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Erschienen in: AIDS and Behavior 8/2011

01.11.2011 | Original Paper

Results of a Randomized Controlled Trial of a Peer Mentor HIV/STI Prevention Intervention for Women Over an 18 Month Follow-Up

verfasst von: Melissa A. Davey-Rothwell, Karin Tobin, Cui Yang, Christina J. Sun, Carl A. Latkin

Erschienen in: AIDS and Behavior | Ausgabe 8/2011

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Abstract

Despite numerous behavioral interventions designed for women, rates of HIV and STIs are increasing. Interventions are needed that reach a large number of at-risk individuals. This study was a randomized clinical trial of a HIV/STI behavioral intervention conducted in Baltimore, MD, USA. Heterosexual women (n = 169) completed a baseline and three semiannual follow-up visits. Participants were randomized into a standard of care comparison condition or a Peer Mentor condition. At the 6-month follow-up, Peer Mentors were less likely to have multiple sex partners [AOR: 0.28 (95% CI: 0.13, 0.63)]. At the 18 month follow-up assessment, Peer Mentors increased their condom use during vaginal [AOR: 0.47 (95% CI: 0.25, 0.87)] and anal sex [AOR: 0.24 (95% CI: 0.09, 0.68)] as well as with main [AOR: 0.41 (95% CI: 0.21, 0.77)] and non-main partners [AOR: 0.33 (95% CI: 0.14, 0.79)]. Peer education is a sustainable approach to change risky sexual behaviors.
Literatur
1.
Zurück zum Zitat Aral SO, Fenton KA, Holmes KK. Sexually transmitted diseases in the USA: temporal trends. Sex Transm Infect. 2007;83(4):257–66.PubMedCrossRef Aral SO, Fenton KA, Holmes KK. Sexually transmitted diseases in the USA: temporal trends. Sex Transm Infect. 2007;83(4):257–66.PubMedCrossRef
3.
Zurück zum Zitat Joint United Nations Programme on HIV/AIDS and World Health Organization. AIDS Epidemic Update. November 2009. Joint United Nations Programme on HIV/AIDS and World Health Organization. AIDS Epidemic Update. November 2009.
5.
Zurück zum Zitat Shain RN, Piper JM, Holden AE, Champion JD, Perdue ST, Korte JE, et al. Prevention of gonorrhea and Chlamydia through behavioral intervention: results of a two-year controlled randomized trial in minority women. Sex Transm Dis. 2004;31(7):401–8.PubMedCrossRef Shain RN, Piper JM, Holden AE, Champion JD, Perdue ST, Korte JE, et al. Prevention of gonorrhea and Chlamydia through behavioral intervention: results of a two-year controlled randomized trial in minority women. Sex Transm Dis. 2004;31(7):401–8.PubMedCrossRef
6.
Zurück zum Zitat Jemmott LS, Jemmott JB 3rd, O’Leary A. Effects on sexual risk behavior and STD rate of brief HIV/STD prevention interventions for African American women in primary care settings. Am J Public Health. 2007;97(6):1034–40.PubMedCrossRef Jemmott LS, Jemmott JB 3rd, O’Leary A. Effects on sexual risk behavior and STD rate of brief HIV/STD prevention interventions for African American women in primary care settings. Am J Public Health. 2007;97(6):1034–40.PubMedCrossRef
7.
Zurück zum Zitat DiClemente RJ, Wingood GM. A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA. 1995;274(16):1271–6.PubMedCrossRef DiClemente RJ, Wingood GM. A randomized controlled trial of an HIV sexual risk-reduction intervention for young African-American women. JAMA. 1995;274(16):1271–6.PubMedCrossRef
8.
