A Systematic Review of Interventions for Reducing HIV Risk Behaviors among People Living with HIV in the United States, 1988–2012

Details

• Alternative Title:
  AIDS
• Personal Author:
  Crepaz, Nicole ; Tungol, Maria Luisa V. ; Higa, Darrel H. ; Vosburgh, H. Waverly ; Mullins, Mary M. ; Barham, Terrika ; Adegbite, Adebukola ; DeLuca, Julia B. ; Sipe, Theresa Ann ; White, Christina M. ; Baack, Brittney N. ; Lyles, Cynthia M.
• Description:
  Objective
  
  To conduct a systematic review to examine interventions for reducing HIV risk behaviors among people living with HIV (PLWH) in the United States.
  
  Methods
  
  Systematic searches included electronic databases from 1988 to 2012, hand searches of journals, reference lists of articles, and HIV/AIDS Internet listservs. Each eligible study was evaluated against the established criteria on study design, implementation, analysis, and strength of findings to assess the risk of bias and intervention effects.
  
  Results
  
  Forty-eight studies were evaluated. Fourteen studies (29%) with both low risk of bias and significant positive intervention effects in reducing HIV transmission risk behaviors were classified as evidence-based interventions (EBIs). Thirty-four studies were classified as non-EBIs due to high risk of bias or non-significant positive intervention effects. EBIs varied in delivery from brief prevention messages to intensive multi-session interventions. The key components of EBIs included addressing HIV risk reduction behaviors, motivation for behavioral change, misconception about HIV, and issues related to mental health, medication adherence, and HIV transmission risk behavior.
  
  Conclusion
  
  Moving evidence-based prevention for PLWH into practice is an important step in making a greater impact on the HIV epidemic. Efficacious EBIs can serve as model programs for providers in healthcare and non-healthcare settings looking to implement evidence-based HIV prevention. Clinics and public health agencies at the state, local, and federal levels can use the results of this review as a resource when making decisions that meet the needs of PLWH to achieve the greatest impact on the HIV epidemic.
  
  
• Subjects:
  Behavior Therapy HIV Infections Humans Risk-Taking United States
• Keywords:
  Evidence Based Intervention HIV Prevention People Living With HIV Risk Reduction Systematic Review
• Source:
  AIDS. 28(5):633-656
• Pubmed ID:
  24983541
• Pubmed Central ID:
  PMC4678954
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  28
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:51768cfb0db41f20db1f080566c13fd1e4609d2d7039d770b5fa3c8f3ef2484a
• Download URL:
  https://stacks.cdc.gov/view/cdc/36858/cdc_36858_DS1.pdf
• File Type:
  [PDF - 1020.33 KB ]