Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: implications for bundling prevention packages.
Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: implications for bundling prevention packages.
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DOI：
10.2105/ajph.2012.300968
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发表时间：
2012-11
影响因子：
12.7
通讯作者：
Johnson BT
中科院分区：
文献类型：
--
作者：
Eaton LA;Huedo-Medina TB;Kalichman SC;Pellowski JA;Sagherian MJ;Warren M;Popat AR;Johnson BT
为了预防艾滋病毒和其他性传播感染的传播，迫切需要在公共卫生环境中使用基于证据的单次行为干预措施。鉴于短期干预对财政有限的服务提供者造成的负担相对较低，因此特别有希望。评估单次行为干预预防性传播感染的效果。MEDLINE (PubMed), PsycINFO， CINAHL， ERIC, Proquest，世界卫生组织全球卫生图书馆的所有国际子数据库被检索到2011年5月。对涉及STI结果的29项单期干预（20项研究，N = 52,465）的数据进行编码和分析。干预组参与者感染STI的几率降低了35% （OR = 0.65, 95% CI= 0.55 -）。77)相对于对照组参与者。干预措施与积极对照组相比，随访期平均为58周。因此，单次治疗干预在预防疾病方面带来相当大的好处，并使患者和提供者的负担降到最低。诊所工作人员在日常保健服务期间最常实施单次干预措施。这些程序的使用使这些干预措施成为目前现有卫生保健基础设施的合理选择。简短而有效的性传播感染预防干预措施是预防疾病的宝贵工具，可以很容易地加以调整，以增强部分有效的性传播感染/艾滋病毒生物医学预防技术的益处。
Evidence based, single-session, behavioral interventions that can be used in public health settings are urgently needed for preventing the spread of HIV and other sexually transmitted infections (STI). Brief interventions are particularly promising given the relatively low burden they place on financially limited service providers. To estimate the efficacy of single-session, behavioral interventions for STI prevention. MEDLINE (PubMed), PsycINFO, CINAHL, ERIC, Proquest, all international sub-databases in the WHO's Global Health Library were searched through May 2011. Data from 29 single-session interventions (20 studies; N = 52,465) with an STI outcome were coded and analyzed. The odds of participants being infected with an STI in the intervention group were reduced by 35% (OR = .65, 95% CI=.55–.77) relative to control group participants. Interventions were compared to active controls and follow-up periods averaged 58 weeks. As such, single-session interventions lead to considerable benefit in terms of disease prevention and create minimal burden for both the patient and the provider. Single-session interventions were most often implemented during routine health care services by clinic staff. Use of these procedures make these interventions a reasonable option for currently existing health care infrastructure. Brief and effective STI prevention interventions are a valuable tool for disease prevention and can be readily adapted to bolster the benefits of partially effective biomedical STI/HIV prevention technologies.