A Systematic Review and Meta-analysis of Psychosocial Interventions to Reduce Drug and Sexual Blood Borne Virus Risk Behaviours Among People Who Inject Drugs

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

doi:10.1007/s10461-017-1755-0

A Systematic Review and Meta-analysis of Psychosocial Interventions to Reduce Drug and Sexual Blood Borne Virus Risk Behaviours Among People Who Inject Drugs

Gail Gilchrist^*, Davina Swan, Kideshini Widyaratna, Julia Elena Marquez-Arrico, Elizabeth Hughes, Noreen Dadirai Mdege, Marrissa Martyn-St James, Judit Tirado-Munoz

^*Corresponding author for this work

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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.

Original language	English
Pages (from-to)	1-21
Number of pages	21
Journal	AIDS AND BEHAVIOR
Early online date	1 Apr 2017
DOIs	https://doi.org/10.1007/s10461-017-1755-0 https://doi.org/10.1007/s10461-017-1755-0
Publication status	Published - 4 Apr 2017

Keywords

Blood borne virus
Injecting risk behaviour
Meta-analysis
People who inject drugs
Psychosocial intervention
Sexual risk behaviour
Systematic review

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Gilchrist, G., Swan, D., Widyaratna, K., Marquez-Arrico, J. E., Hughes, E., Mdege, N. D., Martyn-St James, M., & Tirado-Munoz, J. (2017). 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 AND BEHAVIOR, 1-21. https://doi.org/10.1007/s10461-017-1755-0, https://doi.org/10.1007/s10461-017-1755-0

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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.",

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author = "Gail Gilchrist and Davina Swan and Kideshini Widyaratna and Marquez-Arrico, {Julia Elena} and Elizabeth Hughes and Mdege, {Noreen Dadirai} and {Martyn-St James}, Marrissa and Judit Tirado-Munoz",

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Gilchrist, G , Swan, D , Widyaratna, K, Marquez-Arrico, JE, Hughes, E, Mdege, ND, Martyn-St James, M & Tirado-Munoz, J 2017, '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 AND BEHAVIOR, pp. 1-21. https://doi.org/10.1007/s10461-017-1755-0, https://doi.org/10.1007/s10461-017-1755-0

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ER -

A Systematic Review and Meta-analysis of Psychosocial Interventions to Reduce Drug and Sexual Blood Borne Virus Risk Behaviours Among People Who Inject Drugs

Abstract

Keywords

UN SDGs

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