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Best HIV-Prevention Programs Help People Build Skills

d be funded by the CDC’s HIV-prevention department were considered, so they don’t include needle-exchange programs — which provide clean needles to IV-drug addicts — or substance-abuse programs.

Nor do the programs examined include those aimed specifically at kids in school (because they’re funded separately) or those that rely solely on HIV testing or counseling of sexual partners of HIV patients. (The CDC already requires agencies to do testing and counseling if they get grants).

Of the 100 studies examined, only 18 were “best evidence studies.” According to the review, these programs “were determined to have sufficient quality and strength of evidence to infer a significant effect on reducing HIV risk.”

Most of the prevention programs taught participants how to do something — such as use of a male condom (14 programs) or a female condom (four programs). Others provided instruction on relaxation, stress reduction and better communication with others.

Nine programs taught people how to avoid falling into the trap of “risky sex,” the review found, while “communication skills, such as negotiation or assertiveness for safer sex, were demonstrated, practiced or role-played in 13 interventions.”

“It’s not that new strategies have been discovered,” Lyles said. Instead, existing strategies “have been incorporated into new interventions based on solid behavioral science theory, and the research has been of a higher quality.”

Thirteen of the studies focused entirely or mostly on minorities and eight targeted women exclusively. “We still need to work on research focusing on testing and identifying interventions that work for African-Americans, minority populations (of men who have sex with men) and substance-using populations,” Lyles said. “Those are some of the key gaps.”

For the time being, the CDC is packaging six of the intervention programs together and will soon be teaching local agenc
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