Laisaar, K-T., Raag, M., Rosenthal, M., and Uusküla, A. AIDS Patient Care and STDs (May 2015), Vol. 29 Issue 5, doi:10.1089/apc.2014.0240.
The authors searched electronic biomedical databases and conference abstracts from 1981 to 2013 to identify and synthesize research on individual-level, facility-based behavioral interventions for people living with HIV (PLHIV) to determine their efficacy in reducing sexual risk behavior. The five studies they identified reported widely varying sexual behaviors, since some studies only recruited people who had engaged in sexual acts without condoms during the past three months, while others had no history of recent sexual activity. Overall, the quality of evidence in the included studies was low; only two of the five studies showed low risk of bias. The authors found no evidence on the effect of sexual risk reduction interventions on biological measures, since none of the studies measured the acquisition of hepatitis or sexually transmitted infections. They also found limited evidence that individually administered sexual risk reduction interventions reduced the number of casual sex partners or increased the consistency of condom use in acts posing a risk of HIV transmission. Nevertheless, the authors found that regular interactions between HIV care providers and PLHIV provided valuable opportunities to implement sexual risk reduction interventions to restrain the spread of HIV.