IDEAS home Printed from https://ideas.repec.org/a/aph/ajpbhl/10.2105-ajph.2008.154476_2.html
   My bibliography  Save this article

Pregnancy as a window of opportunity for HIV prevention: Effects of an HIV intervention delivered within prenatal care

Author

Listed:
  • Kershaw, T.S.
  • Magriples, U.
  • Westdahl, C.
  • Rising, S.S.
  • Ickovics, J.

Abstract

Objectives. We sought to determine whether an HIV prevention program bundled with group prenatal care reduced sexually transmitted infection (STI) incidence, repeat pregnancy, sexual risk behavior, and psychosocial risks. Methods. We conducted a randomized controlled trial at 2 prenatal clinics. We assigned pregnant women aged 14 to 25 years (N=1047) to individual care, attention-matched group care, and group care with an integrated HIV component. We conducted structured interviews at baseline (second trimester), third trimester, and 6 and 12 months postpartum. Results. Mean age of participants was 20.4 years; 80% were African American. According to intent-to-treat analyses, women assigned to the HIV-prevention group intervention were significantly less likely to have repeat pregnancy at 6 months postpartum than individual-care and attention-matched controls; they demonstrated increased condom use and decreased unprotected sexual intercourse compared with individual-care and attention-matched controls. Subanalyses showed that being in the HIV-prevention group reduced STI incidence among the subgroup of adolescents. Conclusion. HIV prevention integrated with prenatal care resulted in reduced biological, behavioral, and psychosocial risks for HIV.

Suggested Citation

  • Kershaw, T.S. & Magriples, U. & Westdahl, C. & Rising, S.S. & Ickovics, J., 2009. "Pregnancy as a window of opportunity for HIV prevention: Effects of an HIV intervention delivered within prenatal care," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 2079-2086.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.154476_2
    DOI: 10.2105/AJPH.2008.154476
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.2105/AJPH.2008.154476
    Download Restriction: no
    File URL: https://libkey.io/10.2105/AJPH.2008.154476?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kamila A Alexander & Loretta S Jemmott & Anne M Teitelman & Patricia D'Antonio, 2015. "Addressing sexual health behaviour during emerging adulthood: a critical review of the literature," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(1-2), pages 4-18, January.
    2. Shayna D. Cunningham & Ryan A. Sutherland & Chloe W. Yee & Jordan L. Thomas & Joan K. Monin & Jeannette R. Ickovics & Jessica B. Lewis, 2021. "Group Medical Care: A Systematic Review of Health Service Performance," IJERPH, MDPI, vol. 18(23), pages 1-19, December.
    3. Jordan L. Thomas & Jessica B. Lewis & Jeannette R. Ickovics & Shayna D. Cunningham, 2021. "Associations between Adverse Childhood Experiences and Sexual Risk among Postpartum Women," IJERPH, MDPI, vol. 18(7), pages 1-10, April.
    4. Mariano Kanamori & Mario De La Rosa & Stephanie Diez & Jessica Weissman & Mary Jo Trepka & Alicia Sneij & Peter Schmidt & Patria Rojas, 2016. "A Brief Report: Lessons Learned and Preliminary Findings of Progreso en Salud, an HIV Risk Reduction Intervention for Latina Seasonal Farmworkers," IJERPH, MDPI, vol. 14(1), pages 1-16, December.
    5. Jessica Harding & Jean Knab & Susan Zief & Kevin Kelly & Diana McCallum, "undated". "A Systematic Review of Programs to Promote Aspects of Teen Parents’ Self-Sufficiency: Supporting Educational Outcomes and Healthy Birth Spacing," Mathematica Policy Research Reports 05e656f1b4a54dae83654795b, Mathematica Policy Research.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.154476_2. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Christopher F Baum (email available below). General contact details of provider: https://www.apha.org .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.