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Color It Real: A Program to Increase Condom Use and Reduce Substance Abuse and Perceived Stress

Author

Listed:
  • Tiffany Zellner

    (Department of Community Health and Preventive Medicine, Morehouse School of Medicine Prevention Research Center, 720 Westview Drive SW, Atlanta, GA 30310, USA)

  • Jennie Trotter

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • Shelia Lenoir

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • Kelvin Walston

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • L’dia Men-Na’a

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • Tabia Henry-Akintobi

    (Department of Community Health and Preventive Medicine, Morehouse School of Medicine Prevention Research Center, 720 Westview Drive SW, Atlanta, GA 30310, USA)

  • Assia Miller

    (McKing Consulting Corporation, 2900 Chamblee Tucker Road, Building 10, Suite 100, Atlanta, GA 30341, USA)

Abstract

Few interventions have targeted perceived stress as a co-occurring construct central to substance use and subsequent HIV/AIDS risk reduction among African American urban young adults. The Color It Real Program was a seven session, weekly administered age-specific and culturally-tailored intervention designed to provide substance abuse and HIV education and reduce perceived stress among African Americans ages 18 to 24 in Atlanta, GA. Effectiveness was assessed through a quasi-experimental study design that consisted of intervention ( n = 122) and comparison ( n = 70) groups completing a pre- and post-intervention survey. A series of Analysis of Variance (ANOVA) tests were used to assess pre- to post-intervention changes between study groups. For intervention participants, perceived stress levels were significantly reduced by the end of the intervention ( t (70) = 2.38, p = 0.020), condom use at last sexual encounter significantly increased ( F = 4.43, p = 0.0360), intervention participants were significantly less likely to drink five or more alcoholic drinks in one sitting ( F = 5.10, p = 0.0245), and to use clean needles when injecting the drug ( F = 36.99, p = 0.0001). This study is among the first of its kind to incorporate stress management as an integral approach to HIV/SA prevention. The program has implications for the design of other community-based, holistic approaches to addressing substance use and risky behaviors for young adults.

Suggested Citation

  • Tiffany Zellner & Jennie Trotter & Shelia Lenoir & Kelvin Walston & L’dia Men-Na’a & Tabia Henry-Akintobi & Assia Miller, 2015. "Color It Real: A Program to Increase Condom Use and Reduce Substance Abuse and Perceived Stress," IJERPH, MDPI, vol. 13(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:13:y:2015:i:1:p:51-:d:61002
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    References listed on IDEAS

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    1. Wyatt, G.E., 2009. "Enhancing cultural and contextual intervention strategies to reduce HIV/AIDS among African Americans," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1941-1945.
    2. Gee, G.C., 2002. "A multilevel analysis of the relationship between institutional and individual racial discrimination and health status," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 615-623.
    3. Peterson, J.L. & Jones, K.T., 2009. "HIV prevention for black men who have sex with men in the United States," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 976-980.
    4. El-Bassel, N. & Caldeira, N.A. & Ruglass, L.M. & Gilbert, L., 2009. "Addressing the unique needs of African American women in HIV prevention," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 996-1001.
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