       Document 0305
 DOCN  M9610305
 TI    A randomized controlled trial of an HIV sexual risk-reduction
       intervention for young African-American women.
 DT    9601
 AU    DiClemente RJ; Wingood GM; School of Public Health, Department of Health
       Behavior,; University of Alabama, Birmingham 35294-2010, USA.
 SO    JAMA. 1995 Oct 25;274(16):1271-6. Unique Identifier : AIDSLINE
       MED/96026247
 AB    OBJECTIVE--To evaluate the efficacy of a community-based social skills
       human immunodeficiency virus (HIV) prevention intervention to enhance
       consistent condom use. DESIGN--A randomized, single-blind controlled
       trial. SETTING--Bayview-Hunter's Point neighborhood of San Francisco,
       Calif, a predominantly African-American community that is economically
       disadvantaged. PARTICIPANTS--A sample of 128 sexually active,
       heterosexual, African-American women 18 through 29 years of age was
       recruited using street outreach techniques. Participants completed a
       structured baseline interview; 100 women (78.1%) completed 3-month
       follow-up interviews. INTERVENTION--Women randomized to the social
       skills intervention completed five sessions that emphasized ethnic and
       gender pride, HIV risk-reduction information, sexual self-control,
       sexual assertiveness and communication skills, proper condom use skills,
       and developing partner norms supportive of consistent condom use. Women
       randomized to the HIV education condition participated in a single
       session that provided HIV risk-reduction information. Women randomized
       to the delayed HIV education control condition received no HIV
       risk-reduction information until all follow-up interviews were
       completed. MAIN OUTCOME MEASURES--Consistent condom use, HIV
       risk-reduction knowledge, sexual self-control, sexual assertiveness,
       sexual communication, and partner norms supportive of consistent condom
       use. RESULTS--Compared with the delayed HIV education control condition,
       women in the social skills intervention demonstrated increased
       consistent condom use (adjusted odds ratio [OR], 2.1; 95% confidence
       interval [CI], 1.03 to 4.15; P = .04), greater sexual self-control
       (adjusted OR, 1.9; 95% CI, 1.00 to 3.60; P = .05), greater sexual
       communication (adjusted OR, 4.1; 95% CI, 1.67 to 10.01; P = .002),
       greater sexual assertiveness (adjusted OR, 1.8; 95% CI, 1.01 to 3.27; P
       = .05), and increased partners' adoption of norms supporting consistent
       condom use (adjusted OR, 2.1; 95% CI, 1.08 to 3.87; P = .03). No
       statistically significant differences in outcome variables were observed
       between the HIV education condition relative to the delayed HIV
       education control condition. CONCLUSION--Community-based HIV
       risk-reduction programs that are gender relevant and culturally
       sensitive and provide social skills training can effectively enhance
       consistent condom use.
 DE    Adolescence  Adult  *Blacks  Condoms/*UTILIZATION  Female  Health
       Education  Human  HIV Infections/ETHNOLOGY/*PREVENTION & CONTROL
       Risk-Taking  *Sex Behavior  Single-Blind Method  Socioeconomic Factors
       Support, Non-U.S. Gov't  CLINICAL TRIAL  JOURNAL ARTICLE  RANDOMIZED
       CONTROLLED TRIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

