Condom Use with Main and Other Sex Partners Among High-Risk Women: Intervention Outcomes and Correlates of Reduced Risk

Authors:
  • RWRichard J. Wolitski
    Richard J. Wolitski
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Abstract
SUMMARY This paper describes a community-level HIV prevention program for high-risk women in Long Beach, California that was implemented as part of the multi-site AIDS Community Demonstration Projects. The intervention model, which was based on health behavior theory and formative research, emphasized: (1) development of publications portraying local role models' experiences, (2) distribution of role-model stories by peer volunteers, and (3) environmental facilitation. The evaluation protocol incorporated anonymous street interviews in intervention and comparison communities, with repeated cross-sectional sampling over a 40-month period. By the end of the program, 71% of at-risk women interviewed in the intervention area had been reached by the project. Significant differential increases were observed in the intervention community for condom use with non-main partners (p < .01), but not main partners (p > .05), relative to the comparison area. Women who reported exposure to the intervention were more like...

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