title: Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial.
abstract: OBJECTIVE
  We tested the efficacy of an adapted evidence-based HIV-sexually transmitted infection (STI) behavioral intervention (Providing Opportunities for Women's Empowerment, Risk-Reduction, and Relationships, or POWER) among incarcerated women.
  
  
  METHODS
  We conducted a randomized trial with 521 women aged 18 to 60 years in 2 correctional facilities in North Carolina in 2010 and 2011. Intervention participants attended 8 POWER sessions; control participants received a single standard-of-care STI prevention session. We followed up at 3 and 6 months after release. We examined intervention efficacy with mixed-effects models.
  
  
  RESULTS
  POWER participants reported fewer male sexual partners than did control participants at 3 months, although this finding did not reach statistical significance; at 6 months they reported significantly less vaginal intercourse without a condom outside of a monogamous relationship and more condom use with a main male partner. POWER participants also reported significantly fewer condom barriers, and greater HIV knowledge, health-protective communication, and tangible social support. The intervention had no significant effects on incident STIs.
  
  
  CONCLUSIONS
  POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities.
authors.affiliation: Catherine I. Fogel, Jamie L. Crandell, A. M. Neevel, and Sharon D. Parker are with the School of Nursing, and Becky L. White is with the Division of Infectious Diseases, Department of Medicine, University of North Carolina at Chapel Hill (UNC). Monique Carry, Amy M. Fasula, Jeffrey H. Herbst, and Deborah J. Gelaude are with the Prevention Research Branch, Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GA.
authors.forename: Catherine I
authors.initials: CI
authors.lastname: Fogel
authors.forename: Jamie L
authors.initials: JL
authors.lastname: Crandell
authors.forename: A M
authors.initials: AM
authors.lastname: Neevel
authors.forename: Sharon D
authors.initials: SD
authors.lastname: Parker
authors.forename: Monique
authors.initials: M
authors.lastname: Carry
authors.forename: Becky L
authors.initials: BL
authors.lastname: White
authors.forename: Amy M
authors.initials: AM
authors.lastname: Fasula
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Herbst
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Gelaude
mesh_terms: D000293:Adolescent; D000328:Adult; D003376:Counseling / Q000458:organization & administration*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008875:Middle Aged; D009657:North Carolina; D011329:Prisoners; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D012944:Social Support; D012959:Socioeconomic Factors; D055815:Young Adult