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This study synthesised existing research into the impact of sport-based HIV prevention interventions to identify strengths and gaps in the evidence-base.

Abstract

Interest in sport as a tool for behavioural HIV prevention has grown substantially in the past decade. With dozens of organisations now using sport-based HIV prevention (SBHP) approaches and upcoming randomised controlled trials in South Africa and Zimbabwe, there is a pressing need to synthesise previous evaluation findings and identify gaps in existing research. A systematic review on the effectiveness of SBHP interventions was carried out, identifying both published and unpublished studies on SBHP interventions that measured effectiveness quantitatively. Study quality was scored using an adapted Newcastle-Ottawa Scale. Random-effects meta-analyses were carried out across studies for effects on six categories of HIV-related outcomes. The review identified 952 publications, 21 of which met inclusion criteria. No randomised controlled trials on SBHP interventions and no studies assessing biological outcomes were identified. Mean study quality score was 5.1 (SD 3.1) out of 20 points. Overall strong evidence was observed for positive effects on HIV- related knowledge (RR = 1.26, 95 % CI = 1.15–1.37), stigma (RR = 1.13, 95 % CI = 1.02–1.24), self-efficacy (RR = 1.22, 95 % CI = 1.02–1.41), reported communication (RR = 1.24, 95 % CI = 1.06–1.41), and reported recent condom use (RR = 1.29, 95 % CI = 1.00–1.59).

Generally, the review found encouraging evidence for some short-term effects but relied predominantly on low-quality studies. More rigorous research on SBHP is needed to objectively assess effectiveness. Randomised controlled trials could play an important role in guiding policies, strategies, and funding related to SBHP.

Publisher

Tags

South Africa
Zimbabwe
Africa
All the sports
3 - Good health and well-being
Athletes
Practitioners
https://www.sportanddev.org/research-and-learning/resource-library/effectiveness-sport-based-hiv-prevention-interventions

Resource Details

SVG
Journal Articles
2012
Files
474.47 KB, pdf

Tags

Country
South Africa
Zimbabwe
Region
Africa
Sport
All the sports
Sustainable Development Goals
3 - Good health and well-being
Themes
Target Group
Athletes
Practitioners