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Meta-Analysis
. 2011 Oct;15(7):1283-97.
doi: 10.1007/s10461-010-9812-y.

Efficacy of structural-level condom distribution interventions: a meta-analysis of U.S. and international studies, 1998-2007

Mahnaz R Charania  1 , Nicole Crepaz, Carolyn Guenther-Gray, Kirk Henny, Adrian Liau, Leigh A Willis, Cynthia M Lyles
Affiliations
Meta-Analysis

Efficacy of structural-level condom distribution interventions: a meta-analysis of U.S. and international studies, 1998-2007

Mahnaz R Charania et al. AIDS Behav. 2011 Oct.

Abstract

This systematic review examines the overall efficacy of U.S. and international-based structural-level condom distribution interventions (SLCDIs) on HIV risk behaviors and STIs and identifies factors associated with intervention efficacy. A comprehensive literature search of studies published from January 1988 through September 2007 yielded 21 relevant studies. Significant intervention effects were found for the following outcomes: condom use, condom acquisition/condom carrying, delayed sexual initiation among youth, and reduced incident STIs. The stratified analyses for condom use indicated that interventions were efficacious for various groups (e.g., youth, adults, males, commercial sex workers, clinic populations, and populations in areas with high STI incidence). Interventions increasing the availability of or accessibility to condoms or including additional individual, small-group or community-level components along with condom distribution were shown to be efficacious in increasing condom use behaviors. This review suggests that SLCDIs provide an efficacious means of HIV/STI prevention.

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Figures

Fig. 1
Fig. 1
Systematic search and study selection
Fig. 2
Fig. 2
Overall effect size estimates for condom use behaviors
See this image and copyright information in PMC

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