A community-level HIV prevention intervention for inner-city women: results of the women and infants demonstration projects

Abstract

A B S T R A C TObjectives. This study examined the effects of a multisite communitylevel HIV prevention intervention on women's condom-use behaviors.Methods. The theory-based behavioral intervention was implemented with low-income, primarily African American women in 4 urban communities. It was evaluated with data from pre-and postintervention cross-sectional surveys in matched intervention and comparison communities.Results. At baseline, 68% of the women had no intention of using condoms with their main partners and 70% were not using condoms consistently with other partners. After 2 years of intervention activities, increases in rates of talking with main partners about condoms were significantly larger in intervention communities than in comparison communities (P = .03). Intervention communities also had significant increases in the proportion of women who had tried to get their main partners to use condoms (P = .01). The trends for condom use with other partners were similar but nonsignificant.Conclusions. Many women at risk for HIV infection are still not using condoms. Community-level interventions may be an effective way to reach large numbers of women and change their condom-use behaviors, particularly their behaviors with regard to communication with main sex partners. (Am J Public Health. 2000;90: 216-222) Jennifer L. Lauby, PhD, Philip J. Smith, PhD, Michael Stark, PhD, Bobbie Person, MPH, and Janet Adams, PhD A Community-Level HIV Prevention Intervention for Inner-City Women: Results of the Women and Infants Demonstration Projects AIDS cases are currently increasing faster among women than among men in the United States.1,2 In 1997, 22% of all reported adult cases of AIDS were in women; of these, 60% were in African American women.

Adapting an Evidence-Based Intervention for Homeless Women: Engaging the Community in Shared Decision-making

“…During the first meeting, four interventions were dropped: PROMISE, 34 Future is Ours, 46 Real AIDS Prevention Project, 47 and VOICES. 48 Reasons for these exclusions included being too general or having elements that were difficult to adapt, 34 being too long, 46 being too difficult to sustain and including male partners, 47 and issues regarding reliability of intervention materials and depth of skill acquisition. 48 Two interventions were retained: RESPECT 49 and Sister-to-Sister (STS).…”

The HIV Risk Reduction Needs of Homeless Women in Los Angeles

“…In addition to hope for the future, homeless women need partner negotiation self-efficacy skills to reduce risky sexual activity. Women may prefer that these interventions be delivered by those perceived to be most like them (e.g., women who have “been through it” and/or women who are HIV positive), such as Community PROMISE (CDC AIDS Community Demonstration Projects Research Group, 1999), Real AIDS Prevention Project Lauby, Smith, Stark, Person, & Adams (2000), and Sistas Informing Sistas about Topics on AIDS (DiClemente & Wingood, 1995). …”

Factors associated with condom use among young adult ecstasy users

“…First, we found that people who were involved in a relationship with someone used condoms less often than those who were not similarly involved. Other researchers as well have reported that condom use tends to be less consistent among persons who are “involved” than it is among those who are not (Lauby et al 2000; Thomas et al 1999). Usually, this practice of not using condoms on a consistent basis is attributed to feelings of health-related safety and trust among persons in relationships, and to a lesser extent to the desire to conceive a child among some couples.…”