Systematic review: A review of adolescent behavior change interventions [BCI] and their effectiveness in HIV and AIDS prevention in sub-Saharan Africa
There are mixed findings about the effectiveness of psychosocial behaviour change interventions targeting adolescents in sub-Saharan Africa. Some studies portray intervention effectiveness and others limited efficacy. Peer education as an intervention stands out as being more effective than other psychosocial regimens at transferring life skills and facilitating HIV risk reduction.
BMC Public Health
Mwale et al, 2017
What works in youth HIV
This website compiles emerging and evidence-based interventions for those who work with young people to prevent HIV. The areas covered are strategies, youth and HIV, and engaging youth. Resources include videos, webinars, podcasts, websites, reports, toolkits, and factsheets.
HIV and adolescents: Focus on young key populations
This journal supplement contains articles addressing various aspects of HIV prevention and adolescents and young people from key populations—including PrEP, HIV testing, links to services, adherence and retention in care, and mental health and support.
Journal of the International AIDS Society
Feasibility, acceptability, and preliminary efficacy of an online HIV prevention program for diverse young men who have sex with men: The Keep It Up! intervention
These are results of a trial evaluating an online, interactive HIV prevention programme in the United States called Keep It Up! The intervention was designed to be delivered to diverse young men who have sex with men (aged 18-24) after they received an HIV-negative text result—to encourage them to “Keep It Up” and stay negative.
AIDS and Behavior
Mustanski et al, 2013
Efficacy of an empowerment-based, group-delivered HIV prevention intervention for young transgender women: The Project LifeSkills randomized clinical trial
This trial is the first to-date to demonstrate evidence of efficacy for a behavioural intervention to reduce sexual risk in young transgender women (aged 16-29 years)..
Garofalo et al, 2018
Economic strengthening for HIV prevention and risk reduction: A review of the evidence
Conditional and unconditional cash transfers, and educational support were each associated with reductions in self-reported risk behaviors, particularly among adolescents. Food assistance in combination with other support also shows a positive trend for adolescent risk reduction. Well-designed vocational/entrepreneurial training and savings interventions could bolster HIV prevention efforts for female sex workers, while findings are less conclusive for adolescents.
The association between being currently in school and HIV prevalence among young women in nine eastern and southern African countries
Although the relationship is not uniform across countries or over time, these data are supportive of the hypothesis that young women in school are at lower risk of being HIV positive than those who leave school in some sub-Saharan African settings. There is a possibility of reverse causality, with pre-existing HIV infection leading to school dropout. Further investigation of the contextual factors behind this variation will be important in interpreting the results of HIV prevention interventions promoting retention in school.
Mee et al, 2018
Conditional cash transfers and the reduction in partner violence for young women: An investigation of causal pathways using evidence from a randomized experiment in South Africa
A conditional cash transfer for high school girls has protective effects on their experience of intimate partner violence (IPV) and the effect is due in part to girls choosing not to engage in sexual partnerships, thereby reducing the opportunity for IPV. As a lower exposure to IPV and safer sexual behaviours also protect against HIV acquisition, this study adds to the growing body of evidence on how cash transfers may reduce young women's HIV risk.
Journal of the International AIDS Society
Kilburn et al, 2018
Gendered childcare norms: Evidence from rural Swaziland to inform innovative structural HIV prevention approaches for young women
Innovative approaches to prevent HIV in young women should incorporate structural approaches that aim to transform gendered norms, economically empower women and implement policies guaranteeing women equal rights.
African Journal of AIDS Research
Shabangu et al, 2017
Parent–youth communication to reduce at-risk sexual behavior: A systematic literature review
Some research has shown that parent–youth communication can reduce youth’s at-risk sexual behaviors. This is a systematic review of the literature on parent–youth sexual communication and family-level interventions designed to reduce risky sexual behavior in youth.
Journal of Human Behavior in the Social Environment
Coakley et al, 2017
Sexual learning among East African adolescents in the context of generalized HIV epidemics: A systematic qualitative meta-synthesis
The three phases of sexual learning –
being primed for sex, making sense of sex, and having sexual experiences –
interact to shape adolescents' sexual lives and their risk for HIV infection. This framework will contribute to the development of sexual education programmes that address HIV risk within the broader context of sexual learning.
Knopf et al, 2018
A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial
This intervention holds promise for strengthening positive family processes to protect against negative future outcomes for adolescents. Implementation with religious congregations may be a promising strategy for improving sustainability and scalability of interventions in low-resource settings.
Journal of Consulting and Clinical Psychology
Puffer et al, 2016
Preferences for ARV-based HIV prevention methods among men and women, adolescent girls and female sex workers in Gauteng Province, South Africa: A protocol for a discrete choice experiment
This study will explore potential users' preferences regarding HIV prevention products; quantify the importance of product attributes; and predict the uptake of products to inform estimates of their potential impact on the HIV epidemic in South Africa. We consider preferences for oral pre-exposure prophylaxis; a vaginal microbicide gel; a long-acting vaginal ring; a SILCS diaphragm used in concert with gel; and a long-acting ARV-based injectable.
Quaife et al, 2018