A mixed methods evaluation of the effect of the protect and respect intervention on the condom use and disclosure practices of women living with HIV/AIDS.
This mixed methods study evaluated the efficacy of an intervention to increase HIV status disclosure and condom use among 184 women living with HIV/AIDS (WLH/A). Participants were recruited from an HIV clinic and randomly assigned to: (1) a comparison group, who received brief messages from their health care providers (HCPs), or; (2) an intervention group, who received messages from HCPs, a group-level intervention, and peer-led support groups. Participants completed risk surveys at baseline, 6-, 12-, and 18-months. Quantitative analyses using hierarchical generalized linear models within a repeated measures framework indicated that intervention participants had significantly higher odds of reporting condom use with sexual partners in months 6 and 18. Grounded Theory-based qualitative analyses suggested that the opportunity to discuss the social context of their lives in addition to HIV/AIDS, including continued stigma and fear related to disclosure, are also essential components of a prevention strategy for WLH/A.
Drexel University School of Public Health, 1505 Race Street, Philadelphia, PA 19102, USA. mteti@drexel.edu
Michelle
M
Teti
Lisa
L
Bowleg
Russell
R
Cole
Linda
L
Lloyd
Susan
S
Rubinstein
Susan
S
Spencer
Erika
E
Aaron
Ann
A
Ricksecker
Zekarias
Z
Berhane
Marla
M
Gold
D000328:Adult; D044383:Black People; D017280:Condoms / Q000706:statistics & numerical data*; D003376:Counseling / Q000379:methods; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology / Q000517:prevention & control* / Q000635:transmission; D006266:Health Education / Q000379:methods; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation / Q000379:methods*; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D014342:Truth Disclosure; D047568:Unsafe Sex / Q000517:prevention & control; D016387:Women's Health