Women, sex, and HIV: Social and contextual factors, meta-analysis of published interventions, and implications for practice and research.

Logan, TK; Cole, Jennifer; Leukefeld, Carl G.

doi:10.1037/0033-2909.128.6.851

Cited by 279 publications

(322 citation statements)

References 400 publications

(620 reference statements)

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“…The average effect size for obesity prevention programs (r = .04) is also similar to the average effect size observed for prevention programs for other public health problems, such as smoking (r = .07; Hwang, Yeagley, & Petosa, 2004), substance abuse (r = .05; Tobler et al, 2000), HIV (r = .05; Logan et al, 2002), and eating disorders (r = .12; Stice & Shaw, 2004). This broader pattern of modest average returns for prevention programs aimed at a variety of health behaviors implies that most prevention programs are only minimally effective in reducing maladaptive health behaviors.…”

Section: Summary Of Effect Sizessupporting

confidence: 62%

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Stice¹,

Shaw²,

Marti³

2006

Psychological Bulletin

573

571

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This meta-analytic review summarizes obesity prevention programs and their effects and investigates participant, intervention, delivery, and design features associated with larger effects. A literature search identified 64 prevention programs seeking to produce weight gain prevention effects, of which 21% produced significant prevention effects that were typically pre to post effects. Larger effects emerged for programs targeting children and adolescents (versus preadolescents) and females, programs that were relatively brief, programs solely targeting weight control versus other health behaviors (e.g., smoking), programs evaluated in pilot trials, and programs wherein participants must self-select into the intervention. Other factors, including mandated improvements in diet and exercise, sedentary behavior reduction, delivery by trained interventionists, and parental involvement, were not associated with significantly larger effects. A Meta-Analytic Review of Obesity Prevention Programs for Children and Adolescents: The Skinny on Interventions that WorkObesity in adulthood results in an increased risk for future death from all causes, coronary heart disease, atherosclerotic cerebrovascular disease, and colorectal cancer, as well as serious medical problems, including hyperlipidemia, hypertension, gallbladder disease, and diabetes mellitus (Calle, Thun, Petrelli, Rodriguez, & Heath, 1999). Obesity in childhood and adolescence is also associated with serious medical problems, including high blood pressure, adverse lipoprotein profiles, diabetes mellitus, atherosclerotic cerebrovascular disease, coronary heart disease, colorectal cancer, and death from all causes, as well as lower educational attainment and poverty (Dietz, 1998). The prevalence of obesity has increased sharply over the last three decades; currently 65% of adults are classified as overweight or obese (Hedley et al., 2004). The prevalence of obesity has risen even more sharply among adolescents and young adults (Hedley et al., 2004), which is alarming because obesity persists into adulthood for 70% of obese adolescents (Magarey, Daniels, Boulton, & Cockington, 2003). Obesity also carries a high fiscal cost; roughly $100 billion per year is spent on obesityrelated health care (Wolf, 1998).Unfortunately, successful treatments for obesity have been elusive. For adults, the current treatment of choice only results in about a 10% reduction in body weight and virtually all patients regain this weight within a few years of treatment . Obesity treatments for children and adolescents have yielded similar effects, though behavioral familybased interventions have produced more persistent weight loss effects (Epstein, Valoski, Wing, Correspondence should be addressed to Eric Stice, who is currently at Oregon Research Institute, 1715 Franklin Blvd., Eugene, Oregon, 97403. Email: estice@ori.org. Eric Stice, Heather Shaw, Department of Psychology, University of Texas at Austin. C. Nathan Marti, Department of Educational Administration, University of Tex...

