Interventions to reduce sexual risk for human immunodeficiency virus in adolescents: a meta-analysis of trials, 1985-2008.
Interventions to reduce sexual risk for human immunodeficiency virus in adolescents: a meta-analysis of trials, 1985-2008.
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DOI：
10.1001/archpediatrics.2010.251
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发表时间：
2011-01
影响因子：
--
通讯作者：
Carey, Michael P.
中科院分区：
文献类型：
--
作者：
Johnson, Blair T.;Scott-Sheldon, Lori A. J.;Huedo-Medina, Tania B.;Carey, Michael P.
提供一个最新的审查的有效性行为干预措施，以减少青少年的艾滋病毒性行为的风险。我们检索了电子数据库、主要公共卫生期刊和降低艾滋病毒/艾滋病风险综合项目的文件库。纳入了符合选择标准且截至2008年12月31日可用的研究。如果研究调查了任何倡导降低性风险以预防艾滋病毒的行为干预措施，对青少年（年龄范围，11-19岁）进行了抽样，测量了与性风险相关的行为结果，并提供了足够的信息来计算效果大小，则这些研究都被纳入。来自98项干预措施（N = 51，240名参与者）的数据来自67项研究，在报告允许的情况下，将其分为不同的干预措施和性别。安全套使用、性行为频率、安全套使用技巧、人际沟通技巧、安全套获取和性传播感染事件。与对照组相比，干预措施成功地减少了性传播感染的发生，增加了安全套的使用，减少或推迟了插入性行为，提高了协商安全性行为和获得预防性保护的技能。最初的风险降低因样本和干预措施的特点而异，但不会随着时间的推移而衰减。全面的行为干预措施可以减少危险性行为并预防性传播感染。当以较大剂量施用时，干预最成功。
To provide an updated review of the efficacy of behavioral interventions to reduce sexual risk of HIV among adolescents. We searched electronic databases, leading public health journals, and the document depository held by the Synthesis of HIV/AIDS Risk Reduction Project. Studies that fulfilled the selection criteria and were available as of December 31, 2008 were included. Studies were included if they investigated any behavioral intervention advocating sexual risk reduction for HIV prevention, sampled adolescents (age range, 11–19 years), measured a behavioral outcome relevant to sexual risk, and provided sufficient information to calculate effect sizes. Data from 98 interventions (N = 51,240 participants) were derived from 67 studies, dividing for qualitatively different interventions and gender when reports permitted it. Educational, psychosocial, or behavioral interventions to reduce sexual risk. Condom use, sexual frequency, condom use skills, interpersonal communication skills, condom acquisition, and incident STIs. Relative to controls, interventions succeeded at reducing incident STIs, increasing condom use, reducing or delaying penetrative sex, and increasing skills to negotiate safer sex and to acquire prophylactic protection. Initial risk reduction varied depending on sample and intervention characteristics but did not decay over time. Comprehensive behavioral interventions reduce risky sexual behavior and prevent transmission of STIs. Interventions are most successful when administered in larger doses.
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影响因子：
7.6
作者：
Cheng, Yan;Lou, Chao-Hua;Gao, Er-Sheng
通讯作者：
Gao, Er-Sheng
影响因子：
7.6
作者：
Hovell, M;Blumberg, E;Felice, M
通讯作者：
Felice, M
影响因子：
7
作者：
Hedges, LV;Pigott, TD
通讯作者：
Pigott, TD
影响因子：
--
作者：
Flay, BR;Graumlich, S;Holliday, MY
通讯作者：
Holliday, MY
DOI：
10.1080/13548500701295256
发表时间：
2008-01-01
期刊：
Psychology, health & medicine
影响因子：
--
作者：
Givaudan, Martha;Leenen, Iwin;Pick, Susan
通讯作者：
Pick, Susan