This study examined whether HIV counseling and testing leads to reductions in sexual risk behavior.
The meta-analysis including 27 published studies that provided sexual behavior outcome data, assessed behavior before and after counseling and testing, and provided details sufficient for the calculation of effect sizes.
After counseling and testing, HIV-positive participants and HIV-serodiscordant couples reduced unprotected intercourse and increased condom use more than HIV-negative and untested participants.
HIV-negative participants did not modify their behavior more than untested participants.
Participants'age, volition for testing, and injection drug use treatment status, as well as the sample seroprevalence and length of the follow-up, explained the variance in results.
HIV counseling and testing appears to provide an effective means of secondary prevention for HIV-positive individuals but, as conducted in the reviewed studies, is not an effective primary prevention strategy for uninfected participants.
Theory-driven research with attention given to the context of testing is needed to further explicate the determinants of behavior change resulting from HIV counseling and testing, and the effectiveness of specific counseling approaches.
Mots-clés Pascal : Comportement sexuel, Prise risque, SIDA, Virose, Infection, Conseil, Dépistage, Education santé, Utilisation, Condom, Stratégie, Prévention, Méthodologie, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : Sexual behavior, Risk taking, AIDS, Viral disease, Infection, Council, Medical screening, Health education, Use, Condom, Strategy, Prevention, Methodology, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0517202
Code Inist : 002B30A03C. Création : 18/05/2000.