Annals of Behavioral Medicine

, Volume 40, Issue 2, pp 191–204 | Cite as

Sexual Risk Reduction Interventions for Patients Attending Sexually Transmitted Disease Clinics in the United States: A Meta-Analytic Review, 1986 to Early 2009

  • Lori A. J. Scott-Sheldon
  • Robyn L. Fielder
  • Michael P. Carey
Original Article


Sexually transmitted disease (STD) patients are more likely to experience a future STD including human immunodeficiency virus (HIV). The aim of this study was to examine the efficacy of behavioral interventions to reduce sexual risk behavior and incident STDs among patients attending STD clinics in the United States. A meta-analysis of 32 studies with 48 separate interventions targeting STD patients (N = 67,538) was conducted. Independent raters coded study, sample, and intervention characteristics. Effect sizes, using both fixed- and random-effects models, were calculated. Potential moderators of intervention efficacy were assessed. Relative to controls, intervention participants increased their condom use and had fewer incident STDs, including HIV, across assessment intervals (d+s ranging from 0.05 to 0.64). Several sample (e.g., age and ethnicity) and intervention features (e.g., targeting intervention to a specific group) moderated the efficacy of the intervention. Behavioral interventions targeted to STD clinic patients reduce sexual risk behavior and prevent HIV/STDs. Widespread use of behavioral interventions in STD clinics should be a public health priority.


HIV/STD Condom Sex Meta-analysis Behavior Prevention 

Supplementary material

12160_2010_9202_MOESM1_ESM.doc (54 kb)
Table A1Linear regression analyses testing funnel plot asymmetry (DOC 53 kb)
12160_2010_9202_MOESM2_ESM.doc (49 kb)
Figure A1Condom use at short-term assessment (k = 31) (DOC 49 kb)
12160_2010_9202_MOESM3_ESM.doc (68 kb)
Figure A2Condom use at intermediate assessment (k = 26) (DOC 68 kb)
12160_2010_9202_MOESM4_ESM.doc (70 kb)
Figure A3Condom use at long-term assessment (k = 13) (DOC 69 kb)
12160_2010_9202_MOESM5_ESM.doc (70 kb)
Figure A4Number of partners at short-term assessment (k = 24) (DOC 69 kb)
12160_2010_9202_MOESM6_ESM.doc (70 kb)
Figure A5Number of partners at intermediate assessment (k = 22) (DOC 69 kb)
12160_2010_9202_MOESM7_ESM.doc (68 kb)
Figure A6Number of partners at long-term assessment (k = 11) (DOC 68 kb)
12160_2010_9202_MOESM8_ESM.doc (70 kb)
Figure A7Incident STDs at short-term assessment (k = 8) (DOC 69 kb)
12160_2010_9202_MOESM9_ESM.doc (70 kb)
Figure A8Incident STDs at intermediate assessment (k = 21) (DOC 69 kb)
12160_2010_9202_MOESM10_ESM.doc (70 kb)
Figure A9Incident STDs at long-term assessment (k = 23) (DOC 69 kb)
12160_2010_9202_MOESM11_ESM.doc (70 kb)
Figure A10HIV at long-term assessment (k = 5) (DOC 69 kb)


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Copyright information

© The Society of Behavioral Medicine 2010

Authors and Affiliations

  • Lori A. J. Scott-Sheldon
    • 1
  • Robyn L. Fielder
    • 1
  • Michael P. Carey
    • 1
  1. 1.Center for Health and BehaviorSyracuse UniversitySyracuseUSA

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