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HIV/STD Risk Reduction Skills- Building Intervention for Women Presented at the 2010 SCAADAC Conference, Charleston, SC Beverly W. Holmes, MSW Beatrice.

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Presentation on theme: "HIV/STD Risk Reduction Skills- Building Intervention for Women Presented at the 2010 SCAADAC Conference, Charleston, SC Beverly W. Holmes, MSW Beatrice."— Presentation transcript:

1 HIV/STD Risk Reduction Skills- Building Intervention for Women Presented at the 2010 SCAADAC Conference, Charleston, SC Beverly W. Holmes, MSW Beatrice Koon, MSW Candidate (Winthrop University)

2 Outline Introductions Background Activity: Let’s Talk About Sex! Overview of Intervention Activity: Challenging Rationalizations Demonstrations: Wrap it Up! Activity: Safer Sex Negotiations Wrap-up Questions

3 HIV/STD Safer Sex Skills Groups For Women In Methadone Maintenance or Drug-Free Outpatient Treatment Principal Investigator Susan Tross, Ph.D. Columbia University, New York, NY

4 Community Treatment Programs 12 sites Methadone programs, psychosocial rehab Geographical diversity LRADAC

5 Community Treatment Programs Locations Seattle San Francisco Hartford Philadelphia Staten Is. High Point Norwalk Rancho Cucamonga Santa FeColumbia Toledo Huntington Raleigh......

6 HIV Risk Behavior  Engagement in substance abuse treatment is associated with reduction in HIV risk behaviors.  However, many women and men continue to engage in high risk sexual behavior while in treatment.  Most treatment programs provide a one hour HIV prevention information session which is know as treatment as usual.  Drug abusing women are among the fastest growing groups with AIDS.  There fore, sexual risk reduction intervention for these women is a public health necessity

7 Meta analyses indicate the more efficacious HIV prevention interventions utilize: Separate sessions for ♂ / ♀, A variety of techniques Condom demonstrations, Skills training exercises, Peer group discussions,

8 Study Purpose To compare a one session HIV health education session (HE) to a five session (SSB), gender specific HIV risk reduction intervention for women in community treatment programs

9 Participants 515 women with > one unprotected (vaginal or anal) sex occasion (in past 6 months) with a male partner, of 824 screened, were randomized.

10 Interventions In SSB (WORTH), five 90-minute groups used problem-solving and skills rehearsal to increase HIV/STD risk awareness and condom use and partner negotiation skills. In HE, one 60-minute group covered HIV/STD disease, testing, treatment, and prevention information.

11 Results A significant difference in mean USOs was obtained between SSB and HE over time. At 3 months, significant decrements were observed in both conditions. At 6 months, while SSB maintained this decrement, HE returned to baseline. Women in SSB had 29% fewer USOs than those in HE.

12 Unprotected Sexual Occasions at Baseline, 3 and 6 month

13 Unprotected Sexual Occasions Among Completers at Baseline, 3 and 6 month

14 Unprotected Sexual Occasions Among Non-Completers at Baseline, 3 and 6 month

15 Conclusions An intensive gender specific HIV prevention intervention was associated with greater sexual risk reduction among women in substance abuse treatment compared to a standard HIV education intervention. Among those patients who attended study intervention sessions, an even larger effect was observed. The effect remained strong at the six month follow up.

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