Review: health education interventions offering information plus sexual negotiation skill development promote increased condom use in women [commentary on Shepherd J, Weston R, Peersman G, et al. Interventions for encouraging sexual lifestyles and behaviours intended to prevent cervical cancer (Cochrane Review, latest version 25 May 1999). In: Cochrane Library. Oxford: Update Software].

QUESTION: Do health education interventions promote sexual risk reduction behaviours associated with the transmission of human papillomavirus (HPV) in women? Data sources: Studies were identified by searching the Cochrane Controlled Clinical Trials Register (1998, issue 4), Medline (1999-8), EMBASE/...

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Publicado en:Evidence Based Nursing pp. 16 - 17
Autor principal: Yamada J
Formato: abstract commentary Journal Article
Publicado: BMJ Publishing Group Jan2000
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Review: health education interventions offering information plus sexual negotiation skill development promote increased condom use in women [commentary on Shepherd J, Weston R, Peersman G, et al. Interventions for encouraging sexual lifestyles and behaviours intended to prevent cervical cancer (Cochrane Review, latest version 25 May 1999). In: Cochrane Library. Oxford: Update Software].
      aug:
        au: Yamada J
        affil: Research Coordinator, Hamilton-Wentworth Regional Social and Public Health Services Division, Hamilton, Ontario, Canada
      sug:
        subj:
          Cervix Neoplasms Prevention and Control
          Sexual Health
          Sex Education
          Health Education
          Female
          Risk Factors
          Male
          Papillomavirus Infections Complications
          Child
          Adolescence
          Adult
          Middle Age
          Outcomes of Education
          Research Methodology
          Clinical Trials
          Condoms Utilization
          Sexual Partners
          HIV Infections Prevention and Control
          Sexually Transmitted Diseases Prevention and Control
          Child: 6-12 years
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: QUESTION: Do health education interventions promote sexual risk reduction behaviours associated with the transmission of human papillomavirus (HPV) in women? Data sources: Studies were identified by searching the Cochrane Controlled Clinical Trials Register (1998, issue 4), Medline (1999-8), EMBASE/Excerpta Medica (1993-8), ERIC (1994-7), PsycLIT (1996-7), the Social Science Citation Index (1994-7), and handsearching selected journals and reference lists. Study selection: Studies were selected if they evaluated educational interventions (eg, group or one-on-one learning and media campaigns) delivered by any provider (eg, teachers, health promotion experts, clinicians, and peer educators) in any setting (eg, schools, colleges, and clinics) among sexually and pre-sexually active women between 13 and 64 years of age and measured behavioural or clinical outcomes (eg, condom use and HPV or sexuallty transmitted disease [STD] incidence). Data extraction: Study design interventions, behavioural and clinical outcomes, participant characteristics, and methodological quality. Main results: 30 studies met the selection criteria. 10 studies (8 randomised controlled trials and 2 controlled trials without randomisation, mean follow up duration range 3-6 mo, 5089 women, age range 11-54 years, predominantly low socioeconomic status) were judged to be methodologically sound and were included in the analysis; all aimed to prevent HIV and other STDs (rather than cervical cancer) by providing factual information complemented with sexual negotiation skill development in women. Meta-analysis of studies was not done because of the heterogeneity in interventions, study populations, and outcome measures. In all 10 studies, health education interventions promoted sexual risk reduction behaviours, generally with self reported increases in the short term (typically 3 mo) use of condoms for vaginal intercourse. Health education information plus sexual negotiation skill development was associated with greater short term condom use than information alone (3 studies), no treatment (1 study), a waiting list control group (1 study), a single component intervention (1 study), or 'generic' health promotion (2 studies). Conclusion: Health education interventions that offer factual information complemented with sexual negotiation skill development promote short term increases in condom use for vaginal intercourse in women. [Original article accession number: 2000006688 (research, systematic review)]
      pubtype: Academic Journal
      doctype:
        abstract
        commentary
        Journal Article
      ougenre: Article
    language: English
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