interpreting the effectiveness of these interventions. Ojo O et al, Incidence of HIV Workplace interventions to 8 RCTs found with 11,164 D. The prevent HIV are feasible. There participants but one study did is not evidence is 2011. and STIs, uptake is moderate quality evidence not provide enough data. currently inconsistent of VCT, HIV risk that VCT offered at the work Studies compared Voluntary taking place and it is not indicators of high reduction – site increases the uptake of Counselling and Testing possible to risk sexual testing. Even though this did (VCT) to no VCT and draw a behavior. no lower HIV-incidence, there education to no intervention conclusion setting) was a decrease in self-reported and to alternative but there is Cochrane sexual transmitted diseases education.VCT uptake some and a decrease in risky sexual increased to 51% when evidence of Database of behaviour. There is low quality provided at the workplace effect Systematic evidence that educational compared to a voucher for Reviews. interventions decrease sexually VCT (RR=14.0 (95% CI 11.8 Voluntary transmitted diseases, to16.7)). After VCT, unprotected sex and sex with reported STI decreased (RR = counselling and commercial sex workers but 0.10 (95% CI 0.01 to 0.73)) testing; not sex with multiple partners but HIV incidence (RR=1.4 education. and the use of alcohol before (95% CI 0.7 to 2.7)) and sex. More and better unprotected sex (RR=0.71 Working age randomised trials are needed (0.48 to 1.06)) did not adults directed at high risk groups decrease significantly. such as truck drivers or Education reduced STDs (RR workers in areas with a very = 0.68 (95%CI 0.48 to high HIV prevalence. Risky 0.96)), unprotected sex sexual behaviour should be (Standardised Mean measured in a standardised Difference (SMD)= -0.17 way. (95% CI -0.29 to -0.05), sex with a commercial sex worker (RR = 0.88 (95% CI 0.81 to 0.96) but not multiple sexual
interpreting the effectiveness of these interventions. Ojo O et al, 2011. HIV risk reduction – setting) Cochrane Database of Systematic Reviews. Voluntary counselling and testing; education. Working age adults Incidence of HIV and STIs, uptake of VCT, indicators of high risk sexual behavior. Workplace interventions to prevent HIV are feasible. There is moderate quality evidence that VCT offered at the work site increases the uptake of testing. Even though this did no lower HIV-incidence, there was a decrease in self-reported sexual transmitted diseases and a decrease in risky sexual behaviour. There is low quality evidence that educational interventions decrease sexually transmitted diseases, unprotected sex and sex with commercial sex workers but not sex with multiple partners and the use of alcohol before sex. More and better randomised trials are needed directed at high risk groups such as truck drivers or workers in areas with a very high HIV prevalence. Risky sexual behaviour should be measured in a standardised way. 8 RCTs found with 11,164 participants but one study did not provide enough data. Studies compared Voluntary Counselling and Testing (VCT) to no VCT and education to no intervention and to alternative education.VCT uptake increased to 51% when provided at the workplace compared to a voucher for VCT (RR=14.0 (95% CI 11.8 to16.7)). After VCT, STI decreased (RR = 0.10 (95% CI 0.01 to 0.73)) but HIV incidence (RR=1.4 (95% CI 0.7 to 2.7)) and unprotected sex (RR=0.71 (0.48 to 1.06)) did not decrease significantly. Education reduced STDs (RR = 0.68 (95%CI 0.48 to 0.96)), unprotected sex (Standardised Mean Difference (SMD)= -0.17 (95% CI -0.29 to -0.05), sex with a commercial sex worker (RR = 0.88 (95% CI 0.81 to 0.96) but not multiple sexual is not currently taking place D. The evidence is inconsistent and it is not possible to draw a conclusion but there is some evidence of effect reported
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