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01.06.2009 | Original Paper

Reducing HIV and Partner Violence Risk Among Women with Criminal Justice System Involvement: A Randomized Controlled Trial of Two Motivational Interviewing-based Interventions

verfasst von: Brian W. Weir, Kerth O’Brien, Ronda S. Bard, Carol J. Casciato, Julie E. Maher, Clyde W. Dent, John A. Dougherty, Michael J. Stark

Erschienen in: AIDS and Behavior | Ausgabe 3/2009

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Abstract

Women with histories of incarceration show high levels of risk for HIV and intimate partner violence (IPV). This randomized controlled trial with women at risk for HIV who had recent criminal justice system involvement (n = 530) evaluated two interventions based on Motivational Interviewing to reduce either HIV risk or HIV and IPV risk. Baseline and 3, 6, and 9-month follow-up assessments measured unprotected intercourse, needle sharing, and IPV. Generalized estimating equations revealed that the intervention groups had significant decreases in unprotected intercourse and needle sharing, and significantly greater reductions in the odds and incidence rates of unprotected intercourse compared to the control group. No significant differences were found in changes in IPV over time between the HIV and IPV group and the control group. Motivational Interviewing-based HIV prevention interventions delivered by county health department staff appear helpful in reducing HIV risk behavior for this population.

Women who were chronically homeless or at high risk for future homelessness were excluded because of the likelihood of limited intervention effectiveness and poor subject retention. Specifically, women currently housed were excluded if they had been homeless for three or more of the past six months and could not identify a future residence. Women who were currently homeless were excluded if they had been homeless for three or more of the past six months or could not identify a specific, future residence.

ACASI was implemented to reduce costs and staff time associated with interview administration and data entry. One participant who received a baseline interviewer-administered baseline received an ACASI at one follow-up. Twelve participants who received baseline ACASI received an interviewer-administered follow-up assessment; eleven of these interviews were conducted in jail or prison where ACASI was not feasible.

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Titel: Reducing HIV and Partner Violence Risk Among Women with Criminal Justice System Involvement: A Randomized Controlled Trial of Two Motivational Interviewing-based Interventions
verfasst von: Brian W. Weir
Kerth O’Brien
Ronda S. Bard
Carol J. Casciato
Julie E. Maher
Clyde W. Dent
John A. Dougherty
Michael J. Stark
Publikationsdatum: 01.06.2009
Verlag: Springer US
Erschienen in: AIDS and Behavior / Ausgabe 3/2009
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI: https://doi.org/10.1007/s10461-008-9422-0

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Reducing HIV and Partner Violence Risk Among Women with Criminal Justice System Involvement: A Randomized Controlled Trial of Two Motivational Interviewing-based Interventions

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