title: Evaluation of a socio-cultural intervention to reduce unprotected sex for HIV among African American/Black women.
abstract: African American/Black (Black) women suffer disproportionately to other women from HIV. An HIV prevention intervention combining two previous evidenced-based intervention programs; "Coping with Work and Family Stress" and "Hip Hop 2 Prevent Substance Abuse and HIV", was evaluated in a diverse sample of Black women (n = 205). Study participants at ten recruitment sites were assigned non-randomly to either the intervention or comparison group and then surveyed at baseline, immediate posttest, and 6-month follow-up. General Estimating Equation modeling revealed that participants in the comparison group reported less unprotected sex at immediate post-test and the intervention group less unprotected sex at 6-month follow-up. Despite the initial drop in reported unprotected sex in the comparison group, this study suggests that an HIV risk reduction intervention tailored to address Black women's socio-cultural stress and enhance their coping may reduce their unprotected sex at 6-months.
authors: Department of Behavioral and Community Health, University of Maryland School of Public Health, Building #255 Valley Drive, College Park, MD, 20742, USA. boekeloo@umd.edu.
authors: B
authors: B
authors: Boekeloo
authors: Department of Behavioral and Community Health, University of Maryland School of Public Health, Building #255 Valley Drive, College Park, MD, 20742, USA.
authors: T
authors: T
authors: Geiger
authors: Department of Behavioral and Community Health, University of Maryland School of Public Health, Building #255 Valley Drive, College Park, MD, 20742, USA.
authors: M
authors: M
authors: Wang
authors: Strategic Community Services, Inc,, Lanham, MD, 20706, USA.
authors: N
authors: N
authors: Ishman
authors: Strategic Community Services, Inc,, Lanham, MD, 20706, USA.
authors: S
authors: S
authors: Quinton
authors: Strategic Community Services, Inc,, Lanham, MD, 20706, USA.
authors: G
authors: G
authors: Allen
authors: Department of Behavioral and Community Health, University of Maryland School of Public Health, Building #255 Valley Drive, College Park, MD, 20742, USA.
authors: B
authors: B
authors: Ali
authors: Departments of Psychiatry and Epidemiology & Public Health, Yale University School of Medicine, New Haven, CT, 06510, USA.
authors: D
authors: D
authors: Snow
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001741:Black or African American / Q000523:psychology*; D044383:Black People / Q000523:psychology*; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006293:Health Promotion; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D012309:Risk-Taking; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology; D012931:Social Environment; D019966:Substance-Related Disorders; D047568:Unsafe Sex / Q000208:ethnology / Q000517:prevention & control*
keywords: African American; Coping; HIV prevention; Intervention; Sexual behaviors; Stress; Women
references: J Health Soc Behav. 1978 Mar;19(1):2-21
references: 649936
references: J Adolesc Health. 2006 Oct;39(4):601-3
references: 16982400
references: Am J Public Health. 2007 Jun;97(6):1034-40
references: 17463391
references: Am J Public Health. 2006 Jun;96(6):1085-90
references: 16670238
references: AIDS Behav. 2010 Apr;14(2):318-27
references: 19856093
references: Epidemiology. 2002 Nov;13(6):707-12
references: 12410013
references: J Drug Educ. 2008;38(4):351-65
references: 19438067
references: Sex Transm Dis. 2006 Jul;33(7 Suppl):S39-45
references: 16794554
references: Am J Community Psychol. 2001 Dec;29(6):937-64
references: 11800513
references: J Prim Prev. 1994 Dec;15(2):105-21
references: 24254465
references: Psychol Bull. 2002 Nov;128(6):851-85
references: 12405135