title: Effectiveness of a federal Healthy Start Program on HIV/AIDS risk reduction among women in Hillsborough County, Florida.
abstract: OBJECTIVE
  To examine the impact of the Central Hillsborough Healthy Start Project (CHHS) on human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) diagnosis rates in women in Hillsborough County, Florida.
  
  
  METHODS
  Project records were linked to hospital discharge data and vital statistics (Florida, 1998-2007; N = 1,696,221). The χ(2) test was used to compare rates for HIV/AIDS and pregnancy-related complications for mothers within the CHHS service area with mothers in Hillsborough County and the rest of Florida.
  
  
  RESULTS
  During a 10-year period, HIV/AIDS diagnosis rates among women in the CHHS service area declined by 56.3% (P = 0.01). The observed decline was most evident among black women. HIV/AIDS diagnosis rates in the rest of Hillsborough County and Florida remained unchanged (P = 0.48).
  
  
  CONCLUSIONS
  Lessons learned from the CHHS Project can be used to develop effective and comprehensive models for addressing the HIV epidemic.
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Euna
authors: E
authors: August
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Muktar H
authors: MH
authors: Aliyu
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Alfred
authors: A
authors: Mbah
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Ifechukwude
authors: I
authors: Okwechime
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Korede K
authors: KK
authors: Adegoke
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Cara
authors: C
authors: de la Cruz
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Estrellita Lo
authors: EL
authors: Berry
authors: From the Departments of Epidemiology and Biostatistics and Community and Family Health, College of Public Health, and Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, College of Medicine, University of South Florida, Tampa, University of South Florida, Department of Health Policy and Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, Alabama A&M University, Huntsville, and REACHUP Incorporated, Tampa, Florida.
authors: Hamisu M
authors: HM
authors: Salihu
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control*; D000328:Adult; D005260:Female; D005431:Florida / Q000453:epidemiology; D006078:Government Programs; D040361:Healthy People Programs; D006801:Humans; D008403:Mass Screening / Q000379:methods; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology / Q000517:prevention & control*; D018570:Risk Assessment; D040242:Risk Reduction Behavior; D014481:United States