title: Microenterprise development interventions for sexual risk reduction: a systematic review.
abstract: Comprehensive interventions that address both individual and structural determinants associated with HIV/STI risk are gaining increasing attention over the past decade. Microenterprise development offers an appealing model for HIV prevention by addressing poverty and gender equality. This study systematically reviewed the effects of microenterprise development interventions on HIV/STI incidence and sexual risk behaviors. Microenterprise development was defined as developing small business capacity among individuals to alleviate poverty. Seven eligible research studies representing five interventions were identified and included in this review. All of the studies targeted women, and three focused on sex workers. None measured biomarker outcomes. All three sex worker studies showed significant reduction in sexual risk behaviors when compared to the control group. Non-sex worker studies showed limited changes in sexual risk behavior. This review indicates the potential utility of microenterprise development in HIV risk reduction programs. More research is needed to determine how microenterprise development can be effectively incorporated in comprehensive HIV control strategies.
authors: Columbia University College of Physicians and Surgeons, UNC Project-China, 60 Haven Ave. Apt 17D, New York, NY, 10032, USA, rrc2126@columbia.edu.
authors: Rosa R
authors: RR
authors: Cui
authors: Ramon
authors: R
authors: Lee
authors: Harsha
authors: H
authors: Thirumurthy
authors: Kathryn E
authors: KE
authors: Muessig
authors: Joseph D
authors: JD
authors: Tucker
mesh_terms: D016520:Entrepreneurship; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D011203:Poverty / Q000517:prevention & control* / Q000706:statistics & numerical data; D011209:Power, Psychological; D011314:Preventive Health Services / Q000458:organization & administration; D016730:Program Development; D018570:Risk Assessment; D012309:Risk-Taking; D060386:Sex Workers; D012725:Sexual Behavior; D058012:Small Business / Q000458:organization & administration*; D016387:Women's Health
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