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Int. J. Environ. Res. Public Health 2018, 15(12), 2819; https://doi.org/10.3390/ijerph15122819

STI Health Disparities: A Systematic Review and Meta-Analysis of the Effectiveness of Preventive Interventions in Educational Settings

1
School of Public Health, University of Saskatchewan, Saskatoon, SK S7N 2Z4, Canada
2
Medical Health Officer, Fraser Health Authority, Surrey, BC V3T 0H1, Canada
*
Author to whom correspondence should be addressed.
Received: 16 November 2018 / Revised: 8 December 2018 / Accepted: 9 December 2018 / Published: 11 December 2018
(This article belongs to the Special Issue Health Care Equity)
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Abstract

The purpose of this systematic review and meta-analysis was to address disparities related to sexual health among students by examining the effectiveness of sexually transmitted infection (STI) preventive interventions in educational settings. PubMed, Medline, Cochrane Library, Public Health Database, and EMBASE databases were used to conduct searches. Information relating to studies, programs, participants, and quantitative outcome variables were extracted. Risk of bias was assessed and meta-analysis was conducted. This systematic review included 16 articles. The outcomes were classified into behavioral and psychosocial categories. The behavioral category included sexual partners, sexual activity, condom use, STI/HIV testing, and alcohol/drug use before sex. The psychosocial category consisted of knowledge, motivational factors, and skills. Interventions had a significantly positive impact on both behavioral (OR, 1.28; 95% CI, 1.17–1.39) and psychosocial (OR, 1.92; 95% CI, 1.36–2.72) outcomes. Among the psychosocial outcomes, the interventions were most effective at promoting knowledge (OR, 3.17; 95% CI, 2.13–4.72), followed by enhancing motivational factors (OR, 1.69; 95% CI, 1.04–2.75) and increasing behavioral skills (OR, 1.43; 95% CI, 1.13–1.81). The results of this systematic review provide empirical evidence for public health professionals and policy makers regarding planning, implementation, evaluation, and modification of STI preventive intervention programs in educational settings. View Full-Text
Keywords: STIs; youth; educational settings; health disparities; preventive interventions; effectiveness STIs; youth; educational settings; health disparities; preventive interventions; effectiveness
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Mon Kyaw Soe, N.; Bird, Y.; Schwandt, M.; Moraros, J. STI Health Disparities: A Systematic Review and Meta-Analysis of the Effectiveness of Preventive Interventions in Educational Settings. Int. J. Environ. Res. Public Health 2018, 15, 2819.

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