The Effectiveness of HIV Prevention Interventions in Socioeconomically Disadvantaged Ethnic Minority Women: A Systematic Review and Meta-Analysis

Surveys in the United States and Europe have shown a plateau of new HIV cases, with certain regions and populations disproportionately affected by the disease. Ethnic minority women and socioeconomically disadvantaged groups are disproportionately affected by HIV. Previous reviews have focused on pr...

Full description

Saved in:

Bibliographic Details
Published in:	American journal of public health (1971) 2017-12, Vol.107 (12), p.e13-e21
Main Authors:	Ruiz-Perez, Isabel, Murphy, Matthew, Pastor-Moreno, Guadalupe, Rojas-García, Antonio, Rodríguez-Barranco, Miguel
Format:	Article
Language:	eng
Subjects:	Acquired immune deficiency syndrome AIDS AJPH Research Behavior Therapy Clinical trials Condoms Confidence intervals Disadvantaged Disadvantaged groups Disease prevention Disease transmission Economic development Effectiveness Feasibility studies Female Group dynamics Health care policy Health disparities Health Knowledge, Attitudes, Practice Health risks HIV HIV Infections - ethnology HIV Infections - prevention & control HIV Infections - psychology HIV/AIDS Human immunodeficiency virus Humans Incidence International economic organizations Intervention Meta-analysis Minority & ethnic groups Minority Groups Other Race/Ethnicity Policy making Poverty Prevention Public health Quasi-experimental methods Risk Risk assessment Safe Sex Sexually transmitted diseases Sexually Transmitted Diseases - epidemiology Sexually Transmitted Diseases - prevention & control Small groups Socioeconomic Factors Socioeconomic status Socioeconomics Statistical analysis STD Systematic review Trust Unemployment Women Womens health Women’s Health
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	Surveys in the United States and Europe have shown a plateau of new HIV cases, with certain regions and populations disproportionately affected by the disease. Ethnic minority women and socioeconomically disadvantaged groups are disproportionately affected by HIV. Previous reviews have focused on prevention interventions targeting ethnic minority men who have sex with men, have not accounted for socioeconomic status, or have included only interventions carried out in clinical settings. To review and assess the effectiveness of HIV prevention interventions targeting socioeconomically disadvantaged ethnic minority women in member states of the Organisation for Economic Co-operation and Development (OECD). On March 31, 2014, we executed a search using a strategy designed for the MEDLINE (Ovid), CINAHL, Embase, Scopus, and Web of Knowledge databases. Additional searches were conducted through the Cochrane Library, CRD Databases, metaRegister of Controlled Trials, EURONHEED, CEA Registry, and the European Action Program for Health Inequities as well as in gray literature sources. No language or date restrictions were applied. We selected studies assessing the effectiveness of interventions to prevent HIV among ethnic minority women of low socioeconomic status in which at least 80% of participants were reported to belong to an ethnic minority group and to have a low income or be unemployed. We included only studies that were conducted in OECD member states and were randomized controlled trials or quasi-experimental investigations with a comparison group. A data extraction form was developed for the review and used to collect relevant information from each study. We summarized results both qualitatively and quantitatively. The main outcomes were categorized into 3 groups: improved knowledge regarding transmission of HIV, behavior changes related to HIV transmission, and reductions in the incidence of sexually transmitted infections (STIs). We then performed meta-analyses to assess the effectiveness of the prevention interventions in terms of the 3 outcome categories. A total of 43 interventions were included, and 31 were judged to be effective, 7 were partially effective, and 5 were ineffective. The most frequently recurring characteristics of these interventions were cultural adaptation, a cognitive-behavioral approach, the use of small groups and trained facilitators, and a program duration of between 1 and 6 weeks. Our meta-analyses showed that the interventio
ISSN:	0090-0036 1541-0048