| Publications [#90815] of Kathleen J. Sikkema
search PubMed.Journal Articles
- KJ Sikkema, JA Kelly, RA Winett, LJ Solomon, VA Cargill, RA Roffman, TL McAuliffe, TG Heckman, EA Anderson, DA Wagstaff, AD Norman, MJ Perry, DA Crumble, MB Mercer (2000). Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments.. American journal of public health, 90(1), 57-63. [doi]
(last updated on 2014/07/23)
Abstract: OBJECTIVE: Women in impoverished inner-city neighborhoods are at high risk for contracting HIV. A randomized, multisite community-level HIV prevention trial was undertaken with women living in 18 low-income housing developments in 5 US cities. METHODS: Baseline and 12-month follow-up population risk characteristics were assessed by surveying 690 women at both time points. In the 9 intervention condition housing developments, a community-level intervention was undertaken that included HIV risk reduction workshops and community HIV prevention events implemented by women who were popular opinion leaders among their peers. RESULTS: The proportion of women in the intervention developments who had any unprotected intercourse in the past 2 months declined from 50% to 37.6%, and the percentage of women's acts of intercourse protected by condoms increased from 30.2% to 47.2%. Among women exposed to intervention activities, the mean frequency of unprotected acts of intercourse in the past 2 months tended to be lower at follow-up (mean = 4.0) than at baseline (mean = 6.0). These changes were corroborated by changes in other risk indicators. CONCLUSIONS: Community-level interventions that involve and engage women in neighborhood-based HIV prevention activities can bring about reductions in high-risk sexual behaviors.
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