Wingood, G.M., DiClemente, R.J., Robinson-Simpson, L., et al. Journal of Acquired Immune Deficiency Syndromes (June 2013), Vol. 63 Suppl. 1, pp. S36-S43.
In this randomized controlled trial, 848 unmarried, sexually active African American women clients of three health facilities in Atlanta, Georgia, were randomly assigned to a two-session HIV intervention (providing education on prevention strategies addressing behavioral, economic, biological factors, and gender issues that influence HIV risk [n=605]) or a health promotion session (control) focusing on nutrition (n=243). The results indicated that the HIV intervention was associated with improvements in biological and behavioral outcomes. Intervention participants were 45 percent, 38 percent, and 63 percent less likely to have a concurrent partner, a non-viral sexually transmitted infection, and high-risk human papillomavirus, respectively, compared with the control group at 12-month assessment. Survey data were collected at baseline and at six- and 12-month follow-up. Women in the intervention were also more likely to engage in other safe sex practices, e.g., more likely to use condoms during oral sex. Further, compared with the control group, women in the intervention had higher HIV knowledge scores and greater self-efficacy for using condoms, and identified fewer partner-related barriers to practicing safe sex. The authors concluded that future HIV programs targeting Southern African American women should emphasize reducing concurrent partnerships, address structural factors, and explore biomedical strategies that women can control.