Zurück zum Zitat Wingood GM, DiClemente RJ, Mikhail I, Lang DL, McCree DH, Davies SL, et al. A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: the WiLLOW Program. J Acquir Immune Defic Syndr. 2004;37(Suppl 2):S58–67.PubMed Wingood GM, DiClemente RJ, Mikhail I, Lang DL, McCree DH, Davies SL, et al. A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: the WiLLOW Program. J Acquir Immune Defic Syndr. 2004;37(Suppl 2):S58–67.PubMed
9.
Zurück zum Zitat El-Bassel N, Witte SS, Gilbert L, Wu E, Chang M, Hill J, et al. The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. Am J Public Health. 2003;93(6):963–9.PubMedCrossRef El-Bassel N, Witte SS, Gilbert L, Wu E, Chang M, Hill J, et al. The efficacy of a relationship-based HIV/STD prevention program for heterosexual couples. Am J Public Health. 2003;93(6):963–9.PubMedCrossRef
10.
Zurück zum Zitat Sikkema KJ, Kelly JA, Winett RA, Solomon LJ, Cargill VA, Roffman RA, et al. Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments. Am J Public Health. 2000;90(1):57–63.PubMedCrossRef Sikkema KJ, Kelly JA, Winett RA, Solomon LJ, Cargill VA, Roffman RA, et al. Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments. Am J Public Health. 2000;90(1):57–63.PubMedCrossRef
11.
Zurück zum Zitat Lauby JL, Smith PJ, Stark M, Person B, Adams J. A community-level HIV prevention intervention for inner-city women: results of the women and infants demonstration projects. Am J Public Health. 2000;90(2):216–22.PubMedCrossRef Lauby JL, Smith PJ, Stark M, Person B, Adams J. A community-level HIV prevention intervention for inner-city women: results of the women and infants demonstration projects. Am J Public Health. 2000;90(2):216–22.PubMedCrossRef
12.
Zurück zum Zitat Ellen JM, Gaydos C, Chung SE, Willard N, Lloyd LV, Rietmeijer CA. Sex partner selection, social networks, and repeat sexually transmitted infections in young men: a preliminary report. Sex Transm Dis. 2006;33(1):18–21.PubMedCrossRef Ellen JM, Gaydos C, Chung SE, Willard N, Lloyd LV, Rietmeijer CA. Sex partner selection, social networks, and repeat sexually transmitted infections in young men: a preliminary report. Sex Transm Dis. 2006;33(1):18–21.PubMedCrossRef
13.
Zurück zum Zitat Klovdahl AS, Potterat JJ, Woodhouse DE, Muth JB, Muth SQ, Darrow WW. Social networks and infectious disease: the Colorado Springs Study. Soc Sci Med. 1994;38(1):79–88.PubMedCrossRef Klovdahl AS, Potterat JJ, Woodhouse DE, Muth JB, Muth SQ, Darrow WW. Social networks and infectious disease: the Colorado Springs Study. Soc Sci Med. 1994;38(1):79–88.PubMedCrossRef
14.
Zurück zum Zitat Wylie JL, Jolly A. Patterns of chlamydia and gonorrhea infection in sexual networks in Manitoba, Canada. Sex Transm Dis. 2001;28(1):14–24.PubMedCrossRef Wylie JL, Jolly A. Patterns of chlamydia and gonorrhea infection in sexual networks in Manitoba, Canada. Sex Transm Dis. 2001;28(1):14–24.PubMedCrossRef
15.
Zurück zum Zitat Engelgau MM, Woernle CH, Rolfs RT, Greenspan JR, O’Cain M, Gorsky RD. Control of epidemic early syphilis: the results of an intervention campaign using social networks. Sex Transm Dis. 1995;22(4):203–9.PubMedCrossRef Engelgau MM, Woernle CH, Rolfs RT, Greenspan JR, O’Cain M, Gorsky RD. Control of epidemic early syphilis: the results of an intervention campaign using social networks. Sex Transm Dis. 1995;22(4):203–9.PubMedCrossRef
16.
