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Meta-analyses of HIV prevention interventions targeting improved partner communication: effects on partner communication and condom use frequency outcomes

Journal of Behavioral Medicine volume 41, pages 423–440 (2018)Cite this article

Abstract

Behavioral HIV prevention interventions designed to improve safer-sex communication skills with sexual partners may enhance engagement in protective behaviors and reduce HIV/STI risk. The current meta-analyses examined the efficacy of individual-based (i.e., not couples-based) HIV prevention interventions with a partner communication skills building component to increase frequency of: (a) safer-sex communication and (b) condom use with sexual partners among HIV at-risk groups (e.g., heterosexual African American females). Studies were retrieved from online bibliographic databases, a database of effective behavioral HIV prevention interventions, and an existing review of effective interventions. Eight manuscripts (k = 10 intervention vs. control comparisons) met inclusion criteria. Results indicated that compared to control conditions, at post-intervention follow-up, participants who were exposed to individual-based HIV prevention interventions with safer-sex communication skills training components had safer sex discussions with partners more frequently [drandom = 0.35 ± 0.10, p < .001, 95% CI (0.16, 0.55)], and used condoms more frequently [drandom = 0.39 ± 0.07, p < .001, 95% CI (0.25, 0.54)]. Including partner communication skills training in individual-based HIV prevention interventions may increase the frequency of both partner communication and condom use among the at-risk populations represented in the meta-analyses.

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References

  • Bird, J. D. P., Eversman, M., & Voisin, D. R. (2017). “You just can’t trust everybody”: The impact of sexual risk, partner type and perceived partner trustworthiness on HIV-status disclosure decisions among HIV-positive black gay and bisexual men. Culture, Health & Sexuality, 19, 829–843. https://doi.org/10.1080/13691058.2016.1267408

    Article  Google Scholar 

  • Bolton, M., McKay, A., & Schneider, M. (2010). Relational influences on condom use discontinuation: A qualitative study of young adult women in dating relationships. The Canadian Journal of Human Sexuality, 19, 91.

    Google Scholar 

  • Brown, J. L., & DiClemente, R. J. (2015). The need for biological outcomes to complement self-report in adolescent research. Pediatrics, 136, e551–e553.

    Article  PubMed  PubMed Central  Google Scholar 

  • Catania, J. A., Binson, D., Dolcini, M. M., Stall, R., Choi, K.-H., Pollack, L. M., et al. (1995). Risk factors for HIV and other sexually transmitted diseases and prevention practices among US heterosexual adults: changes from 1990 to 1992. American Journal of Public Health, 85, 1492–1499.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Catania, J. A., Kegeles, S. M., & Coates, T. J. (1990). Towards an understanding of risk behavior: An AIDS risk reduction model (ARRM). Health Education & Behavior, 17, 53–72.

    CAS  Google Scholar 

  • Centers for Disease Control and Prevention. (2015). HIV surveillance report: Diagnoses of HIV infection in the United States and dependent areas, 2015. Retrieved from https://www.cdc.gov/hiv/pdf/library/reports/surveillance/cdc-hiv-surveillance-report-2015-vol-27.pdf

  • Centers for Disease Control and Prevention. (2016a). Act against AIDS: HIV treatment 2014. Retrieved from http://www.cdc.gov/actagainstaids/campaigns/hivtreatmentworks/stayincare/treatment.html

  • Centers for Disease Control and Prevention. (2016b). CDC fact sheet: Today’s HIV/AIDS epidemic. Retrieved from https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/todaysepidemic-508.pdf

  • Cohen, J. (1988). Statistical power analysis for the behavior science. Mahwah, NJ: Lawrence Erlbaum Associates.

    Google Scholar 

  • Corbett, A. M., Dickson-Gómez, J., Hilario, H., & Weeks, M. R. (2009). A little thing called love: Condom use in high-risk primary heterosexual relationships. Perspectives on Sexual and Reproductive Health, 41, 218–224.

    Article  PubMed  PubMed Central  Google Scholar 

  • Crosby, R. A., DiClemente, R. J., Wingood, G. M., Cobb, B. K., Harrington, K., Davies, S. L., et al. (2002). Condom use and correlates of African American adolescent females’ infrequent communication with sex partners about preventing sexually transmitted diseases and pregnancy. Health Education & Behavior, 29, 219–231.

    Article  Google Scholar 

  • De Visser, R., & Smith, A. (2001). Relationship between sexual partners influences rates and correlates of condom use. AIDS Education and Prevention, 13, 413–427.

