Building protective factors to offset sexually risky behaviors among black youths: a randomized control trial.
OBJECTIVE
To test the effectiveness of the CHAMP among black South Africans in KwaZulu-Natal, South Africa.


METHODS
A randomized control trial was conducted in KwaDedangendlale, South Africa, among youths (ages 9-13) and their families (245 intervention families rearing 281 children and 233 control families rearing 298 children). The CHAMPSA intervention targeted HIV risk behaviors by strengthening family relationship processes as well as targeting peer influences through enhancing social problem solving and peer negotiation skills for youths.


RESULTS
Among caregivers in the control and experimental conditions, significant intervention group differences were revealed regarding HIV transmission knowledge, less stigma toward HIV-infected people, caregiver monitoring-family rules, caregiver communication comfort, caregiver communication frequency and social networks. Among youths, data revealed that control and experimental groups were significantly different for children in AIDS transmission knowledge and less stigma toward HIV-infected people.


CONCLUSIONS
CHAMPSA enhances a significant number individual, family and community protective factors that can help youths avoid risky behaviors leading to HIV-positive status.
Bell
Carl C
CC
Community Mental Health Council Inc., 8704 S. Constance, Chicago, IL 60617, USA. carlcbell@pol.net
Bhana
Arvin
A
Petersen
Inge
I
McKay
Mary M
MM
Gibbons
Robert
R
Bannon
William
W
Amatya
Anup
A
D000293:Adolescent; D000294:Adolescent Behavior; D016497:Adolescent Health Services / Q000706:statistics & numerical data*; D044383:Black People / Q000706:statistics & numerical data*; D002648:Child; D005195:Family Relations; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011314:Preventive Health Services / Q000706:statistics & numerical data; D015397:Program Evaluation / Q000706:statistics & numerical data*; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012944:Social Support; D013019:South Africa