The effectiveness of behavioural and psychosocial HIV/STI prevention interventions for MSM in Europe: A systematic review.

摘要: Given the need of programme planners and policy makers for descriptions specific interventions quantitative estimates intervention effects to make informed decisions concerning prevention funding research, there is a systematic review that updates current knowledge base about HIV/STI preventive targeted at men who have sex with (MSM) in Europe. The aim was summarise assess effectiveness MSM living Europe, identify characteristics associated as well potential gaps evidence base. A search relevant literature eight international databases reference lists reviews included studies performed. Studies were selected according pre-specified criteria appraised risk bias. We summarised results using tables calculated effect sexual behaviour outcomes. Results from six controlled studies, involving total 4,111 participants entry four different European countries summarised. showed 'high' or 'unclear' bias one more assessed domains all studies. pooled estimate which data available suggested participate initiatives may be somewhat less likely report unprotected anal intercourse (UAI). insufficient examine most closely magnitude draw solid conclusions unique evaluation literature. Despite maturity HIV epidemic, rigorous outcome evaluations any form behavioural Europe are scarce. point possible short term terms reductions proportion engage UAI, but paucity demonstrates research this area. There an overall deficit aimed reducing among Designing strategies avert new infections, such programmes important component comprehensive containment strategy across continuum care.