HIV voluntary counseling and testing and behavioral risk reduction in developing countries: A meta-analysis, 1990-2005

Julie A. Denison, Kevin R. O'Reilly, George P. Schmid, Caitlin E. Kennedy, Michael D. Sweat

Research output: Contribution to journalArticlepeer-review

Abstract

The effectiveness of HIV voluntary counseling and testing (VCT) in reducing HIV risk behaviors in developing countries was assessed using meta-analytic methods. A standardized protocol was used for searching, acquiring, and extracting study data and meta-analyzing the results. Seven studies met the inclusion criteria. VCT recipients were significantly less likely to engage in unprotected sex when compared to behaviors before receiving VCT, or as compared to participants who had not received VCT [OR 1.69; 95%CI 1.25-2.31]. VCT had no significant effect on the number of sex partners [OR 1.22; 95%CI 0.89-1.67]. While these findings provide only moderate evidence in support of VCT as an effective prevention strategy, neither do they negate the need to expand access to HIV testing and counseling services. Such expansion, however, must be accompanied by rigorous evaluation in order to test, refine and maximize the preventive benefits of learning one's HIV infection status through HIV testing and counseling.

Original languageEnglish (US)
Pages (from-to)363-373
Number of pages11
JournalAIDS and behavior
Volume12
Issue number3
DOIs
StatePublished - May 1 2008

Keywords

  • Behavioral risk reduction
  • Developing countries
  • HIV voluntary counseling and testing
  • Meta-analysis

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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