Journal
AIDS AND BEHAVIOR
Volume 13, Issue 3, Pages 603-613Publisher
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-008-9483-0
Keywords
China; HIV/AIDS; Behavioral intervention; Literature review
Funding
- NIMH NIH HHS [R01MH76488, R01 MH076488, R01 MH076488-04] Funding Source: Medline
- NINR NIH HHS [R01 NR010498, R01NR10498, R01 NR010498-01] Funding Source: Medline
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In the past two decades, China has witnessed an alarming increase of HIV/AIDS epidemic. Meanwhile, a number of HIV prevention interventions have been conducted. This study reviews existing studies in literature on behavioral interventions on HIV/AIDS in China. Of 25 studies we identified, most have been concentrated in South and South-West China, mainly targeting injection drug users and female sex workers. The most commonly used intervention strategy was individual-oriented HIV-related knowledge education and behavioral skill training. All studies reported positive intervention effects including improved HIV-related knowledge, increased condom use, reduced needle sharing, and reduced STI. Literature also suggests a lack of intervention among other at-risk populations such as MSM, migrant workers, and non-injecting drug users, lack of studies with rigorous evaluation design, inadequate follow-up, limited outcome measurement, and lack of multi-faceted structural interventions. The existing intervention studies document strong evidence of controlling HIV/AIDS epidemic through effective behavioral intervention. More efforts are needed to control the growing HIV/AIDS epidemic in China. Future studies need to employ more rigorous methodology and incorporate environmental or structural factors for different populations at risk of HIV infection in China.
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