and Behavior
Volume 14, Issue 1 , pp 1-10
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
- Additional Links
- Systematic review
- Industry Sectors
- Author Affiliations
- 1. Department of Social Policy and Social Work, University of Oxford, Oxford, Oxfordshire, England
- 2. Center for AIDS Prevention Studies, University of California, San Francisco, CA, USA
- 3. Department of Community Health, Brown University, 121 South Main Street, 4th Floor, Providence, RI, USA