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Microenterprise development interventions for sexual risk reduction: a systematic review.

Rosa R Cui1, Ramon Lee, Harsha Thirumurthy

  • 1Columbia University College of Physicians and Surgeons, UNC Project-China, 60 Haven Ave. Apt 17D, New York, NY, 10032, USA, rrc2126@columbia.edu.

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Microenterprise development programs can reduce sexual risk behaviors, particularly for sex workers, by addressing poverty and gender inequality. Further research is needed to integrate these interventions into comprehensive HIV prevention strategies.

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Area of Science:

  • Public Health
  • Social and Behavioral Sciences
  • HIV/STI Prevention

Background:

  • Comprehensive HIV/STI prevention requires addressing individual and structural determinants.
  • Microenterprise development is a promising approach to tackle poverty and gender inequality, key factors in HIV risk.

Purpose of the Study:

  • To systematically review the impact of microenterprise development interventions on HIV/STI incidence and sexual risk behaviors.
  • To evaluate the effectiveness of microenterprise development in reducing HIV/STI risk.

Main Methods:

  • Systematic review of seven eligible research studies.
  • Interventions focused on developing small business capacity to alleviate poverty.
  • Studies targeted women, with three specifically focusing on sex workers.

Main Results:

  • Three studies involving sex workers demonstrated significant reductions in sexual risk behaviors compared to control groups.
  • Interventions targeting non-sex worker populations showed limited changes in sexual risk behavior.
  • None of the reviewed studies measured biomarker outcomes for HIV/STI incidence.

Conclusions:

  • Microenterprise development shows potential utility as part of HIV risk reduction programs.
  • Effectiveness appears more pronounced in specific populations like sex workers.
  • Further research is essential to optimize the integration of microenterprise development into comprehensive HIV control strategies.