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01.06.2010 | Original Paper

A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

verfasst von: Michelle Teti, Lisa Bowleg, Russell Cole, Linda Lloyd, Susan Rubinstein, Susan Spencer, Erika Aaron, Ann Ricksecker, Zekarias Berhane, Marla Gold

Erschienen in: AIDS and Behavior | Ausgabe 3/2010

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Abstract

This mixed methods study evaluated the efficacy of an intervention to increase HIV status disclosure and condom use among 184 women living with HIV/AIDS (WLH/A). Participants were recruited from an HIV clinic and randomly assigned to: (1) a comparison group, who received brief messages from their health care providers (HCPs), or; (2) an intervention group, who received messages from HCPs, a group-level intervention, and peer-led support groups. Participants completed risk surveys at baseline, 6-, 12-, and 18-months. Quantitative analyses using hierarchical generalized linear models within a repeated measures framework indicated that intervention participants had significantly higher odds of reporting condom use with sexual partners in months 6 and 18. Grounded Theory-based qualitative analyses suggested that the opportunity to discuss the social context of their lives in addition to HIV/AIDS, including continued stigma and fear related to disclosure, are also essential components of a prevention strategy for WLH/A.

Aidala, A. A., Lee, G., Garbers, S., & Chiasson, M. A. (2006). Sexual behaviors and sexual risk in a prospective cohort of HIV-positive men and women in New York City, 1994–2002: Implications for prevention. AIDS Education and Prevention, 18(1), 12–32. doi:10.1521/aeap.2006.18.1.12.CrossRefPubMed

Amaro, H. (1995). Love, sex, and power: Considering women’s realities in HIV prevention. The American Psychologist, 50(6), 437–447. doi:10.1037/0003-066X.50.6.437.CrossRefPubMed

Barkan, S. E., Melnick, S. L., Preston-Martin, S., Weber, K., Kalish, L. A., Miotti, P., et al. (1998). The women’s interagency HIV study. Epidemiology (Cambridge, Mass.), 9(2), 117–125. doi:10.1097/00001648-199803000-00004.

Bowleg, L., Lucas, K., & Tschann, J. (2004). “The ball was always in his court”: An exploratory analysis of relationship scripts, sexual scripts, and condom use among African American women. Psychology of Women Quarterly, 28, 70–82. doi:10.1111/j.1471-6402.2004.00124.x.CrossRef

Centers for Disease Control and Prevention (CDC). (2008). HIV/AIDS among women. Retrieved September 1, 2008, from http://www.cdc.gov/hiv/topics/women/resources/factsheets/women.htm.

Charmaz, K. (2006). Constructing Grounded Theory, a practical guide through qualitative analysis. London: Sage.

Collins, C., Morin, S. F., Shriver, M., & Coates, T. J. (2000). Designing primary prevention for people living with HIV (policy monograph series). University of California, San Francisco: AIDS Policy and Research Center & Center for AIDS Prevention Studies.

Diaz, R. (2007). Impact on communities of color. National HIV Prevention Conference. Atlanta, GA.

DiClemente, R. J., Prochaska, J., & Gilbertini, M. (1985). Self-efficacy and the stages of change of smoking. Cognitive Therapy and Research, 9, 181–200. doi:10.1007/BF01204849.CrossRef

Dworkin, S. L., & Ehrhardt, A. A. (2007). Going beyond “ABC” to “GEM”: Critical reflections on progress in the HIV/AIDS epidemic. American Journal of Public Health, 97(1), 13–18. doi:10.2105/AJPH.2005.074591.CrossRefPubMed

Ehrhardt, A. A., Exner, T., Miller, S., & Stein, Z. (1992). Sexual risk behavior and behavior change in heterosexual women and men. New York: HIV Center for Clinical and Behavioral Studies at the New York Psychiatric Institute.

Fisher, J. D., Fisher, W. A., Cornman, D. H., Amico, R. K., Bryan, A., & Friedland, G. H. (2006). Clinician-delivered intervention during routine clinical care reduces unprotected sexual behavior among HIV-infected patients. Journal of Acquired Immune Deficiency Syndromes, 41(1), 44–52. doi:10.1097/01.qai.0000192000.15777.5c.CrossRefPubMed

Fogarty, L. A., Heilig, C. M., Armstrong, K., Cabral, R. J., Galavotti, C., Gielen, A. C., et al. (2001). Long-term effectiveness of a peer-based intervention to promote condom and contraceptive use among HIV-positive and at-risk women. Public Health Reports, 116(Supplement 1), S103–S119. doi:10.1093/phr/116.S1.103.CrossRef

Gielen, A. C., Ghandour, R. M., Burke, J. G., Mahoney, P., McDonnell, K. A., & O’Campo, P. (2007). HIV/AIDS and intimate partner violence: Intersecting women’s health issues in the United States. Trauma, Violence & Abuse, 8(2), 178–198. doi:10.1177/1524838007301476.CrossRef

Gielen, A. C., McDonnell, K. A., Burke, J. G., & O’Campo, P. (2000). Women’s lives after an HIV-positive diagnosis: Disclosure and violence. Maternal and Child Health Journal, 4(2), 111–120. doi:10.1023/A:1009522321240.CrossRefPubMed

Gilbert, P., Ciccarone, D., Gansky, S. A., Bangsberg, D. R., Clanon, K., McPhee, S. J., et al. (2008). Interactive “video doctor” counseling reduces drug and sexual risk behaviors among HIV-positive patients in diverse outpatient settings. PLoS ONE, 3(4), e1988.CrossRefPubMed

Golden, M., Wood, R. W., Buskin, S. E., Fleming, M., & Harrington, R. D. (2007). Ongoing risk behavior among persons with HIV in medical care. AIDS and Behavior, 11(5), 726–735. doi:10.1007/s10461-007-9244-5.CrossRefPubMed

Hedeker, D., & Gibbons, R. (1997). Application of random effects pattern mixture models for missing data in social sciences. Psychological Methods, 2(1), 64–78. doi:10.1037/1082-989X.2.1.64.CrossRef

Kalichman, S. C. (2004). Positive prevention, reducing HIV transmission among people living with HIV/AIDS. New York: Kluwer.

