Effectiveness of peer education interventions for HIV prevention in developing countries: A systematic review and meta-analysis

Amy Medley, Caitlin E Kennedy, Kevin O'Reilly, Michael Sweat

Research output: Contribution to journalArticle

Abstract

Peer education for HIV prevention has been widely implemented in developing countries, yet the effectiveness of this intervention has not been systematically evaluated. We conducted a systematic review and meta-analysis of peer education interventions in developing countries published between January 1990 and November 2006. Standardized methods of searching and data abstraction were utilized. Merged effect sizes were calculated using random effects models. Thirty studies were identified. In meta-analysis, peer education interventions were significantly associated with increased HIV knowledge (odds ratio [OR]: 2.28; 95%, confidence interval [CI]:1.88, 2.75), reduced equipment sharing among injection drug users (OR: 0.37; 95% CI: 0.20, 0.67), and increased condom use (OR: 1.92; 95% CI: 1.59, 2.33). Peer education programs had a nonsignificant effect on sexually transmitted infections (OR: 1.22; 95% CI:0.88, 1.71). Meta-analysis indicates that peer education programs in developing countries are moderately effective at improving behavioral outcomes but show no significant impact on biological outcomes. Further research is needed to determine factors that maximize the likelihood of program success.

Original languageEnglish (US)
Pages (from-to)181-206
Number of pages26
JournalAIDS Education and Prevention
Volume21
Issue number3
DOIs
StatePublished - Jun 2009

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Developing Countries
Meta-Analysis
developing country
HIV
Education
confidence
Odds Ratio
Confidence Intervals
education
Condoms
Sexually Transmitted Diseases
Drug Users
abstraction
drug
Equipment and Supplies
Injections
Research

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Health(social science)

Cite this

Effectiveness of peer education interventions for HIV prevention in developing countries : A systematic review and meta-analysis. / Medley, Amy; Kennedy, Caitlin E; O'Reilly, Kevin; Sweat, Michael.

In: AIDS Education and Prevention, Vol. 21, No. 3, 06.2009, p. 181-206.

Research output: Contribution to journalArticle

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