title: HIV risk reduction intervention among traditionally circumcised young men in South Africa: a cluster randomized control trial.
abstract: The aim of this study was to test a 180-minute group HIV risk-reduction counseling intervention trial with men undergoing traditional circumcision in South Africa to reduce behavioral disinhibition (false security) as a result of the procedure. A cluster randomized controlled trial design was employed using a sample of 160 men, 80 in the experimental group and 80 in the control group. Comparisons between baseline and 3-month follow-up assessments on key behavioral outcomes were completed. We found that behavioral intentions, risk-reduction skills, and male role norms did not change in the experimental compared to the control condition. However, HIV-related stigma beliefs were significantly reduced in both conditions over time. These findings show that one small-group HIV risk-reduction intervention did not reduce sexual risk behaviors in recently traditionally circumcised men at high risk for behavioral disinhibition.
authors.affiliation: Operationsand Implementations Research Unit, HIV/AIDS, STIs, and TB (HAST), Human Sciences Research Council, Pretoria, Africa.
authors.forename: Karl
authors.initials: K
authors.lastname: Peltzer
authors.forename: Leickness
authors.initials: L
authors.lastname: Simbayi
authors.forename: Mercy
authors.initials: M
authors.lastname: Banyini
authors.forename: Queen
authors.initials: Q
authors.lastname: Kekana
mesh_terms: D000293:Adolescent; D000328:Adult; D002944:Circumcision, Male; D015658:HIV Infections / Q000451:nursing* / Q000517:prevention & control*; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009736:Nursing Process; D040242:Risk Reduction Behavior; D013019:South Africa; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D055815:Young Adult