TY  - JOUR
PY  - 2019//
TI  - Interventions to reduce gender-based violence among young people living with or affected by HIV/AIDS in low- and middle- income countries
JO  - AIDS
A1  - Little, Madison T.
A1  - Orza, Luisa
A1  - Spreckelsen, Thees F.
A1  - Pantelic, Marija
A1  - Meinck, Franziska
A1  - Nittas, Vasileios
A1  - Picker, Vanessa
A1  - Bustamam, Amy A.
A1  - Romero, Rocio Herrero
A1  - Mella, Eric P. Diaz
A1  - Stöckl, Heidi
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE(S): This study explored the effectiveness of gender-based violence (GBV) interventions on young people living with or affected by HIV in low- and middle-income countries (LMICs). <br><br>DESIGN: Systematic review and meta-analysis. <br><br>METHODS: We pre-registered a protocol, then searched thirteen databases and grey literature. We screened randomised and quasi-experimental studies (n = 2199) of young people (aged 10-24) living with or affected by HIV in LMICs. Outcomes were GBV and/or GBV-related attitudes. We appraised the data for risk of bias and quality of evidence. Narrative syntheses and multi-level random effects meta-analyses were conducted. <br><br>RESULTS: We included 18 studies evaluating 21 interventions. Intervention arms were categorised as: a) sexual health and social empowerment (SHSE) (n = 7); b) SHSE plus economic strengthening (n = 4); c) self-defence (n = 3); d) safer schools (n = 2); e) economic strengthening only (n = 2); f) GBV sensitisation (n = 2) and g) safer schools plus parenting (n = 1). Risk of bias was moderate/high and quality of evidence low. Narrative syntheses indicated promising effects on GBV exposure, but no or mixed effects on GBV perpetration and attitudes for self-defence and GBV sensitisation interventions. Safer schools interventions showed no effects. For SHSE interventions and SHSE plus economic strengthening, meta-analysis showed a small reduction in GBV exposure but not perpetration. Economic-only interventions had no overall effect. <br><br>CONCLUSIONS: SHSE, SHSE plus and self-defence and gender sensitisation interventions may be effective for GBV exposure and GBV-related attitudes but not for GBV perpetration. However, the quality of evidence is poor. Future intervention research must include both boys and girls, adolescents living with HIV and key populations.<p />  <p>Language: en</p>
LA  - en
SN  - 0269-9370
UR  - http://dx.doi.org/10.1097/QAD.0000000000002337
ID  - ref1
ER  -