AEGiS-NHIVPC: Update of the Compendium of HIV Prevention Interventions With Evidence of Effectiveness

National HIV Prevention Conference

Atlanta, Georgia, USA — July 27 - 30, 2003

Update of the Compendium of HIV Prevention Interventions With Evidence of Effectiveness

Natl HIV Prev Conf 2003 July 27-30:abstract no. TP-045
Kay LS, Crepaz N, Lyles CM, Griffin TL, Patterson JD, Sherba RT, Britton J, Herbst JH, HIV/AIDS Prevention Research Synthesis Team; Centers for Disease Control & Prevention, Atlanta, GA

ISSUE: CDC and other funding agencies are requiring intervention plans to be supported by sufficient scientific evidence. HIV prevention service providers and program planners who apply for funds need updated information about interventions with evidence of effectiveness. To help meet these needs, in 2002 CDC's HIV/AIDS Prevention Research Synthesis (PRS) project updated the Compendium of HIV Prevention Interventions with Evidence of Effectiveness, a collection of science-based interventions conducted in the U.S. that successfully prevent HIV transmission, based on the most rigorous scientific intervention evaluations.

SETTING: The newly identified studies were conducted in a variety of settings, such as educational, health care, commercial, and community with various at-risk populations, including men who have sex with men (MSM), injection drug users, sexually actively adolescents (youth), and heterosexual adults.

PROJECT: The PRS project has developed a cumulative database of HIV behavioral prevention research. It uses systematic searches, both automated and manual, to update its database and to conduct systematic reviews and qualitative and quantitative syntheses of the research.

RESULTS: Using criteria based on relevant outcome data, rigorous study methods, and statistically significant positive treatment effects, the PRS project identified an additional 12 studies with evidence of effectiveness, bringing the total number of studies in the Compendium to 36. Of the 36 studies that demonstrated positive effects of HIV intervention, five studies exclusively targeted African Americans (4 youth studies and 1 study of heterosexual women). However, none of the studies included in the Compendium 2002 Update demonstrated effective HIV intervention in reducing sexual risk taking among MSM of the ethnic minority groups that are hard hit by the HIV epidemic.

LESSONS LEARNED: There is a major research gap between the emerging HIV epidemic and evidence-based HIV interventions for the ethnic minority groups, especially MSM of color. To efficiently respond to the current HIV epidemic, researchers should consider modifying the interventions that have already been shown to be effective to tailor them to the specific needs of additional targeted groups, and should develop program-friendly curricula and training materials for replicating effective programs with various risk groups.

Keywords: Acquired Immunodeficiency Syndrome, HIV Infections, Centers for Disease Control and Prevention (U.S.), HIV Seropositivity, Blacks, United States, Human, Male, Female, Adolescence, Adult, prevention & control, nursing

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