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


Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Sikkema, KJ; Kelly, JA; Winett, RA; Solomon, LJ; Cargill, VA; Roffman, RA; McAuliffe, TL; Heckman, TG; Anderson, EA; Wagstaff, DA; Norman, AD; Perry, MJ; Crumble, DA; Mercer, MB

Published Date

  • January 2000

Published In

Volume / Issue

  • 90 / 1

Start / End Page

  • 57 - 63

PubMed ID

  • 10630138

Pubmed Central ID

  • 10630138

Electronic International Standard Serial Number (EISSN)

  • 1541-0048

International Standard Serial Number (ISSN)

  • 0090-0036

Digital Object Identifier (DOI)

  • 10.2105/ajph.90.1.57


  • eng