Interventions That Eroticize Safer Sex Improve Condom Use: An Updated Meta-Analysis, 2003 to 2013
Methods: Comprehensive electronic searches were conducted identifying relevant studies published between 2003 and 2013. To be included, studies had to evaluate a behavioral intervention that reported including an eroticization component, used a randomized controlled trial (RCT) or a quasi-experimental design with a control group, assessed condom use behavior, and provided sufficient information to calculate effect sizes (ES). Independent rates coded participant, design and methodological characteristics, and intervention content. Weighted mean ES were calculated using random-effects models.
Results: Included were 14 studies (N = 7,609; mean age = 30 years; 52% women; 51% Black) from 6,362 studies identified through the electronic bibliographic database searches. Compared to controls, intervention participants increased their condom use (i.e., mean proportion of condom use: d+ = 0.38, 95% CI = 0.08, 0.68; k = 12; condom use at last occasion: d+ = 0.39, 95% CI = 0.13, 0.65; k = 8) at the first post-intervention assessment (median = 13 weeks).
Conclusions/Implications: The results of this meta-analysis suggest that behavioral HIV interventions that eroticize safer sex increase condom use. Promoting the sexual or sensory aspects of condom use may be important for reducing the incidence of HIV.
Learning Areas:Public health or related research
Social and behavioral sciences
Describe behavioral sexual risk reduction interventions that eroticize safer sex. Identify successful moderators of interventions eroticizing safer sex.
Keyword(s): HIV/AIDS, Behavioral Research
Qualified on the content I am responsible for because: My academic preparation and extensive research in this area.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.