A systematic review and meta-analysis of psychosocial interventions to reduce drug and sexual blood borne virus risk behaviours among people who inject drugs

Gilchrist, Gail; Swan, Davina; Widyaratna, Kideshini; Marquez-Arrico,  Julia; Hughes, Elizabeth; Mdege, Noreen Dadirai; Martyn-St James, Marrissa; Tirado Muñoz, Judit

A systematic review and meta-analysis of psychosocial interventions to reduce drug and sexual blood borne virus risk behaviours among people who inject drugs

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dc.contributor.author Gilchrist, Gailca
dc.contributor.author Swan, Davinaca
dc.contributor.author Widyaratna, Kideshinica
dc.contributor.author Marquez-Arrico, Juliaca
dc.contributor.author Hughes, Elizabethca
dc.contributor.author Mdege, Noreen Dadiraica
dc.contributor.author Martyn-St James, Marrissaca
dc.contributor.author Tirado Muñoz, Juditca
dc.date.accessioned 2017-11-10T08:30:09Z
dc.date.issued 2017
dc.description.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.
dc.format.mimetype application/pdfca
dc.identifier.citation Gilchrist G, Swan D, Widyaratna K, Marquez-Arrico JE, Hughes E, Mdege N. et al. A systematic review and meta-analysis of psychosocial interventions to reduce drug and sexual blood borne virus risk behaviours among people who inject drugs. AIDS Behav. 2017 Jul;21(7):1791-1811. DOI: 10.1007/s10461-017-1755-0
dc.identifier.doi http://dx.doi.org/10.1007/s10461-017-1755-0
dc.identifier.issn 1090-7165
dc.identifier.uri http://hdl.handle.net/10230/33183
dc.language.iso eng
dc.publisher Springerca
dc.relation.ispartof AIDS and Behavior. 2017 Jul;21(7):1791-811
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.subject.keyword Blood borne virus
dc.subject.keyword Injecting risk behaviour
dc.subject.keyword People who inject drugs
dc.subject.keyword Psychosocial intervention
dc.subject.keyword Sexual risk behaviour
dc.subject.other Virus
dc.subject.other Drogoaddicció -- Aspectes psicològics
dc.title A systematic review and meta-analysis of psychosocial interventions to reduce drug and sexual blood borne virus risk behaviours among people who inject drugsca
dc.type info:eu-repo/semantics/article
dc.type.version info:eu-repo/semantics/acceptedVersion

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