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- Document 0305
- DOCN M9610305
- TI A randomized controlled trial of an HIV sexual risk-reduction
- intervention for young African-American women.
- DT 9601
- AU DiClemente RJ; Wingood GM; School of Public Health, Department of Health
- Behavior,; University of Alabama, Birmingham 35294-2010, USA.
- SO JAMA. 1995 Oct 25;274(16):1271-6. Unique Identifier : AIDSLINE
- MED/96026247
- AB OBJECTIVE--To evaluate the efficacy of a community-based social skills
- human immunodeficiency virus (HIV) prevention intervention to enhance
- consistent condom use. DESIGN--A randomized, single-blind controlled
- trial. SETTING--Bayview-Hunter's Point neighborhood of San Francisco,
- Calif, a predominantly African-American community that is economically
- disadvantaged. PARTICIPANTS--A sample of 128 sexually active,
- heterosexual, African-American women 18 through 29 years of age was
- recruited using street outreach techniques. Participants completed a
- structured baseline interview; 100 women (78.1%) completed 3-month
- follow-up interviews. INTERVENTION--Women randomized to the social
- skills intervention completed five sessions that emphasized ethnic and
- gender pride, HIV risk-reduction information, sexual self-control,
- sexual assertiveness and communication skills, proper condom use skills,
- and developing partner norms supportive of consistent condom use. Women
- randomized to the HIV education condition participated in a single
- session that provided HIV risk-reduction information. Women randomized
- to the delayed HIV education control condition received no HIV
- risk-reduction information until all follow-up interviews were
- completed. MAIN OUTCOME MEASURES--Consistent condom use, HIV
- risk-reduction knowledge, sexual self-control, sexual assertiveness,
- sexual communication, and partner norms supportive of consistent condom
- use. RESULTS--Compared with the delayed HIV education control condition,
- women in the social skills intervention demonstrated increased
- consistent condom use (adjusted odds ratio [OR], 2.1; 95% confidence
- interval [CI], 1.03 to 4.15; P = .04), greater sexual self-control
- (adjusted OR, 1.9; 95% CI, 1.00 to 3.60; P = .05), greater sexual
- communication (adjusted OR, 4.1; 95% CI, 1.67 to 10.01; P = .002),
- greater sexual assertiveness (adjusted OR, 1.8; 95% CI, 1.01 to 3.27; P
- = .05), and increased partners' adoption of norms supporting consistent
- condom use (adjusted OR, 2.1; 95% CI, 1.08 to 3.87; P = .03). No
- statistically significant differences in outcome variables were observed
- between the HIV education condition relative to the delayed HIV
- education control condition. CONCLUSION--Community-based HIV
- risk-reduction programs that are gender relevant and culturally
- sensitive and provide social skills training can effectively enhance
- consistent condom use.
- DE Adolescence Adult *Blacks Condoms/*UTILIZATION Female Health
- Education Human HIV Infections/ETHNOLOGY/*PREVENTION & CONTROL
- Risk-Taking *Sex Behavior Single-Blind Method Socioeconomic Factors
- Support, Non-U.S. Gov't CLINICAL TRIAL JOURNAL ARTICLE RANDOMIZED
- CONTROLLED TRIAL
-
- SOURCE: National Library of Medicine. NOTICE: This material may be
- protected by Copyright Law (Title 17, U.S.Code).
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-