Do prevention interventions reduce HIV risk behaviours among people living with HIV? A meta-analytic review of controlled trials

Abstract

Interventions targeting PWLH are efficacious in reducing unprotected sex and acquisition of sexually transmitted diseases. Efficacious strategies identified in this review should be incorporated into community HIV prevention efforts and further evaluated for effectiveness.

Disclosure, Knowledge of Partner Status, and Condom Use Among HIV-Positive Patients Attending Clinical Care in Tanzania, Kenya, and Namibia

“…43 Providing sexual risk reduction counseling and ongoing support to discordant couples has also been shown to be an effective strategy for reducing sexual risk behavior among discordant couples. [44][45][46] While most participants (77%) reported consistent condom use during the past 90 days, participants who were categorized as likely dependent drinkers or who reported experiencing an STI symptom were more likely to report inconsistent condom use. Moreover, desire for pregnancy was negatively associated with consistent condom use, even after adjusting for knowledge of partner's HIV status.…”

Knowledge of HIV serostatus and risk behaviour among injecting drug users in Estonia

“…Given the high levels of risk behaviour among HIV-positive IDUs aware of their serostatus, HIV testing should be followed by counselling in combination with other interventions directed at fostering long-term behavioural change (Crepaz et al, 2006;Rhodes, Singer, Bourgois, Friedman, & Strathdee, 2005;Marks, Burris, & Peterman, 1999). This is especially important in situations where a variety of social and environmental factors interplay to produce or sustain risk (Rhodes, & Simic, 2005).…”

Vulnerability and non-adherence to antiretroviral therapy among HIV patients, Minas Gerais State, Brazil

“…Crepaz et al 13 showed that interventions significantly reduced self-reported unprotected sex and decreased the acquisition of sexually transmitted diseases among people living with HIV/AIDS. Providers should, therefore, consider integrating theory-based prevention within routine medical care and services, and addressing aspects of mental health and adherence to ART in addition to HIV risk behavior.…”