    Article  PubMed  Google Scholar 

  • DiClemente, R. J., Crittenden, C. P., Rose, E., Sales, J. M., Wingood, G. M., Crosby, R. A., et al. (2008). Psychosocial predictors of HIV-associated sexual behaviors and the efficacy of prevention interventions in adolescents at-risk for HIV infection: What works and what doesn’t work? Psychosomatic Medicine, 70, 598–605.

    Article  PubMed  Google Scholar 

  • DiClemente, R. J., & Wingood, G. M. (1995). A randomized controlled trial of an HIV sexual risk—reduction intervention for young African-American women. JAMA, 274, 1271–1276.

    Article  PubMed  CAS  Google Scholar 

  • DiClemente, R. J., Wingood, G. M., Harrington, K. F., Lang, D. L., Davies, S. L., Hook, E. W., III, et al. (2004). Efficacy of an HIV prevention intervention for African American adolescent girls: A randomized controlled trial. JAMA, 292, 171–179.

    Article  PubMed  CAS  Google Scholar 

  • DiClemente, R. J., Wingood, G. M., Rose, E. S., Sales, J. M., Lang, D. L., Caliendo, A. M., et al. (2009). Efficacy of sexually transmitted disease/human immunodeficiency virus sexual risk–reduction intervention for African American adolescent females seeking sexual health services: A randomized controlled trial. Archives of Pediatrics and Adolescent Medicine, 163, 1112–1121.

    Article  PubMed  Google Scholar 

  • East, L., Jackson, D., O’brien, L., & Peters, K. (2007). Use of the male condom by heterosexual adolescents and young people: Literature review. Journal of Advanced Nursing, 59, 103–110.

    Article  PubMed  Google Scholar 

  • El-Bassel, N., Jemmott, J. B., Bellamy, S. L., Pequegnat, W., Wingood, G. M., Wyatt, G. E., et al. (2016). Mediation analysis of the efficacy of the Eban HIV/STD risk-reduction intervention for African American HIV serodiscordant couples. AIDS and Behavior, 20, 1197–1207. https://doi.org/10.1007/s10461-015-1249-x

    Article  PubMed  Google Scholar 

  • Fisher, J. D., & Fisher, W. A. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 111, 455.

    Article  PubMed  CAS  Google Scholar 

  • Fisher, J. D., & Fisher, W. A. (2000). Theoretical approaches to individual-level change in HIV risk behavior. Handbook of HIV prevention (pp. 3–55). Boston, MA: Springer.

    Google Scholar 

  • Flood, M. (2003). Lust, trust and latex: Why young heterosexual men do not use condoms. Culture, Health & Sexuality, 5, 353–369.

    Article  Google Scholar 

  • Goldenberg, T., Finneran, C., Andes, K. L., & Stephenson, R. (2015). ‘Sometimes people let love conquer them’: How love, intimacy, and trust in relationships between men who have sex with men influence perceptions of sexual risk and sexual decision-making. Culture, Health & Sexuality, 17, 607–622. https://doi.org/10.1080/13691058.2014.979884

    Article  Google Scholar 

  • Higgins, J., & Thompson, S. G. (2002). Quantifying heterogeneity in a meta-analysis. Statistics in Medicine, 21, 1539–1558.

    Article  PubMed  Google Scholar 

  • Hobfoll, S. E., Jackson, A. P., Lavin, J., Johnson, R. J., & Schröder, K. E. (2002). Effects and generalizability of communally oriented HIV–AIDS prevention versus general health promotion groups for single, inner-city women in urban clinics. Journal of Consulting and Clinical Psychology, 70, 950.

    Article  PubMed  Google Scholar 

  • Kalichman, S. C., Cherry, C., & Browne-Sperling, F. (1999). Effectiveness of a video-based motivational skills-building HIV risk-reduction intervention for inner-city African American men. Journal of Consulting and Clinical Psychology, 67, 959.

    Article  PubMed  CAS  Google Scholar 

  • Kalichman, S. C., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., et al. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. American Journal of Preventive Medicine, 21, 84–92.

    Article  PubMed  CAS  Google Scholar 

  • Kalichman, S. C., Rompa, D., & Coley, B. (1996). Experimental component analysis of a behavioral HIV–AIDS prevention intervention for inner-city women. Journal of Consulting and Clinical Psychology, 64, 687.

    Article  PubMed  CAS  Google Scholar 

  • Kelly, J. A., Murphy, D. A., Washington, C. D., Wilson, T. S., Koob, J. J., Davis, D. R., et al. (1994). The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. American Journal of Public Health, 84, 1918–1922.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Klein, C. H., Lomonaco, C. G., Pavlescak, R., & Card, J. J. (2013). WiLLOW: Reaching HIV-positive African-American women through a computer-delivered intervention. AIDS and Behavior, 17, 3013–3023. https://doi.org/10.1007/s10461-013-0479-z

    Article  PubMed  Google Scholar 

  • Lehmiller, J. J., VanderDrift, L. E., & Kelly, J. R. (2014). Sexual communication, satisfaction, and condom use behavior in friends with benefits and romantic partners. Journal of Sex Research, 51, 74–85.

