scholarly journals The effectiveness and cost-effectiveness of behavioural interventions for the prevention of sexually transmitted infections in young people aged 13–19: a systematic review and economic evaluation

2010 ◽  
Vol 14 (7) ◽  
Author(s):  
J Shepherd ◽  
J Kavanagh ◽  
J Picot ◽  
K Cooper ◽  
A Harden ◽  
...  
2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia


2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15–24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection and there is no national representative data on preventive practices of sexually transmitted infection in Ethiopia. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of good preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) guideline was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies from May 15 − 12 August/2021. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the studies. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done based on regions to identify the sources of heterogeneity at a p-value < 0.05. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Despite different interventions implemented to enhance the preventive practice of sexually transmitted infection among young people, the problem is still a challenge in low-income countries, including Ethiopia


2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background: Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15-24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods: The Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) was employed to develop the review protocol. Databases such as PubMed, CINAH, Google, and Google Scholar were used to search published and unpublished studies. Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument will be used to assess the quality of the study. Statistical heterogeneity will be checked using I2 statistics. Subgroup analyses and meta-regression will be done to identify the sources of heterogeneity. The statistical analysis will be done using STATA version-14 software. A random-effects model will be employed to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion: Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Although there are studies on the sexually transmitted infection preventive practice, there is no study finding on the pooled prevalence of the preventive practices of sexually transmitted infection and its determinants among young people in Ethiopia. Thus, this systematic review and meta-analysis will help to develop appropriate interventions.


2012 ◽  
Vol 28 (4) ◽  
pp. 407-414 ◽  
Author(s):  
Keith Cooper ◽  
Jonathan Shepherd ◽  
Jo Picot ◽  
Jeremy Jones ◽  
Josephine Kavanagh ◽  
...  

Objectives: Reducing sexually transmitted infections (STI) and teenage pregnancy through effective health education is a high priority for health policy. Behavioral interventions which teach skills to practice safer sex may reduce the incidence of STIs. We evaluated the cost-effectiveness of school-based behavioral interventions in young people.Methods: We developed an economic model to estimate the total number of STI cases averted, consequent gain in health related quality of life (HRQoL) and savings in medical costs, based on changes in sexual behavior. The parameters for the model were derived from a systematic literature search on the intervention effectiveness, epidemiology of STIs, sexual behavior and lifestyles, HRQoL and health service costs.Results: The costs of providing teacher-led and peer-led behavioral interventions were €5.16 and €18 per pupil, respectively. For a cohort of 1000 boys and 1000 girls aged 15 years, the model estimated that the behavioral interventions would avert two STI cases and save 0.35 Quality Adjusted Life Years (QALYs). Compared to standard education, the incremental cost-effectiveness of the teacher-led and peer-led interventions was €24,268 and €96,938 per QALY gained, respectively.Conclusions: School-based behavioral interventions which provide information and teach young people sexual health skills can bring about improvements in knowledge and increased self-efficacy, though these may be limited in terms of impact on sexual behavior. There was uncertainty around the results due to the limited effect of the intervention on behavioral outcomes and paucity of data for other input parameters.


2010 ◽  
Vol 51 (1) ◽  
pp. 74-84 ◽  
Author(s):  
Jeffrey V. Lazarus ◽  
Henna Sihvonen-Riemenschneider ◽  
Ulrich Laukamm-Josten ◽  
Fiona Wong ◽  
Jerker Liljestrand

2021 ◽  
Author(s):  
Etsay Woldu Anbesu ◽  
Setognal Birara Aychiluhm ◽  
Mussie Alemayehu

Abstract Background: Globally, about 178.5 million new cases of curable sexually transmitted infections occur among young people aged 15-24 years. There are fragmented and inconsistent findings on preventive practices of sexually transmitted infection. Thus, this systematic review and meta-analysis aimed to estimate the pooled prevalence of preventive practices of sexually transmitted infection and identify its determinants among young people in Ethiopia. Methods: We will use the Preferred Reporting Items for Systematic review and Meta-analyses (PRISMA) to develop the review protocol. We will use online databases such as PubMed, CINAH, Google, and Google Scholar to search published and unpublished studies. We will use the Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument to assess the quality. We will check statistical heterogeneity using the Cochran Q test and I2 statistics. We will perform subgroup analyses and meta-regression to identify the sources of heterogeneity. The statistical analysis will be done using STATA version-14 software. We will use a random-effects model to estimate the pooled prevalence and identify determinants of preventive practices of sexually transmitted infections. Discussion: Young people have a high unmet need for sexual and reproductive health services and poor preventive practices toward sexually transmitted infection. Although there are studies on the sexually transmitted infection preventive practice, there is no study finding on the pooled prevalence of the preventive practices of sexually transmitted infection and its determinants among young people in Ethiopia. Thus, this systematic review and meta-analysis will help to develop appropriate interventions.


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