TY - JOUR
T1 - Condom Social Marketing Effects in Low- and Middle-Income Countries
T2 - A Systematic Review Update, 1990 to 2019
AU - Sweat, Michael D.
AU - Yeh, Teresa
AU - Kennedy, Caitlin
AU - O’Reilly, Kevin
AU - Armstrong, Kevin
AU - Fonner, Virginia
N1 - Funding Information:
The authors thank the research assistants who helped conduct the updated search and screening for this review: Joseph Greg Rosen, Angela Shelton, Molly Petersen, John Baekey, and Nicole Garbarino, Jennifer Gonyea, Andrea Ippel, Elizabeth McCarthy, Devaki Nambiar, Amolo Okero, Alicen Spaulding, Samantha Dovey, Jewel Gausman, Alexandria Smith, Ruxy Kambarami, Elena Tuerk, and Amy Medley. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This research was supported by the US National Institute of Mental Health, Grant number R01MH090173.
Publisher Copyright:
© The Author(s) 2019.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Objective: To update the prior systematic review from studies published in the past 9 years that examine the effects of condom social marketing (CSM) programs on condom use in low- and middle-income countries. Data Sources: PubMed, CINAHL, PsycINFO, Sociological Abstracts, and EMBASE. Hand searching of AIDS, AIDS and Behavior, AIDS Care, and AIDS Education and Prevention. Study Inclusion and Exclusion Criteria: (a) Published from 1990 to January 16, 2019, (b) low- or middle-income country, (c) evaluated CSM, (d) analyses across preintervention to postintervention exposure or across multiple study arms, (e) measured condom use behavior, and (f) sought to prevent HIV transmission. Data Extraction: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 2 reviewers extracted citation, inclusion criteria, methods, study population, setting, sampling, study design, unit of analysis, loss to follow-up, comparison group characteristics, intervention characteristics, and eligible outcome results. Data Synthesis: The 2012 review found 6 studies (combined N = 23 048). In a meta-analysis, the pooled odds ratio for condom use was 2.01 (95% confidence interval [CI]: 1.42-2.84) for the most recent sexual encounter and 2.10 (95% CI: 1.51-2.91) for a composite of all condom use outcomes. Studies had significant methodological limitations. Of 518 possible new citations identified in the update, no new articles met our inclusion criteria. Conclusions: More studies are needed with stronger methodological rigor to help provide evidence for the continued use of this approach globally. There is a dearth of studies over the past decade on the effectiveness of CSM in increasing condom use in low- and middle-income countries (LMIC).
AB - Objective: To update the prior systematic review from studies published in the past 9 years that examine the effects of condom social marketing (CSM) programs on condom use in low- and middle-income countries. Data Sources: PubMed, CINAHL, PsycINFO, Sociological Abstracts, and EMBASE. Hand searching of AIDS, AIDS and Behavior, AIDS Care, and AIDS Education and Prevention. Study Inclusion and Exclusion Criteria: (a) Published from 1990 to January 16, 2019, (b) low- or middle-income country, (c) evaluated CSM, (d) analyses across preintervention to postintervention exposure or across multiple study arms, (e) measured condom use behavior, and (f) sought to prevent HIV transmission. Data Extraction: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, 2 reviewers extracted citation, inclusion criteria, methods, study population, setting, sampling, study design, unit of analysis, loss to follow-up, comparison group characteristics, intervention characteristics, and eligible outcome results. Data Synthesis: The 2012 review found 6 studies (combined N = 23 048). In a meta-analysis, the pooled odds ratio for condom use was 2.01 (95% confidence interval [CI]: 1.42-2.84) for the most recent sexual encounter and 2.10 (95% CI: 1.51-2.91) for a composite of all condom use outcomes. Studies had significant methodological limitations. Of 518 possible new citations identified in the update, no new articles met our inclusion criteria. Conclusions: More studies are needed with stronger methodological rigor to help provide evidence for the continued use of this approach globally. There is a dearth of studies over the past decade on the effectiveness of CSM in increasing condom use in low- and middle-income countries (LMIC).
KW - HIV
KW - condom social marketing
KW - condom use
KW - systematic review
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U2 - 10.1177/0890117119864921
DO - 10.1177/0890117119864921
M3 - Review article
C2 - 31337242
AN - SCOPUS:85069875103
SN - 0890-1171
VL - 34
SP - 91
EP - 95
JO - American Journal of Health Promotion
JF - American Journal of Health Promotion
IS - 1
ER -