title: Evaluation of an HIV prevention intervention for African Americans and Hispanics: findings from the VOICES/VOCES Community-based Organization Behavioral Outcomes Project.
abstract: There is limited knowledge about whether the delivery of evidence-based, HIV prevention interventions in 'real world' settings will produce outcomes similar to efficacy trial outcomes. In this study, we describe longitudinal changes in sexual risk outcomes among African American and Hispanic participants in the Video Opportunities for Innovative Condom Education and Safer Sex (VOICES/VOCES) program at four CDC-funded agencies. VOICES/VOCES was delivered to 922 high-risk individuals in a variety of community settings such as substance abuse treatment centers, housing complex centers, private residences, shelters, clinics, and colleges. Significant risk reductions were consistently observed at 30- and 120-days post-intervention for all outcome measures (e.g., unprotected sex, self-reported STD infection). Risk reductions were strongest for African American participants, although Hispanic participants also reported reducing their risky behaviors. These results suggest that, over a decade after the first diffusion of VOICES/VOCES across the U.S. by CDC, this intervention remains an effective tool for reducing HIV risk behaviors among high-risk African American and Hispanic individuals.
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA 30333, USA. hfisher@cdc.gov
authors.forename: Holly H
authors.initials: HH
authors.lastname: Fisher
authors.forename: A
authors.initials: A
authors.lastname: Patel-Larson
authors.forename: K
authors.initials: K
authors.lastname: Green
authors.forename: E
authors.initials: E
authors.lastname: Shapatava
authors.forename: G
authors.initials: G
authors.lastname: Uhl
authors.forename: E J
authors.initials: EJ
authors.lastname: Kalayil
authors.forename: A
authors.initials: A
authors.lastname: Moore
authors.forename: W
authors.initials: W
authors.lastname: Williams
authors.forename: B
authors.initials: B
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000193:education; D017677:Age Distribution; D002487:Centers for Disease Control and Prevention, U.S.; D055812:Community-Based Participatory Research; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006630:Hispanic or Latino / Q000193:education; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D017678:Sex Distribution; D012736:Sex Education / Q000379:methods*; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D012959:Socioeconomic Factors; D014481:United States; D014743:Videotape Recording; D055815:Young Adult