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. 2010 Jun 2;32(1):121–136. doi: 10.1093/epirev/mxq010

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.

a

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.

b

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.