    Article  PubMed  Google Scholar 

  • Lo, S. C., Reisen, C. A., Poppen, P. J., Bianchi, F. T., & Zea, M. C. (2011). Cultural beliefs, partner characteristics, communication, and sexual risk among Latino MSM. AIDS and Behavior, 15, 613–620. https://doi.org/10.1007/s10461-010-9760-6

    Article  PubMed  PubMed Central  Google Scholar 

  • Malow, R. M., West, J. A., Corrigan, S. A., Pena, J. M., & Cunningham, S. C. (1994). Outcome of psychoeducation for HIV risk reduction. AIDS Education and Prevention, 6, 113–125.

    PubMed  CAS  Google Scholar 

  • Miles, L. (1993). Women, AIDS, and power in heterosexual sex: A discourse analysis. Women’s Studies International Forum, 16, 497–511.

    Article  Google Scholar 

  • Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. Annals of Internal Medicine, 151, 264–269.

    Article  PubMed  Google Scholar 

  • Noar, S. M., Carlyle, K., & Cole, C. (2006). Why communication is crucial: Meta-analysis of the relationship between safer sexual communication and condom use. Journal of Health Communication, 11, 365–390. https://doi.org/10.1080/10810730600671862

    Article  PubMed  Google Scholar 

  • Peragallo, N., DeForge, B., O’Campo, P., Lee, S. M., Kim, Y. J., Cianelli, R., et al. (2005). A randomized clinical trial of an HIV-risk-reduction intervention among low-Income Latina women. Nursing Research, 54, 108–118.

    Article  PubMed  Google Scholar 

  • Salazar, L. F., DiClemente, R. J., Wingood, G. M., Crosby, R. A., Harrington, K., Davies, S., et al. (2004). Self-concept and adolescents’ refusal of unprotected sex: A test of mediating mechanisms among African American girls. Prevention Science, 5, 137–149. https://doi.org/10.1023/B:PREV.0000037638.20810.01

    Article  PubMed  Google Scholar 

  • Saleh-Onoya, D., Braxton, N. D., Sifunda, S., Reddy, P., Ruiter, R., van den Borne, B., et al. (2008). SISTA South Africa: The adaptation of an efficacious HIV prevention trial conducted with African-American women for isiXhosa-speaking South African women. SAHARA J: Journal of Social Aspects Of HIV/AIDS Research Alliance, 5, 186–191.

    Article  Google Scholar 

  • Sales, J., DiClemente, R., Brody, G., Philibert, R., & Rose, E. (2014). Interaction between 5-HTTLPR polymorphism and abuse history on adolescent African-American females’ condom use behavior following participation in an HIV prevention intervention. Prevention Science, 15, 257–267. https://doi.org/10.1007/s11121-013-0378-6

    Article  PubMed  PubMed Central  Google Scholar 

  • Sales, J. M., Lang, D. L., DiClemente, R. J., Latham, T. P., Wingood, G. M., Hardin, J. W., et al. (2012). The mediating role of partner communication frequency on condom use among African American adolescent females participating in an HIV prevention intervention. Health Psychology, 31, 63–69. https://doi.org/10.1037/a0025073

    Article  PubMed  Google Scholar 

  • Sales, J., Milhausen, R., & DiClemente, R. J. (2006). A decade in review: Building on the experiences of past adolescent STI/HIV interventions to optimise future prevention efforts. Sexually Transmitted Infections, 82, 431–436.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Saul, J., Norris, F. H., Bartholow, K. K., Dixon, D., Peters, M., & Moore, J. (2000). Heterosexual risk for HIV among Puerto Rican women: Does power influence self-protective behavior? AIDS and Behavior, 4, 361–371.

    Article  PubMed  PubMed Central  Google Scholar 

  • Scandlyn, J. (2000). When AIDS became a chronic disease. Western Journal of Medicine, 172, 130.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Sheeran, P., Abraham, C., & Orbell, S. (1999). Psychosocial correlates of heterosexual condom use: A meta-analysis. Psychological Bulletin, 125, 90.

