Efficacy of a Woman-Focused Intervention to Reduce HIV Risk and Increase Self-Sufficiency Among African American Crack Abusers
Wendee M. Wechsberg, PhD,
Wendy K. K. Lam, PhD,
William A. Zule, DrPH and
Georgiy Bobashev, PhD
The authors are with RTI International, Research Triangle Park, NC.
Correspondence: Requests for reprints should be sent to Wendee M. Wechsberg, PhD, RTI International, 3040 Cornwallis Drive, P.O. Box 12194, Research Triangle Park, NC 277092194 (e-mail: wmw{at}rti.org).
Objectives. This study compares 3- and 6-month outcomes of awoman-focused HIV intervention for crack abusers, a revisedNational Institute on Drug Abuse standard intervention, anda 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 assessedwith linear and logistic regression.
Results. All groups significantly reduced crack use and high-risksex at each follow-up, but only woman-focused intervention participantsconsistently improved employment and housing status. Comparedwith control subjects at 6 months, woman-focused interventionparticipants were least likely to engage in unprotected sex;revised standard intervention women reported greatest reductionsin crack use.
Conclusions. A woman-focused intervention can successfully reducerisk and facilitate employment and housing and may effectivelyreduce the frequency of unprotected sex in the longer term.
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