title: A community-level HIV prevention intervention for inner-city women: results of the women and infants demonstration projects.
abstract: OBJECTIVE
  This study examined the effects of a multisite community-level 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.
authors.affiliation: Philadelphia Health Management Corporation, PA 19102, USA. jennifer@phmc.org
authors.forename: J L
authors.initials: JL
authors.lastname: Lauby
authors.forename: P J
authors.initials: PJ
authors.lastname: Smith
authors.forename: M
authors.initials: M
authors.lastname: Stark
authors.forename: B
authors.initials: B
authors.lastname: Person
authors.forename: J
authors.initials: J
authors.lastname: Adams
mesh_terms: D000328:Adult; D001741:Black or African American; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education; D006801:Humans; D010414:Pennsylvania; D011203:Poverty; D012307:Risk Factors; D012725:Sexual Behavior; D014504:Urban Health