partners (Mean Difference (MD) = -0.22 (95% CI -0.52 to 0.08) nor use of alcohol before sex (MD = -0.01 (95% CI of -0.11 to 0.08). Ota E et al, HIV/STI There is limited evidence from A of four studies were U F. The randomised controlled trials for included, comprising two evidence is 2011. incidence/ the effectiveness of randomised controlled trials inconsistent prevalence. status HIV risk behavioural interventions to and two quasi-experimental and it is not is unknown reduction sex – reduce the transmission of HIV pretest-posttest trials with possible to infection among sex workers control groups involving 1795 draw a workers/ and their clients in high-income participants. No trials conclusion clients countries. Further randomised reported HIV but it tends Cochrane controlled trials are very likely prevalence/incidence as towards no Database of to have important impacts on outcomes. Overall, the effects effect our confidence in the estimates of behavioural interventions Systematic of the effects, and are likely to for sex workers in Reviews. change the estimates for countries on STI Behavioural or effective interventions with incidence did not differ outcomes of HIV incidence or significantly among two social prevalence and a variety of studies using a random interventions different settings among sex effects model (risk ratio (RR) designed to workers and their clients in 0.46, 95% confidence interval promote sexual high-income countries. (CI) 0.11 to 1.98). Only one risk reduction Randomised controlled trials study found that the delivered to that test for the identification reported STI prevalence in individuals, of effective interventions for clients of female sex workers HIV prevention with outcomes was statistically significant groups or of biological endpoints, such as (RR 0.09, 95%CI 0.01 to communities. HIV incidence or prevalence, 0.72, P=0.02). There was no are needed for these neglected significant difference after populations. More research is behavioural intervention for
partners (Mean Difference (MD) = -0.22 (95% CI -0.52 to 0.08) nor use of alcohol before sex (MD = -0.01 (95% CI of -0.11 to 0.08). Ota E et al, 2011. HIV risk reduction – sex workers/ clients Cochrane Database of Systematic Reviews. Behavioural or social interventions designed to promote sexual risk reduction delivered to individuals, groups or communities. HIV/STI incidence/ prevalence. There is limited evidence from randomised controlled trials for the effectiveness of behavioural interventions to reduce the transmission of HIV infection among sex workers and their clients in high-income countries. Further randomised controlled trials are very likely to have important impacts on our confidence in the estimates of the effects, and are likely to change the estimates for effective interventions with outcomes of HIV incidence or prevalence and a variety of different settings among sex workers and their clients in high-income countries. Randomised controlled trials that test for the identification of effective interventions for HIV prevention with outcomes of biological endpoints, such as HIV incidence or prevalence, are needed for these neglected populations. More research is A of four studies were included, comprising two randomised controlled trials and two quasi-experimental pretest-posttest trials with control groups involving 1795 participants. No trials reported HIV prevalence/incidence as outcomes. Overall, the effects of behavioural interventions for sex workers in countries on STI incidence did not differ significantly among two studies using a random effects model (risk ratio (RR) 0.46, 95% confidence interval (CI) 0.11 to 1.98). Only one study found that the STI prevalence in clients of female sex workers was statistically significant (RR 0.09, 95%CI 0.01 to 0.72, P=0.02). There was no significant difference after behavioural intervention for U status is unknown F. The evidence is inconsistent and it is not possible to draw a conclusion but it tends towards no effect reported
Sexual%20health%20Evidence%20Review%20Final.docx