Interventions targeting social cognitive determinants of condom use in the general Sub-Saharan population: A Systematic Review

Abstract

Background Health education alone has a limited impact on HIV prevention programs, possibly because it does not systematically target social and cognitive factors that affect condom use. Objectives To systematically evaluate the effectiveness and methodological quality of HIV prevention interventions, which targeted factors related to social cognitive models (SCM) in the Sub-Saharan context. Method Ten online databases were searched using prespecified terms. Data extraction and quality assessment (on a 0–8 scale) were carried out and study results were critically described. Results Eight studies meeting the inclusion criteria were identified and reviewed. Three interventions showed significant effects on condom use. The most targeted SCM factors were communication skills and self-efficacy. The average methodological quality score was 5.75. Conclusion There is a need to use other intervention methods targeting SCM determinants of condom use and to improve the quality of the assessment tools, to increase condom use towards HIV prevention.

Keywords

• intervention
• condom use
• social cognitive model
• systematic review