title: Condom use promotion among isiXhosa speaking women living with HIV in the Western Cape Province, South Africa: a pilot study.
abstract: The prevalence of HIV infection continues to increase among women in South Africa while there are few interventions specifically targeting condom use promotion in this population. We report the results of an experimental pilot study of a health education intervention aimed at enhancing coping skills and consistent condom use among HIV-positive women attending primary health clinics in the Western Cape province of South Africa. One hundred and twenty women were randomised into the intervention condition or a control condition. Both groups completed an interviewer administered questionnaire that included measures of self-esteem, attitude towards condom use, and self-efficacy towards condom use and negotiating condom use, and provided vaginal swab specimen at baseline and three months after the intervention. Tests for intervention effects at three months while controlling for baseline revealed that only self-esteem was significantly higher in the intervention group relative to the control group. No significant differences were found on measures of coping skills and condom use behaviour. Importantly, incidence for Chlamydia Trachomatis, Neisseria Gonorrhea and Trichomona vaginalis during the study period were significantly lower in the intervention group than the control group. These results are strong indications that this intervention could serve as a basis for the development of potentially effective interventions to reduce STI-related sexual risk behaviours among HIV-positive black women in South Africa.
authors.affiliation: Health Promotion Research and Development, Medical Research Council, South Africa. dorina.saleh@mrc.ac.za
authors.forename: Dorina
authors.initials: D
authors.lastname: Saleh-Onoya
authors.forename: Priscilla S
authors.initials: PS
authors.lastname: Reddy
authors.forename: Robert A C
authors.initials: RA
authors.lastname: Ruiter
authors.forename: Sibusiso
authors.initials: S
authors.lastname: Sifunda
authors.forename: Gina
authors.initials: G
authors.lastname: Wingood
authors.forename: Bart
authors.initials: B
authors.lastname: van den Borne
mesh_terms: D000293:Adolescent; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015528:HIV Seroprevalence; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D020377:Self Efficacy; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control* / Q000523:psychology; D013019:South Africa / Q000453:epidemiology / Q000208:ethnology; D011795:Surveys and Questionnaires; D055815:Young Adult