Zurück zum Zitat Neblett RC, Davey-Rothwell MA, Chander G, Latkin CA. Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women. J Urban Health (in Press). Neblett RC, Davey-Rothwell MA, Chander G, Latkin CA. Social Network Characteristics and HIV Sexual Risk Behavior among Urban African American Women. J Urban Health (in Press).
17.
Zurück zum Zitat Latkin CA, Sherman S, Knowlton A. HIV prevention among drug users: outcome of a network-oriented peer outreach intervention. Health Psychol. 2003;22(4):332–9.PubMedCrossRef Latkin CA, Sherman S, Knowlton A. HIV prevention among drug users: outcome of a network-oriented peer outreach intervention. Health Psychol. 2003;22(4):332–9.PubMedCrossRef
18.
Zurück zum Zitat Garfein RS, Golub ET, Greenberg AE, Hagan H, Hanson DL, Hudson SM, et al. A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users. AIDS. 2007;21(14):1923–32.PubMedCrossRef Garfein RS, Golub ET, Greenberg AE, Hagan H, Hanson DL, Hudson SM, et al. A peer-education intervention to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users. AIDS. 2007;21(14):1923–32.PubMedCrossRef
19.
Zurück zum Zitat Cai Y, Hong H, Shi R, Ye X, Xu G, Li S, et al. Long-term follow-up study on peer-led school-based HIV/AIDS prevention among youths in Shanghai. Int J STD AIDS. 2008;19(12):848–50.PubMedCrossRef Cai Y, Hong H, Shi R, Ye X, Xu G, Li S, et al. Long-term follow-up study on peer-led school-based HIV/AIDS prevention among youths in Shanghai. Int J STD AIDS. 2008;19(12):848–50.PubMedCrossRef
20.
Zurück zum Zitat Mahat G, Scoloveno MA, De Leon T, Frenkel J. Preliminary evidence of an adolescent HIV/AIDS peer education program. J Pediatr Nurs. 2008;23(5):358–63.PubMedCrossRef Mahat G, Scoloveno MA, De Leon T, Frenkel J. Preliminary evidence of an adolescent HIV/AIDS peer education program. J Pediatr Nurs. 2008;23(5):358–63.PubMedCrossRef
21.
Zurück zum Zitat Williamson LM, Hart GJ, Flowers P, Frankis JS, Der GJ. The Gay Men’s Task Force: the impact of peer education on the sexual health behaviour of homosexual men in Glasgow. Sex Transm Infect. 2001;77(6):427–32.PubMedCrossRef Williamson LM, Hart GJ, Flowers P, Frankis JS, Der GJ. The Gay Men’s Task Force: the impact of peer education on the sexual health behaviour of homosexual men in Glasgow. Sex Transm Infect. 2001;77(6):427–32.PubMedCrossRef
22.
Zurück zum Zitat Basu I, Jana S, Rotheram-Borus MJ, Swendeman D, Lee SJ, Newman P, et al. HIV prevention among sex workers in India. J Acquir Immune Defic Syndr. 2004;36(3):845–52.PubMedCrossRef Basu I, Jana S, Rotheram-Borus MJ, Swendeman D, Lee SJ, Newman P, et al. HIV prevention among sex workers in India. J Acquir Immune Defic Syndr. 2004;36(3):845–52.PubMedCrossRef
23.
Zurück zum Zitat Hong H, Ji GP, Ye DQ. Long-term follow-up of a peer-led HIV/AIDS prevention program for married women in rural China. Int J Gynaecol Obstet. 2009;106(1):69–70.PubMedCrossRef Hong H, Ji GP, Ye DQ. Long-term follow-up of a peer-led HIV/AIDS prevention program for married women in rural China. Int J Gynaecol Obstet. 2009;106(1):69–70.PubMedCrossRef
24.
