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Evidence-Based Nursing 2000;3:16; doi:10.1136/ebn.3.1.16
Copyright © 2000 by BMJ Publishing Group Ltd & RCN Publishing Company Ltd.
Evidence-Based Nursing 2000; 3:16
© 2000 Evidence-Based Nursing

Review: health education interventions offering information plus sexual negotiation skill development promote increased condom use in women

Shepherd J, Weston R, Peersman G, et al. Interventions for encouraging sexual lifestyles and behaviours intended to prevent cervical cancer. (Cochrane Review, latest version 25 May 1999.) In: Cochrane Library. Oxford: Update Software.

QUESTION: Do health education interventions promote sexual risk reduction behaviours associated with the transmission of human papillomavirus (HPV) in women?

Data sources

Studies were identified by searching the Cochrane Controlled Clinical Trials Register (1998, issue 4), Medline (1992–8), EMBASE/Excerpta Medica (1993–8), ERIC (1994–7), PsycLIT (1996–7), the Social Science Citation Index (1994–7), and handsearching selected journals and reference lists.

Study selection

Studies were selected if they evaluated educational interventions (eg, group or one-on-one learning and media campaigns) delivered by any provider (eg, teachers, health promotion experts, clinicians, and peer educators) in any setting (eg, schools, colleges, and clinics) among sexually and pre-sexually active women between 13 and 64 years of age and measured behavioural or clinical outcomes (eg, condom use and HPV or sexually transmitted disease [STD] incidence).

Data extraction

Study design, interventions, behavioural and clinical outcomes, participant characteristics, and methodological quality.

Main results

30 studies met the selection criteria. 10 studies (8 randomised controlled trials and 2 controlled trials without randomisation, mean follow up duration range 3–6 mo, 5089 women, age range 11–54 years, predominantly low socioeconomic status) . . . [Full text of this article]

Janet Yamada, RN, MSc

Research Coordinator Hamilton-Wentworth Regional Social and Public Health Services Division Hamilton, Ontario, Canada


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