Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: A randomized controlled trial

C.I. Fogel, J.L. Crandell, A.M. Neevel, S.D. Parker, M. Carry, B.L. White, A.M. Fasula, J.H. Herbst and D.J. Gelaude

American Journal of Public Health, 2015, vol. 105, issue 4, 802-809

Abstract: Objectives. We tested the efficacy of an adapted evidence-based HIV-sexually transmitted infection (STI) behavioral intervention (Providing Opportunities for Women's Empowerment, Risk-Reduction, and Relationships, or POWER) among incarcerated women. Methods. We conducted a randomized trial with 521 women aged 18 to 60 years in 2 correctional facilities in North Carolina in 2010 and 2011. Intervention participants attended 8 POWER sessions; control participants received a single standard-of-care STI prevention session. We followed up at 3 and 6 months after release. We examined intervention efficacy with mixed-effects models. Results. POWER participants reported fewer male sexual partners than did control participants at 3 months, although this finding did not reach statistical significance; at 6 months they reported significantly less vaginal intercourse without a condom outside of a monogamous relationship and more condom use with a main male partner. POWER participants also reported significantly fewer condom barriers, and greater HIV knowledge, health-protective communication, and tangible social support. The intervention had no significant effects on incident STIs. Conclusions. POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities. © 2015, American Public Health Association Inc. All rights reserved.

Keywords: adolescent; adult; attitude to health; controlled study; counseling; female; health education; HIV Infections; human; middle aged; North Carolina; organization and management; prisoner; randomized controlled trial; sexual behavior; Sexually Transmitted Diseases; social support; socioeconomics; young adult, Adolescent; Adult; Counseling; Female; Health Education; Health Knowledge, Attitudes, Practice; HIV Infections; Humans; Middle Aged; North Carolina; Prisoners; Sexual Behavior; Sexually Transmitted Diseases; Social Support; Socioeconomic Factors; Young Adult (search for similar items in EconPapers)
Date: 2015
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2014.302105_1

DOI: 10.2105/AJPH.2014.302105

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