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Race/Ethnicity as a Moderator of HIV/STD Sexual Risk Reduction Groups for Women in Substance Abuse Treatment.

Poster presented at the College on Problems of Drug Dependence (CPDD) annual meeting, Palm Springs, CA, June 9-14, 2012.

Elijah Bell, PhD, Susan Tross, PhD, Aimee N. C. Campbell, PhD, MSW, Mei-Chen Hu, PhD, Martina Pavlicova, PhD, Edward V. Nunes, MD (all from Columbia University, GNY Node).

High-risk sexual behavior is an important vector of the HIV/AIDS epidemic, particularly among female substance abusers. Effective interventions to reduce unprotected sexual occasions (USO) and increase condom skills in this population are needed. Literature suggests ethnicity may influence risk behavior and participant response to intervention. This poster describes a secondary analysis of a gender-specific controlled multi-site trial of a 5-session HIV/STD risk reduction intervention for women, Safer Sex Skills Building (SSB), compared to a 1-session Health Education (HE) control (National Drug Abuse Treatment Clinical Trials Network protocol CTN-0019). SSB was skills-oriented but not ethnically tailored. Based on literature, it was hypothesized that ethnicity would moderate the intervention effects of SSB, reducing USO and increasing condom use skills among caucasians but not minorities. For the primary outcome (unprotected sexual occasions), results found a significant main effect of treatment, reflecting lower USO in the SSB group, but no ethnicity by treatment interaction. For male condom use skills, there was an interaction between ethnicity and time, reflecting significantly greater skills among minorities at the 6-month follow-up. For female condom use skills, there was an interaction between ethnicity and treatment, reflecting significantly higher skills among minorities in the SSB group.

Conclusions: Contrary to the original hypothesis, a skills-based HIV risk reduction intervention was equal to or more effective among minorities in reducing unprotected sexual occasions and increasing condom use skills. (Poster, PowerPoint slides, English, 2012)

Keywords: Condom use | CTN platform/ancillary study | Gender-specific interventions | HIV/AIDS | Minority groups | Safer Sex Skills Building (SSB) | Sexual risk behavior | Sexually transmitted diseases | Skills building | College on Problems of Drug Dependence (CPDD) annual meeting, 2012

Document No: 848

Submitted by Elijah Bell, 6/24/2012.


Bell, Elijah mail
Campbell, Aimee N. C. mail
Hu, Mei-Chen
Nunes, Edward V. mail
Pavlicova, Martina
Tross, Susan mail
NIDA-CTN-0019 www
Greater New York www
Delaware Valley www
New England Consortium www
North Carolina www
Ohio Valley www
Pacific Northwest www
Pacific Region www
Southern Consortium www

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Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
The materials on this site have neither been created nor reviewed by NIDA.
Updated 6/2012 --
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