Prevention of sexually transmitted HIV infection: A meta-analytic review of the behavioral outcome literature

Prevention of sexually transmitted HIV infection: A meta-analytic review of the behavioral outcome literature
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DOI:
10.1007/bf02903934
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发表时间:
1996-12-01
影响因子:
3.8
通讯作者:
Johnson, BT
Johnson, BT
中科院分区:
心理学2区
文献类型:
--
作者:
Kalichman, SC;Carey, MP;Johnson, BT

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社会学习理论为基础的模型最近提供了一系列的12个控制人类免疫缺陷病毒(HIV)的风险降低干预研究,研究性行为的变化。这些干预措施已经在青少年、同性恋和双性恋男子、市中心妇女、大学生和严重精神病患者中进行了测试。我们报告这些干预研究的第一个荟萃分析。我们发现,正如预期的那样,艾滋病毒风险降低干预措施对行为结果的平均加权效应是积极的,并且非常显著(d(+)= 0.25)。此外,这些研究的效应量始终是积极的,范围从0.11到0.53,并且在接近干预措施的时间测量结果时最大。我们讨论了其他方法上的挑战,如果解决,应该提高未来的艾滋病毒风险降低干预措施的成功。
Social learning theory-based models have recently provided the foundation for a series of twelve controlled human immunodeficiency virus (HIV) risk reduction intervention studies that have examined sexual behavior change. These interventions have been tested with adolescents, gay and bisexual men, inner-city women, college students, and seriously mentally ill adults. We report the first meta-analysis of these intervention studies. We found that, as expected, the mean weighted effect of HIV-risk reduction interventions on behavioral outcomes was positive and strongly significant (d(+) = 0.25). Moreover, the studies' effect sizes were consistently positive, ranging from 0.11 to 0.53, and were largest when the outcomes were measured close in time to the intervention. We discuss other methodological challenges that, if solved, should enhance the success of future HIV-risk reduction interventions.