Zurück zum Zitat O’Hara Murdock P, Garbharran H, Edwards MJ, Smith MA, Lutchmiah J, Mkhize M. Peer led HIV/AIDS prevention for women in South African informal settlements. Health Care Women Int. 2003;24(6):502–12.PubMedCrossRef O’Hara Murdock P, Garbharran H, Edwards MJ, Smith MA, Lutchmiah J, Mkhize M. Peer led HIV/AIDS prevention for women in South African informal settlements. Health Care Women Int. 2003;24(6):502–12.PubMedCrossRef
25.
Zurück zum Zitat Williams BG, Taljaard D, Campbell CM, Gouws E, Ndhlovu L, Van Dam J, et al. Changing patterns of knowledge, reported behaviour and sexually transmitted infections in a South African gold mining community. AIDS. 2003;17(14):2099–107.PubMedCrossRef Williams BG, Taljaard D, Campbell CM, Gouws E, Ndhlovu L, Van Dam J, et al. Changing patterns of knowledge, reported behaviour and sexually transmitted infections in a South African gold mining community. AIDS. 2003;17(14):2099–107.PubMedCrossRef
26.
Zurück zum Zitat Fisher JD, Misovich SJ. Social influence and AIDS-preventive behavior. In: Edwards J, Tindale RS, Heath L, Posavac EJ, editors. Social influence processes and prevention. New York: Plenum Press; 1990. p. 39–70. Fisher JD, Misovich SJ. Social influence and AIDS-preventive behavior. In: Edwards J, Tindale RS, Heath L, Posavac EJ, editors. Social influence processes and prevention. New York: Plenum Press; 1990. p. 39–70.
27.
Zurück zum Zitat Tajfel H. Human groups and social categories: studies in social psychology. Cambridge: Cambridge University Press; 1981. Tajfel H. Human groups and social categories: studies in social psychology. Cambridge: Cambridge University Press; 1981.
28.
Zurück zum Zitat Festinger L. A theory of social comparison processes. Hum Relat 1954;7(2):117–40. Festinger L. A theory of social comparison processes. Hum Relat 1954;7(2):117–40.
29.
Zurück zum Zitat Bandura A. Social learning theory. Englewood Cliffs, NJ: Prentice Hall; 1977. Bandura A. Social learning theory. Englewood Cliffs, NJ: Prentice Hall; 1977.
30.
Zurück zum Zitat Quinn TC, Welsh L, Lentz A, Crotchfelt K, Zenilman J, Newhall J, et al. Diagnosis by AMPLICOR PCR of Chlamydia trachomatis infection in urine samples from women and men attending sexually transmitted disease clinics. J Clin Microbiol. 1996;34(6):1401–6.PubMed Quinn TC, Welsh L, Lentz A, Crotchfelt K, Zenilman J, Newhall J, et al. Diagnosis by AMPLICOR PCR of Chlamydia trachomatis infection in urine samples from women and men attending sexually transmitted disease clinics. J Clin Microbiol. 1996;34(6):1401–6.PubMed
31.
Zurück zum Zitat Kamb ML, Fishbein M, Douglas JM Jr, Rhodes F, Rogers J, Bolan G, et al. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. Project RESPECT Study Group. JAMA. 1998;280(13):1161–7.PubMedCrossRef Kamb ML, Fishbein M, Douglas JM Jr, Rhodes F, Rogers J, Bolan G, et al. Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases: a randomized controlled trial. Project RESPECT Study Group. JAMA. 1998;280(13):1161–7.PubMedCrossRef
32.
Zurück zum Zitat Edlin BR, Irwin KL, Faruque S, McCoy CB, Word C, Serrano Y, et al. Intersecting epidemics–crack cocaine use and HIV infection among inner-city young adults. Multicenter Crack Cocaine and HIV Infection Study Team. N Engl J Med. 1994;331(21):1422–7.PubMedCrossRef Edlin BR, Irwin KL, Faruque S, McCoy CB, Word C, Serrano Y, et al. Intersecting epidemics–crack cocaine use and HIV infection among inner-city young adults. Multicenter Crack Cocaine and HIV Infection Study Team. N Engl J Med. 1994;331(21):1422–7.PubMedCrossRef
33.
