title: The effects of HIV/AIDS intervention groups for high-risk women in urban clinics.
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.
authors.affiliation: Department of Psychiatry and Mental Health Sciences, Medical College of Wisconsin, Milwaukee 53226.
authors.forename: J A
authors.initials: JA
authors.lastname: Kelly
authors.forename: D A
authors.initials: DA
authors.lastname: Murphy
authors.forename: C D
authors.initials: CD
authors.lastname: Washington
authors.forename: T S
authors.initials: TS
authors.lastname: Wilson
authors.forename: J J
authors.initials: JJ
authors.lastname: Koob
authors.forename: D R
authors.initials: DR
authors.lastname: Davis
authors.forename: G
authors.initials: G
authors.lastname: Ledezma
authors.forename: B
authors.initials: B
authors.lastname: Davantes
mesh_terms: D000293:Adolescent; D000328:Adult; D003151:Community Health Centers; D017280:Condoms; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D012307:Risk Factors; D012725:Sexual Behavior; D014504:Urban Health