A community-level HIV prevention intervention for inner-city women: Results of the women and infants demonstration projects

J.L. Lauby, P.J. Smith, M. Stark, B. Person and J. Adams

American Journal of Public Health, 2000, vol. 90, issue 2, 216-222

Abstract: Objectives. This study examined the effects of a multisite community- level HIV prevention intervention on women's condom-use behaviors. Methods. The theory-based behavioral intervention was implemented with low-income, primarily African American women in 4 urban communities. It was evaluated with data from pre- and postintervention cross-sectional surveys in matched intervention and comparison communities. Results. At baseline, 68% of the women had no intention of using condoms with their main partners and 70% were not using condoms consistently with other partners. After 2 years of intervention activities, increases in rates of talking with main partners about condoms were significantly larger in intervention communities than in comparison communities (P = .03). Intervention communities also had significant increases in the proportion of women who had tried to get their main partners to use condoms (P=.01). The trends for condom use with other partners were similar but nonsignificant. Conclusions. Many women at risk for HIV infection are still not using condoms. Community-level interventions may be an effective way to reach large numbers of women and change their condom- use behaviors, particularly their behaviors with regard to communication with main sex partners.

Date: 2000
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:2000:90:2:216-222_4

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