Anupama Ivaturi, Loc Giang Do, Lynne Giles, Gemma Devenish, Jane A Scott, Diep H Ha, Rebecca Golley, Lucy K Bell, Paula J Moynihan
Sources and determinants of free sugars intake by 5-year-old Australian children in the SMILE cohort
Maternal & child nutrition
stis older adults adults aged 50 years older rise due variable levels sex literacy misperceived susceptibility infections among factors systematically reviewed evidence effect nonpharmacological interventions primary prevention sexually transmitted infections stis highrisk sexual behaviour older adults searched embase medline psycinfo global health cochrane library inception march 9th 2022 included rcts clusterrandomised trials quasircts interrupted time series controlled uncontrolled beforeandafter studies nonpharmacological primary prevention interventions eg educational behaviour change interventions older adults reporting either qualitative quantitative findings least two review authors independently assessed eligibility articles extracted data main characteristics risk bias study findings narrative synthesis performed ten studies two rcts seven quasiexperiment studies one qualitative study found eligible review interventions mainly information education communication activities iecs aimed fostering participants knowledge stis safer sex mostly focused hiv studies used selfreported outcomes measuring knowledge behaviour change related hiv stis safer sex studies generally reported increase stihiv knowledge however risk bias high critical across studies literature nonpharmacological interventions older adults sparse particularly outside us stis hiv evidence iecs may improve shortterm knowledge stis however clear translates longterm improvement behaviour change studies included review followup times 3 months less robust higherquality studies needed order confirm effectiveness nonpharmacological primary prevention interventions reducing stis older adult population