title: Reducing Risky Sex among Rural African American Cocaine Users: A Controlled Trial.
abstract: Rural African American cocaine users experience high rates of STIs/HIV. This NIDA-funded trial tested an adapted evidence-based risk reduction program versus an active control condition. Participants were 251 African American cocaine users in rural Arkansas recruited from 2009-2011. Outcomes included condom use skills and self-efficacy, sexual negotiation skills, peer norms, and self-reported risk behavior. The intervention group experienced greater increases in condom use skills and overall effectiveness in sexual negotiation skills. Both groups reported reductions in trading sex, improvements in condom use self-efficacy, and increased use of specific negotiation skills. Implications and limitations are discussed.
authors.forename: Katharine E
authors.initials: KE
authors.lastname: Stewart
authors.forename: Patricia B
authors.initials: PB
authors.lastname: Wright
authors.forename: Brooke E E
authors.initials: BEE
authors.lastname: Montgomery
authors.forename: Carol
authors.initials: C
authors.lastname: Cornell
authors.forename: Donna
authors.initials: D
authors.lastname: Gullette
authors.forename: Leavonne
authors.initials: L
authors.lastname: Pulley
authors.forename: Songthip
authors.initials: S
authors.lastname: Ounpraseuth
authors.forename: Jeff
authors.initials: J
authors.lastname: Thostenson
authors.forename: Brenda
authors.initials: B
authors.lastname: Booth
mesh_terms: D000328:Adult; D001741:Black or African American; D001131:Arkansas; D019970:Cocaine-Related Disorders / Q000208:ethnology*; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D040242:Risk Reduction Behavior; D012424:Rural Population; D021841:Safe Sex / Q000208:ethnology; D020377:Self Efficacy; D012725:Sexual Behavior / Q000208:ethnology* / Q000523:psychology; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D066262:Social Norms; D012947:Social Work / Q000458:organization & administration