    Article  PubMed  CAS  Google Scholar 

  • Small, E., Weinman, M., Buzi, R., & Smith, P. (2010). Explaining condom use disparity among black and hispanic female adolescents. Child and Adolescent Social Work Journal, 27, 365–376. https://doi.org/10.1007/s10560-010-0207-8

    Article  Google Scholar 

  • St. Lawrence, J. S., Eldridge, G. D., Reitman, D., Little, C. E., Shelby, M. C., & Brasfield, T. L. (1998). Factors influencing condom use among African American women: Implications for risk reduction interventions. American Journal of Community Psychology, 26, 7–28. https://doi.org/10.1023/a:1021877906707

    Article  PubMed  CAS  Google Scholar 

  • Starks, T. J., Castro, M. A., Castiblanco, J. P., & Millar, B. M. (2017). Modeling interpersonal correlates of condomless anal sex among gay and bisexual men: An application of attachment theory. Archives of Sexual Behavior, 46, 1089–1099.

    Article  PubMed  Google Scholar 

  • Sterk, C. E., Klein, H., & Elifson, K. W. (2011). The relationship between sexual coping & the frequency of sexual risk among ‘at risk’ African American women. Women’s Health & Urban Life, 10, 56–80.

    Google Scholar 

  • Terrin, N., Schmid, C. H., Lau, J., & Olkin, I. (2003). Adjusting for publication bias in the presence of heterogeneity. Statistics in Medicine, 22, 2113–2126.

    Article  PubMed  Google Scholar 

  • Wingood, G. M., Card, J. J., Er, D., Solomon, J., Braxton, N., Lang, D., et al. (2011). Preliminary efficacy of a computer-based HIV intervention for African-American women. Psychology and Health, 26, 223–234.

    Article  PubMed  Google Scholar 

  • Wingood, G. M., & DiClemente, R. J. (1998). Gender-related correlates and predictors of consistent condom use among young adult African-American women: a prospective analysis. International Journal of STD and AIDS, 9, 139–145.

    Article  PubMed  CAS  Google Scholar 

  • Wingood, G. M., & DiClemente, R. J. (2000). Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Education & Behavior, 27, 539–565.

    Article  CAS  Google Scholar 

  • Wingood, G.M., & DiClemente, R.J. (2002). HIV/AIDS in women. In: G.M. Wingood & R.J. DiClemente, (Eds.), Handbook of Women’s Sexual and Reproductive Health, pp. 281–301. New York, NY: Kluwer/Plenum Publishing Corporation

    Chapter  Google Scholar 

  • Woolf, S. E., & Maisto, S. A. (2008). Gender differences in condom use behavior? The role of power and partner-type. Sex Roles, 58, 689–701.

    Article  Google Scholar 

  • Worth, H., Reid, A., & McMillan, K. (2002). Somewhere over the rainbow: Love, trust and monogamy in gay relationships. Journal of Sociology, 38, 237–253.

    Article  Google Scholar 

  • Xiao, Z., Li, X., Liu, Y., Li, S., & Jiang, S. (2013). Sexual communication and condom use among Chinese men who have sex with men in Beijing. Psychology, Health & Medicine, 18, 98–106. https://doi.org/10.1080/13548506.2012.687826

    Article  Google Scholar 

  • Zamboni, B. D., Crawford, I., & Williams, P. G. (2000). Examining communication and assertiveness as predictors of condom use: Implications for hiv prevention. AIDS Education and Prevention, 12, 492–504.

    PubMed  CAS  Google Scholar 

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Funding

This study was funded by the National Institutes of Health (R03DA0377860; PI: Jennifer L. Brown).

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Authors and Affiliations

  1. Department of Psychology, University of Cincinnati, 3131 Harvey Ave, Suite 104, Cincinnati, OH, 45229, USA

    Nicole K. Gause

  2. Addiction Sciences Division, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    Jennifer L. Brown

  3. Division of Epidemiology and Biostatistics, Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA

    Jeffrey Welge

  4. Wright State University, Fairborn, OH, USA

    Nathan Northern

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  1. Nicole K. Gause
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  2. Jennifer L. Brown
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  4. Nathan Northern
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Correspondence to Nicole K. Gause.

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The authors Nicole K. Gause, Jennifer L. Brown, Jeffrey Welge, and Nathan Northern declare that they have no conflict of interest.

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This article does not contain any studies with human participants performed by any of the authors. Informed consent was not obtained by any of the authors directly, as these meta-analyses did not collect data directly from participants in any of the studies included.

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Gause, N.K., Brown, J.L., Welge, J. et al. Meta-analyses of HIV prevention interventions targeting improved partner communication: effects on partner communication and condom use frequency outcomes. J Behav Med 41, 423–440 (2018). https://doi.org/10.1007/s10865-018-9916-9

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  • DOI: https://doi.org/10.1007/s10865-018-9916-9

Keywords

  • HIV prevention
  • HIV risk
  • Intervention
  • Partner communication
  • Condom use