Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial
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. We conducted a randomized trial with 521 women aged 18 to...
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| Veröffentlicht in: | American journal of public health (1971) 2015-04, Vol.105 (4), p.802-809 |
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| container_title | American journal of public health (1971) |
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| creator | 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 | 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.
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.
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.
POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities. |
| doi_str_mv | 10.2105/AJPH.2014.302105 |
| format | Article |
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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.
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.
POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2014.302105</identifier><identifier>PMID: 25211714</identifier><identifier>CODEN: AJPHDS</identifier><language>eng</language><publisher>United States: American Public Health Association</publisher><subject>Acquired immune deficiency syndrome ; Adaptation ; Addictive behaviors ; Adolescent ; Adult ; AIDS ; Behavior modification ; Condoms ; Correctional institutions ; Correctional personnel ; Counseling - organization & administration ; Drug use ; Empowerment ; Female ; Health Education - organization & administration ; Health Knowledge, Attitudes, Practice ; HIV ; HIV Infections - prevention & control ; HIV/AIDS ; Human immunodeficiency virus ; Humans ; Imprisonment ; Infections ; Intervention ; Interviews ; Middle Aged ; North Carolina ; Power ; Prevention ; Prisoners ; Prisons ; Public health ; Research and Practice ; Sex crimes ; Sex industry ; Sexual Behavior ; Sexually transmitted diseases ; Sexually Transmitted Diseases - prevention & control ; Social Support ; Socioeconomic Factors ; STD ; Vagina ; Women ; Women's Health ; Young Adult</subject><ispartof>American journal of public health (1971), 2015-04, Vol.105 (4), p.802-809</ispartof><rights>Copyright American Public Health Association Apr 2015</rights><rights>American Public Health Association 2015 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-7783cb25683da602a3ad01ed85ae9122212653c89f63ecc0c1070febbe5b77393</citedby><cites>FETCH-LOGICAL-c457t-7783cb25683da602a3ad01ed85ae9122212653c89f63ecc0c1070febbe5b77393</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4358199/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4358199/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25211714$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fogel, Catherine I</creatorcontrib><creatorcontrib>Crandell, Jamie L</creatorcontrib><creatorcontrib>Neevel, A M</creatorcontrib><creatorcontrib>Parker, Sharon D</creatorcontrib><creatorcontrib>Carry, Monique</creatorcontrib><creatorcontrib>White, Becky L</creatorcontrib><creatorcontrib>Fasula, Amy M</creatorcontrib><creatorcontrib>Herbst, Jeffrey H</creatorcontrib><creatorcontrib>Gelaude, Deborah J</creatorcontrib><title>Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><description>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.
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.
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.
POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adaptation</subject><subject>Addictive behaviors</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>Behavior modification</subject><subject>Condoms</subject><subject>Correctional institutions</subject><subject>Correctional personnel</subject><subject>Counseling - organization & administration</subject><subject>Drug use</subject><subject>Empowerment</subject><subject>Female</subject><subject>Health Education - organization & administration</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV/AIDS</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Imprisonment</subject><subject>Infections</subject><subject>Intervention</subject><subject>Interviews</subject><subject>Middle Aged</subject><subject>North Carolina</subject><subject>Power</subject><subject>Prevention</subject><subject>Prisoners</subject><subject>Prisons</subject><subject>Public health</subject><subject>Research and Practice</subject><subject>Sex crimes</subject><subject>Sex industry</subject><subject>Sexual Behavior</subject><subject>Sexually transmitted diseases</subject><subject>Sexually Transmitted Diseases - prevention & control</subject><subject>Social Support</subject><subject>Socioeconomic Factors</subject><subject>STD</subject><subject>Vagina</subject><subject>Women</subject><subject>Women's Health</subject><subject>Young 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of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial</title><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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-7783cb25683da602a3ad01ed85ae9122212653c89f63ecc0c1070febbe5b77393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adaptation</topic><topic>Addictive behaviors</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>Behavior modification</topic><topic>Condoms</topic><topic>Correctional institutions</topic><topic>Correctional personnel</topic><topic>Counseling - organization & administration</topic><topic>Drug 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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.
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.
POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities.</abstract><cop>United States</cop><pub>American Public Health Association</pub><pmid>25211714</pmid><doi>10.2105/AJPH.2014.302105</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of public health (1971), 2015-04, Vol.105 (4), p.802-809 |
| issn | 0090-0036 1541-0048 |
| language | eng |
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| source | MEDLINE; PAIS Index; EBSCOhost Education Source; Business Source Complete; PubMed Central; Alma/SFX Local Collection |
| subjects | Acquired immune deficiency syndrome Adaptation Addictive behaviors Adolescent Adult AIDS Behavior modification Condoms Correctional institutions Correctional personnel Counseling - organization & administration Drug use Empowerment Female Health Education - organization & administration Health Knowledge, Attitudes, Practice HIV HIV Infections - prevention & control HIV/AIDS Human immunodeficiency virus Humans Imprisonment Infections Intervention Interviews Middle Aged North Carolina Power Prevention Prisoners Prisons Public health Research and Practice Sex crimes Sex industry Sexual Behavior Sexually transmitted diseases Sexually Transmitted Diseases - prevention & control Social Support Socioeconomic Factors STD Vagina Women Women's Health Young Adult |
| title | Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: a randomized controlled trial |
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