A randomized, controlled trial of a behavioral intervention to prevent sexually transmitted disease among minority women.
Background African-American and Hispanic women are disproportionately affected by sexually transmitted diseases, including the acquired immunodeficiency syndrome (AIDS).
In the effort to reduce infection rates, it is important to create and evaluate behavioral interventions that are specific to the target populations.
Methods We enrolled women with nonviral sexually transmitted diseases in a randomized trial of a sex-and culture-specific behavioral intervention.
The intervention consisted of three small-group sessions of three to four hours each designed to help women recognize personal susceptibility, commit to changing their behavior, and acquire necessary skills.
The control group received standard counseling about sexually transmitted diseases.
The design of the intervention was based on the AIDS Risk Reduction Model and ethnographic data on the study populations.
Participants in both groups underwent screening, counseling, and an interview before randomization and at the 6-and 12-month follow-up visits.
The principal outcome variable was subsequent chlamydial or gonorrheal infection, which was evaluated on an intention-to-treat basis by logistic-regression analysis.
Results A total of 424 Mexican-American and 193 African-American women were enrolled ; 313 were assigned to the intervention group and 304 to the control group.
The rate of participation in the intervention was 90 percent. (...)
Mots-clés Pascal : Maladie sexuellement transmissible, Homme, Femelle, Prévention, Education, Comportement, Etats Unis, Amérique du Nord, Amérique, Origine ethnique, Minorité, Analyse risque, Evolution, Mexique, Amérique Centrale, Afrique, Exploration
Mots-clés Pascal anglais : Sexually transmitted disease, Human, Female, Prevention, Education, Behavior, United States, North America, America, Ethnic origin, Minority, Risk analysis, Evolution, Mexico, Central America, Africa, Exploration
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0085510
Code Inist : 002B30A03B. Création : 31/05/1999.