Table 1.
Results of 74 Randomized Controlled Trials Evaluating 75 Interventions to Prevent Sexually Transmitted Infections
| STI Prevention Effectivenessa | |||||||
| Type of Intervention | Positive Effect on STI Risk | Adverse Effect on STI Risk | No Effect on STI Risk | Total, no. | |||
| No. | % | No. | % | No. | % | ||
| Behavioral interventions | 17 | 63 | 1b | 6 | 9 | 33 | 27 |
| Physical barrier methods | 4 | 100 | 4 | ||||
| Vaginal microbicides | 3 | 25 | 2 | 17 | 7 | 58 | 12 |
| Male circumcision | 3 | 75 | 1 | 25 | 4 | ||
| Partner services | 4 | 57 | 3 | 43 | 7 | ||
| Treatment | 7 | 88 | 1 | 13 | 8 | ||
| Vaccines and passive immunization | 10 | 83 | 2 | 17 | 12 | ||
| Multicomponent interventions | 1 | 100 | 1 | ||||
| Total | 44 | 59 | 4b | 5 | 27 | 36 | 75 |
Abbreviation: STI, sexually transmitted infection.
Positive effect: intervention significantly reduced the risk of laboratory-confirmed STI in the intervention arm compared with the control arm; adverse effect: intervention significantly increased the risk of laboratory-confirmed STI in the intervention arm compared with the control arm; no effect: intervention showed no significant effect (positive or adverse) and, thus, the null hypothesis could not be rejected. Row percentages are displayed.
A statistically significant adverse effect for a behavioral intervention was reported among a subgroup of 1,783 men, but there was no effect overall (Sex Transm Dis. 2005;32(2):130–138 (17)). Results for this trial are tallied under adverse effect only.