Effectiveness of a risk reduction intervention among African American women who use crack cocaine.
The primary objective of this study was to evaluate the effectiveness of an HIV intervention for African American women who use crack cocaine. Two hundred sixty-five women (aged 18-59 years) were randomly assigned to one of two enhanced intervention conditions or to the National Institute on Drug Abuse standard condition. A substantial proportion of women reported no past 30-day crack use at 6-month follow-up (100%-61%, p < .001). Significant (P < .05) decreases in the frequency of crack use; the number of paying partners; the number of times vaginal, oral, or anal sex was had with a paying partner; and sexual risks, such as trading sex for drugs, were reported over time. Significant (p < .05) increases in male condom use with sex partners were observed, as well as decreases in casual partners' refusal of condoms. Findings suggest that combined components of our culturally appropriate, gender-tailored intervention may be most effective at enhancing preventive behavior among similar populations.
Sterk
Claire E
CE
Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. csterk@sph.emory.edu
Theall
Katherine P
KP
Elifson
Kirk W
KW
D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000193:education*; D019970:Cocaine-Related Disorders / Q000208:ethnology*; D015897:Comorbidity; D016578:Crack Cocaine; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D006266:Health Education / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D015999:Multivariate Analysis; D012044:Regression Analysis; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D021841:Safe Sex; D011477:Sex Work; D012725:Sexual Behavior / Q000706:statistics & numerical data; D016896:Treatment Outcome
D016578:Crack Cocaine