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Section: Summary Of Effect Sizessupporting

confidence: 62%

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Stice¹,

Shaw²,

Marti³

2006

Psychological Bulletin

573

571

View full text Add to dashboard Cite

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“…52,53 Among poor or druginvolved women, safer sex concerns are likely to fall far below pressing survival priorities. 10,15,54 Thus, the development of interventions that impact the risk environment of drug-involved women and increase economic opportunity and independence are needed. 55 Race/ethnicity was not significantly associated with differences in unprotected sex.…”

Section: Discussionmentioning

confidence: 99%

“…Given the established link between drug and alcohol use and increased risk for HIV transmission, 9,15 women with substance use disorders are a particularly vulnerable population. The social and economic context in which alcohol and drugs are used also increases sexual risk.…”

Section: Introductionmentioning

confidence: 99%

“…Previous research showing that increases in power are associated with safer sexual behaviors led the authors to hypothesize that the SRPS subscales will each be inversely associated with sexual risk, that is higher scores on relationship control and decision-making dominance subscales would be associated with fewer unprotected sexual occasions. Additional factors associated with increased sexual HIV risk, including age and race/ethnicity, 29 economic dependence, [15][16][17] condom use intention, 30,31 sexual concurrency, [32][33][34] and partner abuse, [35][36][37][38] were included in the analytic model to assess the unique contribution relationship power has on unprotected sex. Findings contribute to the understanding of how multidimensional heterosexual power dynamics influence unprotected sexual behavior with particular attention to a subpopulation of women who may be at higher risk for HIV transmission.…”

Section: Introductionmentioning

confidence: 99%

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Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

et al. 2009

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Relationship power has been highlighted as a major factor influencing women's safer sex practices. Little research, however, has specifically examined relationship power in drug-involved women, a population with increased risk for HIV transmission. Using baseline data from a National Institute on Drug Abuse Clinical Trials Network multisite trial of a women's HIV prevention intervention in communitybased drug treatment programs, this paper examined the association between sexual relationship power and unprotected vaginal or anal sex. The Sexual Relationship Power Scale, a measure of relationship control and decision-making dominance, was used to assess the association between power and unprotected sex in relationships with primary male partners. It was hypothesized that increased relationship power would be associated with decreased unprotected sexual occasions, after controlling for relevant empirical and theoretical covariates. Findings show a more complex picture of the association between power and sexual risk in this population, with a main effect in the hypothesized direction for decision-making dominance but not for relationship control. Possible explanations for these findings are discussed, and future research directions for examining power constructs and developing interventions targeting relationship power among drug-involved women are suggested.

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“…Some women are reluctant to insist on using a condom for fear that their partner will get angry [55] or will interpret this insistence as an accusation of infidelity [12]. As a result, these women avoid the negotiation to prevent conflicts that threaten the future of their relationship [56]. Thus, lack of control in the sexual domain appears to be a key determinant in condom use, and hence in exposure to HIV infection [6,57].…”

Section: Men's Control Over Womenmentioning

confidence: 99%

Using Participatory Research to Work With Women from Ethnic Minorities at Risk for HIV Living In Industrialized Countries

Beaulieu¹

2016

J HIV Clin Sci Res

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The purpose of this paper is to demonstrate the utility of participatory approaches for working with ethnic minority women at risk of contracting HIV living in industrialized countries. The literature suggests that these women's sexual risk behaviors should be analyzed taking into account in the social context that reduces their power to negotiate condom use. In this paper, we argue that because participatory approaches promote the empowerment of vulnerable populations, they offer a promising alternative for HIV prevention in women from ethnic minorities. Hence, interventions targeting these women in high income countries should aim to help them gain control over their relationships, lessen their dependence on men, and enable them to negotiate condom use.

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Women, sex, and HIV: Social and contextual factors, meta-analysis of published interventions, and implications for practice and research.

Cited by 279 publications

References 400 publications

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

A meta-analytic review of obesity prevention programs for children and adolescents: The skinny on interventions that work.

Relationship Power and Sexual Risk among Women in Community-Based Substance Abuse Treatment

Using Participatory Research to Work With Women from Ethnic Minorities at Risk for HIV Living In Industrialized Countries

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