Social disparities in the efficacy of interventions for HIV: A meta-analysis of multiple behavior interventions

Disadvantaged groups, such as Blacks, Latinx, Men who have Sex with Men (MSM), and young adults are disproportionally burdened by greater incidence of HIV, lower testing rates, and worse treatment outcomes once infected. Reducing health disparities requires developing HIV prevention, testing, and treatment interventions that are efficacious for these critical populations. Multiple behavior interventions have the potential to maximize effects by targeting clusters of synergistic risk behaviors. However, their ability to also reduce social disparities is not clear and is a question of comparative efficacy across demographic groups. This meta-analysis assessed intervention efficacy comparing groups with higher and lower percentages of Blacks, Latinx, MSM, and young adults. Findings indicated that, compared to single behavior interventions, multiple behavior interventions are better positioned to address the needs of Blacks and MSM, but are no more efficacious for Latinx and young adults.U of I OnlyAuthor requested U of Illinois access only (OA after 2yrs) in Vireo ETD syste