Marseille 2007
Marseille 2007
Abstract book
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Abstract #74  -  Efficacy of Community-Based Integrated Substance Abuse and HIV Prevention Intervention Trial among Inner City African American Women in Houston, Texas, United States
Session:
  26.110: Posters B (Poster) on Tuesday   in  Chaired by
Authors:
  Presenting Author:   Dr Laurens Holmes - University of Houston, United States
 
  Additional Authors:  Dr Gbadebo Ogungbade, Dr Doriel Ward, Dr Ekere James Essien,  
Aim:
AIDS incidence is highest among African American women (AAW), representing an estimated 68-72% of the total AIDS cases among women in United States. We aimed to test the efficacy of an integrated substance abuse and HIV prevention intervention in reducing substance-related sexual behaviors and increasing HIV protective behaviors.
 
Method / Issue:
280 AAW were recruited and randomly assigned to either IMB model-based integrated substance abuse and HIV prevention intervention or an HIV Education control condition. The treatment arm attended six skills building and education sessions on HIV/AIDS knowledge, condom use, substance abuse prevention, sexual communication and assertiveness skills, whereas control condition was not exposed to of any substance abuse prevention component. Chi square statistic was used to test for group independence, an ANOVA for the mean difference between the control and treatment arms with respect to condom use, marijuana and alcohol use prior to sexual intercourse during the past 3 months and Bartlett test for equal variances.
 
Results / Comments:
Treatment and control arms were not statistically significantly different at baseline with respect to the relavant covariates. There was a statistically significant increase in condom use in treatment arm during immediate post intervention assessment, and 3, 6, and 12 months follow-up, 0.81, 0.79, 0.84 and 0.80 (SDs=0.39, 0.41, 0.37, and 0.40) compared to control, 0.69, 0.64, 0.70 and 0.68 (SDs=0.46,0.48,0.46 and 0.49), F(1,217)=4.55,p=.03, F(1,249)=7.0,p=.009, F(1,232)=6.39,p=0.01 and F(1,201)=4.14,p=0.04 respectively. Likewise, the treatment group demonstrated a statistically significant decreased mean marijuana use during the 3, 6 and 12 months follow-up compared with control, 0.14, 0.11, and 0.11 (SDs=0.35, 0.32 and 0.32 respectively) versus 0.25, 0.34, and 0.29 (SDs=0.44, 0.48 and 0.45 respectively), and F(1,250)=4.66, p=.03, F(1,231)=19.1, p<0.001 and F(1,200)=9.0, p=0.001 respectively.
 
Discussion:
Integrated Drug-HIV prevention intervention substantially increased condom use and decreased drug-related sexual behaviors among AAW, indicative of the efficacy of integrated drug abuse and HIV intervention program in the targeted population.
 
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