title: The impact of a situationally focused individual human immunodeficiency virus/sexually transmitted disease risk-reduction intervention on risk behavior in a 1-year cohort of Nigerian military personnel.
abstract: Human immunodeficiency virus (HIV) and sexually transmitted disease (STD)-related risks in peacekeeping troops is a concern when they are stationed in areas of high HIV prevalence. We carried out an assessment of a situationally focused individual HIV/STD reduction intervention (where avoidance of risk situations, as well as risk behaviors, are emphasized) in one Nigerian military unit (N = 1,222), with a comparable unit from the same service as a waiting list control (N = 987). The intervention consisted of a possible five modules that were presented to groups of up to 50 personnel. Data were collected on reported sexual behaviors, condom beliefs, sexual risk behaviors with casual partners, and number of interventions attended. Data indicated significant increases in reported condom use with casual partners and positive condom beliefs at 6- and 12-month follow-up. Risk behavior was reduced 30% from baseline at 6 months and 23% from baseline at 12 months. There was also a significant dose-response effect for number of interventions attended. These data suggest that relatively brief situationally focused individual interventions are effective in military and West African contexts in reducing HIV/STD risk behaviors.
authors.affiliation: WHO Center for Health Promotion and Prevention Research, School of Public Health, University of Texas, P.O. Box 20036, Houston, TX 77225, USA. Michael.W.Ross@uth.tmc.edu
authors.forename: Michael W
authors.initials: MW
authors.lastname: Ross
authors.forename: E James
authors.initials: EJ
authors.lastname: Essien
authors.forename: Ernest
authors.initials: E
authors.lastname: Ekong
authors.forename: T Monique
authors.initials: TM
authors.lastname: James
authors.forename: Charles
authors.initials: C
authors.lastname: Amos
authors.forename: Gbadebo O
authors.initials: GO
authors.lastname: Ogungbade
authors.forename: Mark L
authors.initials: ML
authors.lastname: Williams
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006302:Health Services Research; D006801:Humans; D008297:Male; D008875:Middle Aged; D008887:Military Medicine; D008889:Military Personnel / Q000193:education* / Q000523:psychology; D009549:Nigeria; D015397:Program Evaluation; D018570:Risk Assessment; D012307:Risk Factors; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D011795:Surveys and Questionnaires