Efficacy of an Adapted HIV and Sexually Transmitted Infection Prevention Intervention for Incarcerated Women: A Randomized Controlled Trial
Published Date:Sep 11 2014
Source:Am J Public Health. 2014; 105(4):802-809.
Pubmed Central ID:PMC4358199
Funding:5UR6PS000670/PS/NCHHSTP CDC HHS/United States
CC999999/Intramural CDC HHS/United States
K23 MH094250/MH/NIMH NIH HHS/United States
P30 AI050410/AI/NIAID NIH HHS/United States
P30AI0410/AI/NIAID NIH HHS/United States
R25 MH083620/MH/NIMH NIH HHS/United States
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.
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.
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.
POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities.
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