A Meta-Analysis of the Efficacy of Behavioral Interventions to Reduce Risky Sexual Behavior and Decrease Sexually Transmitted Infections in Latinas Living in the United States

Althoff, Meghan D.; Grayson, Cary T.; Witt, L. Alan; Holden, Julie; Reid, Daniel; Kissinger, Patricia

doi:10.1177/1090198114540461

Cited by 13 publications

(6 citation statements)

References 36 publications

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“…This nding aligns with results of previous studies that reported pleasure-seeking as a factor in condomless sexual practices among young people in East Asian 11 and sub-Saharan African 7 settings. Addressing pleasure-seeking occurring within the context of ignoring risks may require a dual effort that combines behavioural interventions [52][53][54][55][56] along with addressing young people concerns about condoms inhibiting sexual pleasure. To increase acceptability and use, condoms should be more sensitive.…”

Section: Discussionmentioning

confidence: 99%

“I Always Prefer To Withdraw Than Use A Condom”: A Phenomenological Study of Condomless Sexual Practice Among International Students in Sydney

Okeke

2021

Preprint

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Background: Incidence and prevalence of blood-borne viruses and sexually transmissible infections among young people continue to necessitate population-based studies to understand how contextualised sexual health services can be developed and implemented to promote protective behaviours such as consistent condom use. This study examined condomless sexual practice among a sample of East Asian and sub-Saharan African international university students in Sydney, Australia. Methods: This phenomenological qualitative study involved face-to-face and telephone semi-structured in-depth interviews with 20 international students from various universities in Sydney. The interview sessions were audio-recorded, transcribed verbatim, coded using NVivo and analysed using reflexive thematic analysis. Results: Condomless sexual practices appear to be common among the study group based on participants’ self-reports and social practices of friends and peers. Themes describing contexts where condomless sex occur among the participants are classified into three: (1) unanticipated sex, condom related stigma and alcohol use (2) pleasure-seeking, curiosity and intimacy (3) condomless sex as a gendered practice. Conclusions: The results of this study add to growing evidence for multi-layered and population-specific sexual health services for international students from traditional sexual cultures.

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Section: Discussionmentioning

confidence: 99%

“I Always Prefer To Withdraw Than Use A Condom”: A Phenomenological Study of Condomless Sexual Practice Among International Students in Sydney

Okeke

2021

Preprint

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“…A final factor that may help explain the lack of behavioral outcomes in the C-SAFE outcome study is the extent to which intervention framing resonates with participants. Many first-wave, evidence-based HIV prevention interventions, including those targeting Latino/a communities (e.g., SAFE, ¡Cuídate!, SEPA), are grounded within psychosocial frameworks that focus on individual decision making in the face of HIV risk, such as the theory of reasoned action, the theory of planned behavior, social-cognitive theory, and the AIDS risk reduction model (see Althoff et al, 2015, for a metanalysis of behavioral interventions to reduce risky sexual behaviors and STIs among Latinas). These programs present HIV as a very severe health risk that participants should make great efforts to avoid contracting.…”

Section: > > Discussionmentioning

confidence: 99%

C-SAFE: A Computer-Delivered Sexual Health Promotion Program for Latinas

Klein

Kuhn

Altamirano

et al. 2017

Health Promotion Practice

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This article describes the development and evaluation of C-SAFE (Sexual Awareness for Everyone), a computer-delivered sexual health promotion program for Latinas. We first describe the process of adapting an evidence-based, group-level intervention into an individually administered computer-delivered program. We then present the methods and results of a randomized control trial with 321 Latinas in California and Florida to test C-SAFE’s preliminary efficacy in reducing sexual health risk. We found no statistically significant differences between the two conditions at a six-month follow-up in terms of sexual behaviors or attitudes toward sexually transmitted infections and condoms, although C-SAFE women reported fewer days in the past month when their mental health was not good (p = .02). C-SAFE condition women also reported more satisfaction than control condition women in their assessment of information presentation (on a scale of 1 = poor and 5 = excellent; C-SAFE = 4.45 vs. control = 4.25, p = .053) and having learned something new (C-SAFE = 95.1% vs. control = 79.3%, χ2 < 0.001), with utility of content for Latinas approaching significance (C-SAFE =4.50 vs. control = 4.31, p = .058). In conclusion we discuss the importance of teachable moments, matching of delivery modalities to implementation contexts, and possible directions for evidence-based sexual health promotion programs given the current sexual health landscape.

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“…35,36 Behavioral interventions have been shown to be an efficacious method of HIV / sexually transmitted infection (STI) disease prevention in other settings, and they may have positive effects on risk reduction. [37][38][39][40] These approaches are not fail safe, and have not yet been tested in the living donor setting.…”

Section: Components Of Living Donor Evaluation Related To Assessmenmentioning

confidence: 99%

Impact of the OPTN transmissible diseases policy and US PHS increased risk donor guidelines on living donor candidates

Hays

Gordon

Ison

et al. 2019

American Journal of Transplantation

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Donor‐derived human immunodeficiency virus (HIV), hepatitis C virus (HCV), and hepatitis B virus (HBV) transmissions in transplantation have led to policies mandating assessment of donor behavioral history, and disclosure of donor increased risk (IR) status to recipients. Organ Procurement Transplantation Network (OPTN) policy safeguards were promulgated in the context of deceased donation, with its narrow time window for organ utilization and uncertainty about donor history. These policies have been applied to living donation without substantive data on risk of disease transmission in living donor transplantation. Unlike for deceased donors, the OPTN does not collect data on living donor IR status. Given the feasibility of thorough living donor evaluation via already‐mandated lab tests and clinical assessments, living donor IR assessment and associated disclosures may have limited benefit in improving recipient informed consent. Applying the current IR policy to living donors may also introduce unintended consequences to donors and recipients, causing donors psychological harm, delays in donation to avoid IR status disclosure, and potential withdrawal from donation. We suggest strategies that reduce risk of harm to donor candidates while maintaining policy compliance, and review additional approaches for evaluating risk of disease transmission in living donor candidates. Data on the risk of disease transmission by living donors are needed to inform policy modification.

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A Meta-Analysis of the Efficacy of Behavioral Interventions to Reduce Risky Sexual Behavior and Decrease Sexually Transmitted Infections in Latinas Living in the United States

Cited by 13 publications

References 36 publications

“I Always Prefer To Withdraw Than Use A Condom”: A Phenomenological Study of Condomless Sexual Practice Among International Students in Sydney

“I Always Prefer To Withdraw Than Use A Condom”: A Phenomenological Study of Condomless Sexual Practice Among International Students in Sydney

C-SAFE: A Computer-Delivered Sexual Health Promotion Program for Latinas

Impact of the OPTN transmissible diseases policy and US PHS increased risk donor guidelines on living donor candidates

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