title: Safety-related moderators of a parent-based HIV prevention intervention in South Africa.
abstract: Our study examined factors influencing the effectiveness of a parent-based HIV prevention intervention implemented in Cape Town, South Africa. Caregiver-youth dyads (N = 99) were randomized into intervention or control conditions and assessed longitudinally. The intervention improved a parenting skill associated with youth sexual risk, parent-child communication about sex and HIV. Analyses revealed that over time, intervention participants (female caregivers) who experienced recent intimate partner violence (IPV) or unsafe neighborhoods discussed fewer sex topics with their adolescent children than caregivers in safer neighborhoods or who did not report IPV. Participants with low or moderate decision-making power in their intimate relationships discussed more topics over time only if they received the intervention. The effectiveness of our intervention was challenged by female caregivers' experience with IPV and unsafe neighborhoods, highlighting the importance of safety-related contextual factors when implementing behavioral interventions for women and young people in high-risk environments. Moderation effects did not occur for youth-reported communication outcomes. Implications for cross-cultural adaptations of parent-based HIV prevention interventions are discussed.
authors.affiliation: Department of Psychology.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Tarantino
authors.affiliation: Department of Psychology.
authors.forename: Nada
authors.initials: N
authors.lastname: Goodrum
authors.affiliation: Department of Psychology.
authors.forename: Lisa P
authors.initials: LP
authors.lastname: Armistead
authors.affiliation: Department of Psychology.
authors.forename: Sarah L
authors.initials: SL
authors.lastname: Cook
authors.affiliation: Unit for Research on Health & Society, Stellenbosch University.
authors.forename: Donald
authors.initials: D
authors.lastname: Skinner
authors.affiliation: Unit for Research on Health & Society, Stellenbosch University.
authors.forename: Yoesrie
authors.initials: Y
authors.lastname: Toefy
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers; D002648:Child; D003142:Communication; D017579:Domestic Violence / Q000523:psychology* / Q000706:statistics & numerical data; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000523:psychology*; D015397:Program Evaluation / Q000706:statistics & numerical data*; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012309:Risk-Taking; D012449:Safety / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000523:psychology; D013019:South Africa