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Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments.

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Title: Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments.
Authors: Sikkema KJ (AUTHOR), Kelly JA (AUTHOR), Winett RA (AUTHOR), Solomon LJ (AUTHOR), Cargill VA (AUTHOR), Roffman RA (AUTHOR), McAuliffe TL (AUTHOR), Heckman TG (AUTHOR), Anderson EA (AUTHOR), Wagstaff DA (AUTHOR), Norman AD (AUTHOR), Perry MJ (AUTHOR), Crumble DA (AUTHOR), Mercer MB (AUTHOR)
Source: American Journal of Public Health. Jan2000, Vol. 90 Issue 1, p57-63. 7p.
Subjects: AIDS prevention, HIV-positive women, Women's sexual behavior, Poor women, Housing development, Infectious disease transmission, American women
Abstract: OBJECTIVES: Women in impoverished inner-city neighborhoods are at high risk for contracting HIV. A randomized, multisite community-level HIV prevention trial was undertaken with women living in 18 low-income housing developments in 5 US cities. METHODS: Baseline and 12-month follow-up population risk characteristics were assessed by surveying 690 women at both time points. In the 9 intervention condition housing developments, a community-level intervention was undertaken that included HIV risk reduction workshops and community HIV prevention events implemented by women who were popular opinion leaders among their peers. RESULTS: The proportion of women in the intervention developments who had any unprotected intercourse in the past 2 months declined from 50% to 37.6%, and the percentage of women's acts of intercourse protected by condoms increased from 30.2% to 47.2%. Among women exposed to intervention activities, the mean frequency of unprotected acts of intercourse in the past 2 months tended to be lower at follow-up (mean = 4.0) than at baseline (mean = 6.0). These changes were corroborated by changes in other risk indicators. CONCLUSIONS: Community-level interventions that involve and engage women in neighborhood-based HIV prevention activities can bring about reductions in high-risk sexual behaviors. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments.
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  Data: <searchLink fieldCode="AR" term="%22Sikkema+KJ%22">Sikkema KJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kelly+JA%22">Kelly JA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Winett+RA%22">Winett RA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Solomon+LJ%22">Solomon LJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cargill+VA%22">Cargill VA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roffman+RA%22">Roffman RA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McAuliffe+TL%22">McAuliffe TL</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Heckman+TG%22">Heckman TG</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anderson+EA%22">Anderson EA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wagstaff+DA%22">Wagstaff DA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Norman+AD%22">Norman AD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Perry+MJ%22">Perry MJ</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Crumble+DA%22">Crumble DA</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mercer+MB%22">Mercer MB</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jan2000, Vol. 90 Issue 1, p57-63. 7p.
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  Data: <searchLink fieldCode="DE" term="%22AIDS+prevention%22">AIDS prevention</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+women%22">HIV-positive women</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+sexual+behavior%22">Women's sexual behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Poor+women%22">Poor women</searchLink><br /><searchLink fieldCode="DE" term="%22Housing+development%22">Housing development</searchLink><br /><searchLink fieldCode="DE" term="%22Infectious+disease+transmission%22">Infectious disease transmission</searchLink><br /><searchLink fieldCode="DE" term="%22American+women%22">American women</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: OBJECTIVES: Women in impoverished inner-city neighborhoods are at high risk for contracting HIV. A randomized, multisite community-level HIV prevention trial was undertaken with women living in 18 low-income housing developments in 5 US cities. METHODS: Baseline and 12-month follow-up population risk characteristics were assessed by surveying 690 women at both time points. In the 9 intervention condition housing developments, a community-level intervention was undertaken that included HIV risk reduction workshops and community HIV prevention events implemented by women who were popular opinion leaders among their peers. RESULTS: The proportion of women in the intervention developments who had any unprotected intercourse in the past 2 months declined from 50% to 37.6%, and the percentage of women's acts of intercourse protected by condoms increased from 30.2% to 47.2%. Among women exposed to intervention activities, the mean frequency of unprotected acts of intercourse in the past 2 months tended to be lower at follow-up (mean = 4.0) than at baseline (mean = 6.0). These changes were corroborated by changes in other risk indicators. CONCLUSIONS: Community-level interventions that involve and engage women in neighborhood-based HIV prevention activities can bring about reductions in high-risk sexual behaviors. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/ajph.90.1.57
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      – SubjectFull: HIV-positive women
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      – SubjectFull: Women's sexual behavior
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      – SubjectFull: Housing development
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      – SubjectFull: American women
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              Text: Jan2000
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