The effects of HIV/AIDS intervention groups for high-risk women in urban clinics
J A Kelly, D A Murphy, C D Washington, T S Wilson, J J Koob, D R Davis, G Ledezma, B Davantes, J A Kelly, D A Murphy, C D Washington, T S Wilson, J J Koob, D R Davis, G Ledezma, B Davantes
Abstract
Objective: This study reports the results of a behavior change intervention offered to women at high risk for human immunodeficiency virus (HIV) infection seen in an urban primary health care clinic.
Methods: Participants were 197 women randomly assigned to either an HIV/acquired immunodeficiency syndrome (AIDS) risk reduction group or a comparison group. Women in the HIV/AIDS intervention group attended five group sessions focusing on risk education; skills training in condom use, sexual assertiveness, problem solving, and risk trigger self-management; and peer support for change efforts. Women in the comparison group attended sessions on health topics unrelated to AIDS.
Results: At the 3-month follow-up, women in the HIV/AIDS intervention group had increased in sexual communication and negotiation skills. Unprotected sexual intercourse had declined significantly and condom use had increased from 26% to 56% of all intercourse occasions. Women in the comparison group showed no change.
Conclusions: Socially disadvantaged women can be assisted in reducing their risk of contracting HIV infection. Risk reduction behavior change interventions should be offered routinely in primary health care clinics serving low-income and high-risk patients.
References
- N Engl J Med. 1988 Jan 28;318(4):197-203
- Int J Epidemiol. 1992 Oct;21(5):837-41
- Am Psychol. 1988 Nov;43(11):949-57
- J Consult Clin Psychol. 1989 Feb;57(1):60-7
- AIDS. 1989 Jan;3(1):21-6
- Health Educ Q. 1990 Spring;17(1):53-72
- J Behav Ther Exp Psychiatry. 1989 Sep;20(3):227-34
- JAMA. 1991 Sep 4;266(9):1237-41
- AIDS Educ Prev. 1991 Fall;3(3):207-14
- Am J Public Health. 1992 Mar;82(3):372-7
- Obstet Gynecol. 1992 Apr;79(4):503-10
- Health Psychol. 1992;11(1):1-16
- South Med J. 1992 May;85(5):460-3
- Psychol Bull. 1992 May;111(3):455-74
- Sex Transm Dis. 1992 Jul-Aug;19(4):235-41
- JAMA. 1992 Dec 16;268(23):3338-43
- Am J Epidemiol. 1988 Oct;128(4):719-28
Source: PubMed