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Clinical Trial
. 2004 Jul;94(7):1165-73.
doi: 10.2105/ajph.94.7.1165.

Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers

Affiliations
Clinical Trial

Efficacy of a woman-focused intervention to reduce HIV risk and increase self-sufficiency among African American crack abusers

Wendee M Wechsberg et al. Am J Public Health. 2004 Jul.

Abstract

Objectives: This study compares 3- and 6-month outcomes of a woman-focused HIV intervention for crack abusers, a revised National Institute on Drug Abuse standard intervention, and a control group.

Methods: Out-of-drug-treatment African American women (n = 620) who use crack participated in a randomized field experiment. Risk behavior, employment, and housing status were assessed with linear and logistic regression.

Results: All groups significantly reduced crack use and high-risk sex at each follow-up, but only woman-focused intervention participants consistently improved employment and housing status. Compared with control subjects at 6 months, woman-focused intervention participants were least likely to engage in unprotected sex; revised standard intervention women reported greatest reductions in crack use.

Conclusions: A woman-focused intervention can successfully reduce risk and facilitate employment and housing and may effectively reduce the frequency of unprotected sex in the longer term.

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References

    1. Tortu S, Beardsley M, Deren S, et al. HIV infection and patterns of risk among women drug injectors and crack users in low and high sero-prevalence sites. AIDS Care. 2000;12:65–76. - PubMed
    1. Metsch LR, McCoy CB, McCoy HV, et al. HIV-related risk behaviors and seropositivity among homeless drug-abusing women in Miami, Florida. J Psychoactive Drugs. 1995;27:435–446. - PubMed
    1. Wechsberg WM, Lam WK, Zule WA, Hall G, Middlesteadt R, Edwards J. Violence, homelessness, and HIV risk among crack-using African-American women. Subst Use Misuse. 2003;38:671–701. - PubMed
    1. Logan TK, Leukefeld C. Sexual and drug use behaviors among female crack users: a multi-site sample. Drug Alcohol Depend. 2000;58:237–245. - PubMed
    1. Nyamathi AM, Stein JA, Swanson JM. Personal, cognitive, behavioral, and demographic predictors of HIV testing and STDs in homeless women. J Behav Med. 2000;23:123–147. - PubMed

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