Kalichman, S. C., Rompa, D., Cage, M., DiFonzo, K., Simpson, D., Austin, J., et al. (2001). Effectiveness of an intervention to reduce HIV transmission risks in HIV-positive people. American Journal of Preventive Medicine, 21(2), 84–92. doi:10.1016/S0749-3797(01)00324-5.CrossRefPubMed

Kvale, S. (1996). Interviews: An introduction to qualitative research interviewing. Thousand Oaks, CA: Sage.

Maman, S., & Medley, A. (2004). Gender dimensions of HIV status disclosure to sexual partners: Rates, barriers and outcomes. Geneva: World Health Organization.

Morrow, K., Costello, T., & Boland, R. J. (2001). Understanding the psychosocial needs of HIV-positive women: A qualitative study. Psychosomatics, 42(6), 497–503. doi:10.1176/appi.psy.42.6.497.CrossRefPubMed

Patterson, T. L., Shaw, W., & Semple, S. (2003). Reducing the sexual risk behaviors of HIV-positive individuals: Outcomes of a randomized controlled trial. Annals of Behavioral Medicine, 25, 137–145. doi:10.1207/S15324796ABM2502_10.CrossRefPubMed

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models: Applications and data analysis methods. Thousand Oaks, CA: Sage.

Richardson, J. L., Milam, J., McCutchan, A., Stoyanoff, S., Boland, R. J., Weiss, J., et al. (2004). Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: A multi-clinic assessment. AIDS (London, England), 18, 1179–1186. doi:10.1097/00002030-200405210-00011.

Sandelowski, M., Lambe, C., & Barroso, J. (2004). Stigma in HIV-positive women. Journal of Nursing Scholarship, 36(2), 122–128. doi:10.1111/j.1547-5069.2004.04024.x.CrossRefPubMed

Sikkema, K. J., Hansen, N. B., Kochman, A., Tarkeshwar, N., Nuefeld, S., Meade, C. S., et al. (2007). Outcomes from a group intervention for coping with HIV/AIDS and childhood sexual abuse: Reductions in traumatic stress. AIDS and Behavior, 11, 49–60. doi:10.1007/s10461-006-9149-8.CrossRefPubMed

Simbayi, L. C., Kalichman, S. C., Strebel, A., Cloete, A., Henda, N., & Mqeketo, A. (2007). Disclosure of HIV status to sex partners and sexual risk behaviors among HIV-positive men and women, Cape Town, South Africa. Sexually Transmitted Infections, 83(1), 29–34. doi:10.1136/sti.2006.019893.CrossRefPubMed

Teti, M., Bowleg, L., & Lloyd, L. (2008). “Don’t ever stop these groups”: The role of group interventions for women living with HIV/AIDS (manuscript submitted for publication).

Teti, M., Rubinstein, S., Lloyd, L., Aaron, E., Merron-Brainerd, J., Spencer, S., et al. (2007). The protect and respect program for women living with HIV/AIDS. AIDS and Behavior, 11(Suppl 1), 106–116. doi:10.1007/s10461-007-9275-y.CrossRef

The Healthy Living Project Team. (2007). Effects of a behavioral intervention to reduce risk of transmission among people living with HIV: The healthy living project randomized controlled study. Journal of Acquired Immune Deficiency Syndromes, 44(2), 213–221. doi:10.1097/QAI.0b013e31802c0cae.CrossRef

Wilson, T. E., Gore, M. E., Grange, S. J., Greenblatt, R., Cohen, M. H., Minkoff, H. L., et al. (2004). Changes in sexual behavior among HIV-infected women after initiation of HAART. American Journal of Public Health, 94(7), 1141–1146. doi:10.2105/AJPH.94.7.1141.CrossRefPubMed

Wingood, G. M., & DiClemente, R. J. (2000). Application of the theory of gender and power to examine HIV-related exposures, risk factors, and effective interventions for women. Health Education & Behavior, 27(5), 539–565. doi:10.1177/109019810002700502.CrossRef

Wingood, G. M., DiClemente, R. J., Mikhail, I., Lang, D. L., McCree, D. H., Davis, S., et al. (2004). A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV. Journal of Acquired Immune Deficiency Syndromes, 37(Suppl 2), S58–S67. doi:10.1097/01.qai.0000140603.57478.a9.PubMed

Zierler, S., & Krieger, N. (1997). Reframing women’s risk: Social inequalities and HIV infection. Annual Review of Public Health, 18, 401. doi:10.1146/annurev.publhealth.18.1.401.CrossRefPubMed

Titel: A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS
verfasst von: Michelle Teti
Lisa Bowleg
Russell Cole
Linda Lloyd
Susan Rubinstein
Susan Spencer
Erika Aaron
Ann Ricksecker
Zekarias Berhane
Marla Gold
Publikationsdatum: 01.06.2010
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 3/2010
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-009-9562-x

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