Details:

Alternative Title:
Sex Transm Dis
Personal Author:
Brookmeyer, Kathryn A. ; Hogben, Matthew ; Kinsey, Jennine
Brookmeyer, Kathryn A. ; Hogben, Matthew ; Kinsey, Jennine Less -
Description:
Background

Behavioral counseling for STD prevention is recommended for persons at risk, and the body of evidence yields numerous interventions that have STD preventive efficacy. What is needed is a review of the subset of these interventions that could be feasible in clinical settings, especially settings in STD prevention programs.

Methods

We reviewed existing systematic reviews of the literature and abstracted from them studies that fit the following criteria in that the interventions: (1) used no more than 60 minutes contact time in 1 to 2 sessions, (2) were individual-level and face to face, (3) took place in a clinical setting, (4) had STD outcomes available, (5) were based in the United States, (6) were peer-reviewed, and (7) had a control group.

Results

From 6 reviews (published 2006 – 2014) covering 91 studies, we found 13 analyses representing 11 intervention studies that fit the selection criteria. Of these 13, 5 returned lower STD rates in the intervention group at follow-up; one study reported a higher rate of STD in one subset of the intervention group (men who have sex with men: MSM). Studies with effects on STD at follow-up were quite similar to studies across populations, settings and follow-up periods, although successful interventions were more likely to demonstrate behavioral effects as well (5 of 5 versus 2 of 5 among 10 interventions measuring behavior change).

Conclusions

Counseling is likely to benefit some STD clinic attendees, although unlikely to benefit MSM. The balance of costs and benefits of implementing behavioral counseling in STD programs is unclear, but feasibility would be improved if behavioral counseling were implemented in the context of other prevention efforts. Because populations outside typical STD clinic settings could also benefit, programs may exercise a valuable role through partnerships.


Subjects:
[+]
Behavior Therapy Contact Tracing Directive Counseling Humans Mass Screening Sexually Transmitted Diseases Sexual Partners Treatment Outcome
Source:
Sex Transm Dis. 43(0 0 1):S102-S112.
Pubmed ID:
26779681
Pubmed Central ID:
PMC4717909
Document Type:
Journal Article
Funding:
CC999999/Intramural CDC HHS/United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:0b6ce5b490ccb2549698d316d4555c544d5455a373f52f4bb5c49cb50c6b17cc
Download URL:
https://stacks.cdc.gov/view/cdc/37565/cdc_37565_DS1.pdf
File Type:

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