Efficacy of an Adapted HIV and Sexually Transmitted Infection Prevention Intervention for Incarcerated Women: A Randomized Controlled Trial

Details

• Alternative Title:
  Am J Public Health
• Personal Author:
  Fogel, Catherine I. ; Crandell, Jamie L. ; Neevel, A. M. ; Parker, Sharon D. ; Carry, Monique ; White, Becky L. ; Fasula, Amy M. ; Herbst, Jeffrey H. ; Gelaude, Deborah J.
• Description:
  Objectives
  
  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.
  
  Methods
  
  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.
  
  Results
  
  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.
  
  Conclusions
  
  POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities.
  
  
• Subjects:
  Adolescent Adult Article Counseling Female Health Education Health Knowledge, Attitudes, Practice HIV Infections Humans Middle Aged North Carolina Prisoners Sexual Behavior Sexually Transmitted Diseases Social Support Socioeconomic Factors Young Adult

  More +
• Source:
  Am J Public Health. 2014; 105(4):802-809
• Pubmed ID:
  25211714
• Pubmed Central ID:
  PMC4358199
• Document Type:
  Journal Article
• Funding:
  T32 DA013911/DA/NIDA NIH HHS/United States ; UR6 PS000670/PS/NCHHSTP CDC HHS/United States ; R25 MH083620/MH/NIMH NIH HHS/United States ; 5UR6PS000670/PS/NCHHSTP CDC HHS/United States ; K23 MH094250/MH/NIMH NIH HHS/United States ; CC999999/Intramural CDC HHS/United States ; P30AI0410/AI/NIAID NIH HHS/United States ; P30 AI050410/AI/NIAID NIH HHS/United States
• Volume:
  105
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d0d9e47f53c165eebc0c5edaab91592cb8cb5d0519cd0c6647389969e0905994
• Download URL:
  https://stacks.cdc.gov/view/cdc/30647/cdc_30647_DS1.pdf
• File Type:
  [PDF - 288.54 KB ]