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- Title
Outcomes of a Randomized Community-Level HIV Prevention Intervention for Women Living in 18 Low-Income Housing Developments.
- Authors
Sikkema, Kathleen J.; Kelly, Jeffrey A.; Winett, Richard A.; Solomon, Laura J.; Cargill, Victoria A.; Roffman, Roger A.; McAuliffe, Timothy L.; Heckman, Timothy G.; Anderson, Eileen A.; Wagstaff, David A.; Norman, Ann D.; Perry, Melissa J.; Crumble, Denise A.; Mercer, Mary Beth
- Abstract
Objectives. Women in impoverished inner-city neighborhoods are at high risk for contracting HIV. A randomized, multisite community-level HIV prevention trial was undertaken with women living in 18 low-income housing developments in 5 US cities. Methods. Baseline and 12-month follow-up population risk characteristics were assessed by surveying 690 women at both time points. In the 9 intervention condition housing developments, a community-level intervention was undertaken that included HIV risk reduction workshops and community HIV prevention events implemented by women who were popular opinion leaders among their peers. Results: The proportion of women in the intervention developments who had any unprotected intercourse in the past 2 months declined from 50% to 37.6%, and the percentage of women's acts of intercourse protected by condoms increased from 30.2% to 47.2%. Among women exposed to intervention activities, the mean frequency of unprotected acts of intercourse in the past 2 months tended to be lower at follow-up (mean = 4.0) than at baseline (mean = 6.0). These changes were corroborated by changes in other risk indicators. Conclusions. Community-level interventions that involve and engage women in neighborhood-based HIV prevention activities can bring about reductions in high-risk sexual behaviors. (Am J Public Health 2000;90: 57-63)
- Subjects
AIDS prevention; HIV-positive women; WOMEN'S sexual behavior; POOR women; HOUSING development; INFECTIOUS disease transmission; AMERICAN women
- Publication
American Journal of Public Health, 2000, Vol 90, Issue 1, p57
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.90.1.57