Titre :
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Outcomes of a randomized community-level HIV prevention intervention for women living in 18 low-income housing developments. (2000)
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Auteurs :
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K.J. SIKKEMA ;
E.A. ANDERSON ;
V.A. CARGILL ;
D.A. CRUMBLE ;
T.G. HECKMAN ;
J.A. KELLY ;
T.L. MCAULIFFE ;
M.B. MERCER ;
A.D. NORMAN ;
M.J. PERRY ;
R.A. ROFFMAN ;
L.J. SOLOMON ;
D.A. WAGSTAFF ;
R.A. WINETT ;
Department of Psychiatry and Behavioral Medicine. Medical College of Wisconsin. Milwaukee. USA ;
Department of Psychology. Virginia Polytechnic Institute and State University. Blacksburg. USA ;
School of Medicine. Case Western Reserve University. Cleveland. OH. USA ;
School of Social Work. University of Washington. Seattle. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 90, n° 1, 2000)
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Pagination :
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57-63
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Langues:
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Anglais
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Mots-clés :
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Sida
;
Virose
;
Infection
;
Homme
;
Femme
;
Facteur socioéconomique
;
Pauvreté
;
Prévention santé
;
Lutte contre sida
;
Programme santé
;
Comportement sexuel
;
Utilisation
;
Préservatif
;
Etats Unis
;
Amérique
;
Epidémiologie
;
Immunopathologie
;
Amérique du Nord
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Résumé :
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[BDSP. Notice produite par INIST R0x8tSFr. Diffusion soumise à autorisation]. 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=0.6). 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.
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