Zurück zum Zitat Wilson T, DeHovitz JA. STDs, HIV, and crack cocaine: a review. AIDS Patient Care STDS. 1997;11(2):62–6.PubMedCrossRef Wilson T, DeHovitz JA. STDs, HIV, and crack cocaine: a review. AIDS Patient Care STDS. 1997;11(2):62–6.PubMedCrossRef
34.
Zurück zum Zitat Hoffman JA, Klein H, Eber M, Crosby H. Frequency and intensity of crack use as predictors of women’s involvement in HIV-related sexual risk behaviors. Drug Alcohol Depend. 2000;58(3):227–36.PubMedCrossRef Hoffman JA, Klein H, Eber M, Crosby H. Frequency and intensity of crack use as predictors of women’s involvement in HIV-related sexual risk behaviors. Drug Alcohol Depend. 2000;58(3):227–36.PubMedCrossRef
35.
Zurück zum Zitat Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42(1):121–30.PubMedCrossRef Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42(1):121–30.PubMedCrossRef
36.
Zurück zum Zitat The behavior of maximum likelihood estimates under nonstandard conditions. Berkeley, CA: University of California Press; 1967. The behavior of maximum likelihood estimates under nonstandard conditions. Berkeley, CA: University of California Press; 1967.
37.
Zurück zum Zitat White H. A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica. 1980;48(4):817–38.CrossRef White H. A heteroskedasticity-consistent covariance matrix estimator and a direct test for heteroskedasticity. Econometrica. 1980;48(4):817–38.CrossRef
38.
Zurück zum Zitat Corbett AM, Dickson-Gomez J, Hilario H, Weeks MR. A little thing called love: condom use in high-risk primary heterosexual relationships. Perspect Sex Reprod Health. 2009;41(4):218–24.PubMedCrossRef Corbett AM, Dickson-Gomez J, Hilario H, Weeks MR. A little thing called love: condom use in high-risk primary heterosexual relationships. Perspect Sex Reprod Health. 2009;41(4):218–24.PubMedCrossRef
39.
Zurück zum Zitat Davey-Rothwell MA, Latkin CA. HIV-related communication and perceived norms: an analysis of the connection among injection drug users. AIDS Educ Prev. 2007;19(4):298–309.PubMedCrossRef Davey-Rothwell MA, Latkin CA. HIV-related communication and perceived norms: an analysis of the connection among injection drug users. AIDS Educ Prev. 2007;19(4):298–309.PubMedCrossRef
40.
Zurück zum Zitat Wechsberg WM, Lam WK, Zule WA, Bobashev G. Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers. Am J Public Health. 2004;94(7):1165–73.PubMedCrossRef Wechsberg WM, Lam WK, Zule WA, Bobashev G. Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers. Am J Public Health. 2004;94(7):1165–73.PubMedCrossRef
41.
Zurück zum Zitat Ford K, Wirawan DN, Suastina SS, Reed BD, Muliawan P. Evaluation of a peer education programme for female sex workers in Bali, Indonesia. Int J STD AIDS. 2000;11(11):731–3.PubMedCrossRef Ford K, Wirawan DN, Suastina SS, Reed BD, Muliawan P. Evaluation of a peer education programme for female sex workers in Bali, Indonesia. Int J STD AIDS. 2000;11(11):731–3.PubMedCrossRef
Metadaten
Titel
Results of a Randomized Controlled Trial of a Peer Mentor HIV/STI Prevention Intervention for Women Over an 18 Month Follow-Up
verfasst von
Melissa A. Davey-Rothwell
Karin Tobin
Cui Yang
Christina J. Sun
Carl A. Latkin
Publikationsdatum
01.11.2011
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 8/2011
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-011-9943-9

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