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Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments

Author

Listed:
  • Sikkema, K.J.
  • Kelly, J.A.
  • Winett, R.A.
  • Solomon, L.J.
  • Cargill, V.A.
  • Roffman, R.A.
  • McAuliffe, T.L.
  • Heckman, T.G.
  • Anderson, E.A.
  • Wagstaff, D.A.
  • Norman, A.D.
  • Perry, M.J.
  • Crumble, D.A.
  • Mercer, M.B.

Abstract

Objectives. Women 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.

Suggested Citation

  • Sikkema, K.J. & Kelly, J.A. & Winett, R.A. & Solomon, L.J. & Cargill, V.A. & Roffman, R.A. & McAuliffe, T.L. & Heckman, T.G. & Anderson, E.A. & Wagstaff, D.A. & Norman, A.D. & Perry, M.J. & Crumble, D, 2000. "Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments," American Journal of Public Health, American Public Health Association, vol. 90(1), pages 57-63.
    • Handle: RePEc:aph:ajpbhl:2000:90:1:57-63_0
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    Cited by:

    1. Josephine Agu & Roanna Lobo & Gemma Crawford & Bethwyn Chigwada, 2016. "Migrant Sexual Health Help-Seeking and Experiences of Stigmatization and Discrimination in Perth, Western Australia: Exploring Barriers and Enablers," IJERPH, MDPI, vol. 13(5), pages 1-22, May.
    2. Antoine Marsaudon & Josselin Thuilliez, 2016. "Does democracy reduce the HIV epidemic? Evidence from Kenya," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-01400833, HAL.
    3. Voisin, Dexter R. & King, Kelly M. & Diclemente, Ralph J. & Carry, Monique, 2014. "Correlates of gang involvement and health-related factors among African American females with a detention history," Children and Youth Services Review, Elsevier, vol. 44(C), pages 120-125.
    4. Alex Chin & Dean Eckles & Johan Ugander, 2022. "Evaluating Stochastic Seeding Strategies in Networks," Management Science, INFORMS, vol. 68(3), pages 1714-1736, March.
    5. Kathleen J. Sikkema, 2005. "HIV Prevention among Women in Low-Income Housing Developments: Issues and Intervention Outcomes in a Place-Based Randomized Controlled Trial," The ANNALS of the American Academy of Political and Social Science, , vol. 599(1), pages 52-70, May.
    6. Hill, L.M. & Moody, J. & Gottfredson, N.C. & Kajula, L.J. & Pence, B.W. & Go, V.F. & Maman, S., 2018. "Peer norms moderate the association between mental health and sexual risk behaviors among young men living in Dar es Salaam, Tanzania," Social Science & Medicine, Elsevier, vol. 196(C), pages 77-85.
    7. Crittenden, Kathleen S. & Kaponda, Chrissie P.N. & Jere, Diana L. & McCreary, Linda L. & Norr, Kathleen F., 2015. "Participation and diffusion effects of a peer-intervention for HIV prevention among adults in rural Malawi," Social Science & Medicine, Elsevier, vol. 133(C), pages 136-144.
    8. Crooks, Natasha & Sun, Shufang & Wise, Akilah & DiClemente, Ralph & Sales, Jessica McDermott, 2023. "Do parental protective factors matter? Predicting HIV/STI risk among a sample of justice-involved African-American girls," Children and Youth Services Review, Elsevier, vol. 149(C).
    9. Mertens, Frédéric & Saint-Charles, Johanne & Mergler, Donna, 2012. "Social communication network analysis of the role of participatory research in the adoption of new fish consumption behaviors," Social Science & Medicine, Elsevier, vol. 75(4), pages 643-650.

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