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Title: | A systematic review and meta-analysis of psychosocial interventions to reduce drug and sexual blood borne virus risk behaviours among people who inject drugs |
Author: | Gilchrist, Gail Swan, Davina Widyaratna, Kideshini Marquez Arrico, Julia E. Hughes, Elizabeth Mdege, Noreen Dadirai Martyn-St James, Marrissa Tirado-Muñoz, Judit |
Keywords: | Drogoaddicció Medicina preventiva Intervenció psicològica Drug addiction Preventive medicine Psychological intervention |
Issue Date: | 1-Apr-2017 |
Publisher: | Springer Verlag |
Abstract: | Opiate substitution treatment and needle exchanges have reduced blood borne virus (BBV) transmission among people who inject drugs (PWID). Psychosocial interventions could further prevent BBV. A systematic review and meta-analysis examined whether psychosocial interventions (e.g. CBT, skills training) compared to control interventions reduced BBV risk behaviours among PWID. 32 and 24 randomized control trials (2000-May 2015 in MEDLINE, PsycINFO, CINAHL, Cochrane Collaboration and Clinical trials, with an update in MEDLINE to December 2016) were included in the review and meta-analysis respectively. Psychosocial interventions appear to reduce: sharing of needles/syringes compared to education/information (SMD −0.52; 95% CI −1.02 to −0.03; I2 = 10%; p = 0.04) or HIV testing/counselling (SMD −0.24; 95% CI −0.44 to −0.03; I2 = 0%; p = 0.02); sharing of other injecting paraphernalia (SMD −0.24; 95% CI −0.42 to −0.06; I2 = 0%; p < 0.01) and unprotected sex (SMD −0.44; 95% CI −0.86 to −0.01; I2 = 79%; p = 0.04) compared to interventions of a lesser time/intensity, however, moderate to high heterogeneity was reported. Such interventions could be included with other harm reduction approaches to prevent BBV transmission among PWID. |
Note: | Reproducció del document publicat a: https://doi.org/10.1007/s10461-017-1755-0 |
It is part of: | AIDS and Behavior, 2017, vol. 21, num. 7, p. 1791-1811 |
URI: | http://hdl.handle.net/2445/123706 |
Related resource: | https://doi.org/10.1007/s10461-017-1755-0 |
ISSN: | 1090-7165 |
Appears in Collections: | Articles publicats en revistes (Psicologia Clínica i Psicobiologia) |
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