title: Promoting Female Condom Use Among Female University Students in KwaZulu-Natal, South Africa: Results of a Randomized Behavioral Trial.
abstract: Relatively few interventions have tested the efficacy of female condom promotion either alone or in combination with other barrier methods. We evaluated the efficacy of a two-session (enhanced) cognitive-behavioral intervention (EI) (n = 147) against a one-session control (minimal) educational intervention (MI) (n = 149) to promote female condom (FC) use among female students aged 18-28 at a South African university. We assessed change from baseline to 2.5 and 5 months in number of vaginal intercourse occasions unprotected by male or female condoms in EI versus MI using generalized linear models with a log link function and GEE. Both groups reported significant reductions in number of unprotected vaginal intercourse occasions from baseline to each follow-up, with no significant difference between the two-session and single-session intervention. Introduction of a brief group-based MI FC promotion intervention with FC access holds promise for delivery in clinics and other community venues.
authors.affiliation: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, 1051 Riverside Drive, Unit 15, New York, NY, 10032, USA, jem57@columbia.edu.
authors.forename: Joanne E
authors.initials: JE
authors.lastname: Mantell
authors.forename: Jennifer A
authors.initials: JA
authors.lastname: Smit
authors.forename: Theresa M
authors.initials: TM
authors.lastname: Exner
authors.forename: Zonke
authors.initials: Z
authors.lastname: Mabude
authors.forename: Susie
authors.initials: S
authors.lastname: Hoffman
authors.forename: Mags
authors.initials: M
authors.lastname: Beksinska
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Kelvin
authors.forename: Claudia
authors.initials: C
authors.lastname: Ngoloyi
authors.forename: Cheng-Shiun
authors.initials: CS
authors.lastname: Leu
authors.forename: Zena A
authors.initials: ZA
authors.lastname: Stein
mesh_terms: D000293:Adolescent; D000328:Adult; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D019111:Single-Use Internal Condom / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D013019:South Africa; D013334:Students / Q000523:psychology*; D014495:Universities
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