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Sport-based HIV prevention

Sport-based HIV prevention. HIV remains pressing threat to young people 34M infected, 2.5M new infections per year About 35% of infections are among young people Limited effectiveness of youth prevention efforts Urgent need for effective prevention work

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Sport-based HIV prevention

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  1. Sport-based HIV prevention • HIV remains pressing threat to young people • 34M infected, 2.5M new infections per year • About 35% of infections are among young people • Limited effectiveness of youth prevention efforts • Urgent need for effective prevention work • Increasing use of sports-based HIV prevention • Dozens of organizations and funders across the world • e.g. Grassroot Soccer, Kicking AIDS Out, MYSA, Parivartan • USAID, Nike, EJAF, MAC AIDS Fund, Comic Relief, Barclays • Programs use sports themes, activities, role models • Growing evidence base on effectiveness

  2. Assessing the evidence of sport-based HIV prevention through a systematic review Zachary A. Kaufman, MSc PhD Candidate, LSHTM

  3. Systematic review objectives • To assess and synthesize the evidence of effectiveness for SBHP interventions • To identify gaps in existing research in order to inform future studies

  4. Methods • Inclusion criteria • Assessing SBHP effectiveness quantitatively • Interventions using sport at least partially • Interventions aimed at preventing HIV • RCTs, quasi-experimental, pre/post, cross-sectional • Study quality appraisal • Adapted Newcastle-Ottawa scale (NOS) • Analysed evidence strength across outcomes • Knowledge, attitudes, communication, behaviour • Service uptake, biological outcomes (HIV, HSV, etc) • Sensitivity analysis: restricted to published studies

  5. Included studies (n=21)

  6. No randomised controlled trials.No studies with biomarkers.

  7. Figure 2: SBHP effects on knowledge

  8. Figure 3: SBHP effects on communication

  9. Conclusions on effectiveness of SBHP • Overall strong evidence of effect on: • HIV-related knowledge • HIV-related communication • Overall weak evidence of effect on: • HIV-related attitudes • Reported sexual behaviour • Generally low-quality studies to date • Need stronger methodology

  10. Conclusions: gaps in research • Need stronger methodology • Randomisation: in sampling and allocation • Longer-term follow-up • More objective, rigorous outcomes • Effects on service uptake? • Does SBHP increase HCT uptake? • Can SBHP increase MMC uptake? • Effects on biological outcomes? • Does SBHP reduce HIV, STI incidence?

  11. Questions and Discussion

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