Relative efficacy of a multisession sexual risk-reduction intervention for young men released from prisons in 4 states

R.J. Wolitski

American Journal of Public Health, 2006, vol. 96, issue 10, 1854-1861

Abstract: Objectives. We compared the effects of an enhanced multisession intervention with a single-session intervention on the sexual risk behavior of young men released from prison. Methods. Young men, aged 18 to 29 years, were recruited from US prisons in 4 states and systematically assigned to the prerelease single-session intervention or the pre- and postrelease enhanced intervention. Both interventions addressed HIV, hepatitis, and other sexually transmitted infections; the enhanced intervention also addressed community reentry needs (e.g., housing, employment). Assessment data were collected before intervention, and 1, 12, and 24 weeks after release. Results. A total of 522 men were included in intent-to-treat analyses. Follow-up rates ranged from 76% to 87%. Unprotected vaginal or anal sex during the 90 days before incarceration was reported by 86% of men in the enhanced intervention and 89% in the single-session intervention (OR = 0.78; 95% CI = 0.46, 1.32). At 24 weeks, 68% of men assigned to the enhanced intervention reported unprotected vaginal or anal sex compared with 78% of those assigned to the single-session intervention (OR = 0.40; 95% CI = 0.18, 0.88). Conclusion. Project START demonstrated the efficacy of a sexual risk-reduction intervention that bridges incarceration and community reentry.

Date: 2006
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2004.056044_1

DOI: 10.2105/AJPH.2004.056044

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