An Integrated HIV Risk Reduction Intervention for Women with a History of Intimate Partner Violence: Pilot Test Results

被引:20
作者
Mittal, Mona [1 ]
Thevenet-Morrison, Kelly [2 ]
Landau, Judith [3 ]
Cai, Xueya [4 ]
Gibson, Lindsey [5 ]
Schroeder, Allison [6 ]
Chaize, Janet [7 ]
Carey, Michael P. [8 ,9 ]
机构
[1] Univ Maryland, Sch Publ Hlth 1142, Dept Family Sci, College Pk, MD 20742 USA
[2] Univ Rochester, Sch Med & Dent, Dept Publ Hlth Sci, Rochester, NY USA
[3] Linking Human Syst LLC, Boulder, CO USA
[4] Univ Rochester, Sch Med & Dent, Dept Biostat & Computat Biol, Rochester, NY USA
[5] NYU, Global Inst Publ Hlth, New York, NY USA
[6] Univ Maryland, Dept Family Sci, College Pk, MD 20742 USA
[7] Alternat Battered Women, Rochester, NY USA
[8] Miriam Hosp, Ctr Behav & Prevent Med, Providence, RI 02906 USA
[9] Brown Univ, Dept Psychiat & Human Behav, Dept Behav & Social Sci, Providence, RI 02912 USA
关键词
Intimate partner violence; HIV; Sexual risk behaviors; Intervention; Women; RANDOMIZED CONTROLLED-TRIAL; SEXUAL RELATIONSHIP POWER; RURAL SOUTH-AFRICA; CONDOM USE; PREVENTION INTERVENTION; PSYCHOMETRIC EVALUATION; UNITED-STATES; MENTAL-HEALTH; URBAN WOMEN; DRUG-USERS;
D O I
10.1007/s10461-016-1427-5
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
There are few HIV risk reduction interventions to meet the unique needs of women who experience intimate partner violence (IPV). This pilot study tested the feasibility, safety, and preliminary effects of an integrated IPV-sexual risk reduction intervention for abused women. Fifty-five women were randomized to the supporting positive and healthy relationships (SUPPORT) intervention (n = 27) or to a control group (n = 28). Assessments were conducted pre- and post-intervention and at 3-month follow-up. Post-intervention, SUPPORT participants showed a significant decrease in frequency of unprotected sex and an increase in safer sex communications with steady and other sexual partners. Compared to the control group, SUPPORT participants reported a higher number of safer sex conversations with their steady partner at the 3-month follow-up, and fewer episodes of IPV at both assessments in comparison to baseline. They showed improvements in sexual relationship power at both follow-ups and in several hypothesized antecedents of HIV-risk behavior. These encouraging preliminary findings suggest the need for a larger clinical trial.
引用
收藏
页码:2219 / 2232
页数:14
相关论文
共 65 条
[1]   Findings from the SASA! Study: a cluster randomized controlled trial to assess the impact of a community mobilization intervention to prevent violence against women and reduce HIV risk in Kampala, Uganda [J].
Abramsky, Tanya ;
Devries, Karen ;
Kiss, Ligia ;
Nakuti, Janet ;
Kyegombe, Nambusi ;
Starmann, Elizabeth ;
Cundill, Bonnie ;
Francisco, Leilani ;
Kaye, Dan ;
Musuya, Tina ;
Michau, Lori ;
Watts, Charlotte .
BMC MEDICINE, 2014, 12
[2]  
[Anonymous], 2008, Hepatitis B. Fact sheet no. 204, P1
[3]  
Bandura A., 1986, Social foundations of thought and action: A social cognitive theory, V1, DOI DOI 10.5465/AMR.1987.4306538
[4]   Medical and Psychosocial Diagnoses in Women With a History of Intimate Partner Violence [J].
Bonomi, Amy E. ;
Anderson, Melissa L. ;
Reid, Robert J. ;
Rivara, Frederick P. ;
Carrell, David ;
Thompson, Robert S. .
ARCHIVES OF INTERNAL MEDICINE, 2009, 169 (18) :1692-1697
[5]   DEVELOPMENT OF A SCALE TO MEASURE ATTITUDE TOWARD THE CONDOM AS A METHOD OF BIRTH-CONTROL [J].
BROWN, IS .
JOURNAL OF SEX RESEARCH, 1984, 20 (03) :255-263
[6]   Intimate partner violence and physical health consequences [J].
Campbell, J ;
Jones, AS ;
Dienemann, J ;
Kub, J ;
Schollenberger, J ;
O'Campo, P ;
Gielen, AC ;
Wynne, C .
ARCHIVES OF INTERNAL MEDICINE, 2002, 162 (10) :1157-1163
[7]   Evaluating a Brief, Video-Based Sexual Risk Reduction Intervention and Assessment Reactivity with STI Clinic Patients: Results from a Randomized Controlled Trial [J].
Carey, Michael P. ;
Senn, Theresa E. ;
Walsh, Jennifer L. ;
Coury-Doniger, Patricia ;
Urban, Marguerite A. ;
Fortune, Thierry ;
Vanable, Peter A. ;
Carey, Kate B. .
AIDS AND BEHAVIOR, 2015, 19 (07) :1228-1246
[8]   Brief and Intensive Behavioral Interventions to Promote Sexual Risk Reduction among STD Clinic Patients: Results from a Randomized Controlled Trial [J].
Carey, Michael P. ;
Senn, Theresa E. ;
Vanable, Peter A. ;
Coury-Doniger, Patricia ;
Urban, Marguerite A. .
AIDS AND BEHAVIOR, 2010, 14 (03) :504-517
[9]   Using information, motivational enhancement, and skills training to reduce the risk of HIV infection for low-income urban women: A second randomized clinical trial [J].
Carey, MP ;
Braaten, LS ;
Maisto, SA ;
Gleason, JR ;
Forsyth, AD ;
Durant, LE ;
Jaworski, BC .
HEALTH PSYCHOLOGY, 2000, 19 (01) :3-11
[10]   Enhancing motivation to reduce the risk of HIV infection for economically disadvantaged urban women [J].
Carey, MP ;
Maisto, SA ;
Kalichman, SC ;
Forsyth, AD ;
Wright, EM ;
Johnson, BT .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1997, 65 (04) :531-541