title: Systematic review of couple-based HIV intervention and prevention studies: advantages, gaps, and future directions.
abstract: We conducted a systematic review of couple-based HIV biobehavioral (skills-building, VCT, and adherence) and biomedical (ART, circumcision) prevention and intervention studies designed to reduce sexual- and drug-risk behaviors and HIV transmission and acquisition. Of the 11,162 papers identified in the search, 93 peer-reviewed papers met the inclusion criteria and yielded a total of 33 studies conducted globally. Biobehavioral couple-based prevention and intervention studies have been efficacious in reducing sexual- and drug-risk behaviors, increasing access to HIV testing and care, and improving adherence. Biomedical couple-based studies were found to reduce HIV incidence among HIV-negative sex partners and viral load among HIV-positive partners. Despite much progress, couple-based HIV prevention and intervention studies remain limited; a number of methodological gaps exist and studies focusing on MSM, people who inject drugs, and sex workers are scarce.
authors: School of Social Work, Columbia University, 1255 Amsterdam Avenue, Room 825, New York City, NY, 10027, USA, tj2261@columbia.edu.
authors: Tina
authors: T
authors: Jiwatram-Negrón
authors: Nabila
authors: N
authors: El-Bassel
mesh_terms: D017280:Condoms / Q000706:statistics & numerical data*; D005191:Family Characteristics; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D040242:Risk Reduction Behavior; D012731:Sex Counseling; D012725:Sexual Behavior / Q000523:psychology*; D012747:Sexual Partners / Q000523:psychology