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J Acquir Immune Defic Syndr. 2008 Aug 15;48(5):581-9. doi: 10.1097/QAI.0b013e31817efb6e.

Effectiveness of HIV/STD sexual risk reduction groups for women in substance abuse treatment programs: results of NIDA Clinical Trials Network Trial.

Author information

1
Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, Columbia University Medical Center, New York, NY 10032, USA. st130@columbia.edu

Abstract

CONTEXT:

Because drug-involved women are among the fastest growing groups with AIDS, sexual risk reduction intervention for them is a public health imperative.

OBJECTIVE:

To test effectiveness of HIV/STD safer sex skills building (SSB) groups for women in community drug treatment.

DESIGN:

Randomized trial of SSB versus standard HIV/STD Education (HE); assessments at baseline, 3 and 6 months.

PARTICIPANTS:

Women recruited from 12 methadone or psychosocial treatment programs in Clinical Trials Network of National Institute on Drug Abuse. Five hundred fifteen women with >or=1 unprotected vaginal or anal sex occasion (USO) with a male partner in the past 6 months were randomized.

INTERVENTIONS:

In SSB, five 90-minute groups used problem solving and skills rehearsal to increase HIV/STD risk awareness, condom use, and partner negotiation skills. In HE, one 60-minute group covered HIV/STD disease, testing, treatment, and prevention information.

MAIN OUTCOME:

Number of USOs at follow-up.

RESULTS:

A significant difference in mean USOs was obtained between SSB and HE over time (F = 67.2, P < 0.0001). At 3 months, significant decrements were observed in both conditions. At 6 months, SSB maintained the decrease and HE returned to baseline (P < 0.0377). Women in SSB had 29% fewer USOs than those in HE.

CONCLUSIONS:

Skills building interventions can produce ongoing sexual risk reduction in women in community drug treatment.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00084188.

PMID:
18645513
PMCID:
PMC2723122
DOI:
10.1097/QAI.0b013e31817efb6e
[Indexed for MEDLINE]
Free PMC Article

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