| Title | Effectiveness of HIV/STD Sexual Risk Reduction Groups for Women in Substance Abuse Treatment Programs: Results of NIDA Clinical Trials Network Trial. | | Author(s) | Tross S, Campbell AN, Cohen LR, Calsyn D, Pavlicova M, Miele GM, Hu MC, Haynes L, Nugent N, Gan W, Hatch-Maillette M, Mandler R, McLaughlin P, El-Bassel N, Crits-Christoph P, Nunes EV | | Institution | From the *Department of Psychiatry, HIV Center for Clinical and Behavioral Studies, Columbia University Medical Center, New York, NY; daggerDepartment of Psychiatry, Substance Use Research Center, Columbia University Medical Center, New York, NY; double daggerSocial Intervention Group, Columbia University School of Social Work, New York, NY; section signAlcohol and Drug Abuse Institute and Department of Psychiatry and Behavioral Science, University of Washington, Seattle, WA; ||Department of Biostatistics, Columbia University Medical Center, New York, NY; paragraph signDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY; #Lexington Richland Alcohol and Drug Abuse Council; **Beth Israel Medical Center, New York, NY; daggerdaggerNew York University Child Study Center, New York University School of Medicine, New York, NY; double daggerdouble daggerCenter for Clinical Trials Network, National Institute on Drug Abuse, Bethesda, MD; section sign section signHartford Dispensary, Hartford, CT; and || ||University of Pennsylvania, Department of Psychiatry, Philadelphia, PA. | | Source | J Acquir Immune Defic Syndr 2008 Jul 12. | | Abstract | CONTEXT:: Because drug-involved women are among the fastest growing groups with AIDS, sexual risk reduction intervention for them is a public health imperative.
OBJECTIVE:: To test effectiveness of HIV/STD safer sex skills building (SSB) groups for women in community drug treatment.
DESIGN:: Randomized trial of SSB versus standard HIV/STD Education (HE); assessments at baseline, 3 and 6 months.
PARTICIPANTS:: Women recruited from 12 methadone or psychosocial treatment programs in Clinical Trials Network of National Institute on Drug Abuse. Five hundred fifteen women with >/=1 unprotected vaginal or anal sex occasion (USO) with a male partner in the past 6 months were randomized.
INTERVENTIONS:: In SSB, five 90-minute groups used problem solving and skills rehearsal to increase HIV/STD risk awareness, condom use, and partner negotiation skills. In HE, one 60-minute group covered HIV/STD disease, testing, treatment, and prevention information. MAIN
OUTCOME:: Number of USOs at follow-up.
RESULTS:: A significant difference in mean USOs was obtained between SSB and HE over time (F = 67.2, P < 0.0001). At 3 months, significant decrements were observed in both conditions. At 6 months, SSB maintained the decrease and HE returned to baseline (P < 0.0377). Women in SSB had 29% fewer USOs than those in HE.
CONCLUSIONS:: Skills building interventions can produce ongoing sexual risk reduction in women in community drug treatment. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18645513 |
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