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Relative efficacy of a multisession sexual risk-reduction intervention for young men released from prisons in 4 states

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  • Wolitski, R.J.

Abstract

Objectives. We compared the effects of an enhanced multisession intervention with a single-session intervention on the sexual risk behavior of young men released from prison. Methods. Young men, aged 18 to 29 years, were recruited from US prisons in 4 states and systematically assigned to the prerelease single-session intervention or the pre- and postrelease enhanced intervention. Both interventions addressed HIV, hepatitis, and other sexually transmitted infections; the enhanced intervention also addressed community reentry needs (e.g., housing, employment). Assessment data were collected before intervention, and 1, 12, and 24 weeks after release. Results. A total of 522 men were included in intent-to-treat analyses. Follow-up rates ranged from 76% to 87%. Unprotected vaginal or anal sex during the 90 days before incarceration was reported by 86% of men in the enhanced intervention and 89% in the single-session intervention (OR = 0.78; 95% CI = 0.46, 1.32). At 24 weeks, 68% of men assigned to the enhanced intervention reported unprotected vaginal or anal sex compared with 78% of those assigned to the single-session intervention (OR = 0.40; 95% CI = 0.18, 0.88). Conclusion. Project START demonstrated the efficacy of a sexual risk-reduction intervention that bridges incarceration and community reentry.

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  • Wolitski, R.J., 2006. "Relative efficacy of a multisession sexual risk-reduction intervention for young men released from prisons in 4 states," American Journal of Public Health, American Public Health Association, vol. 96(10), pages 1854-1861.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.056044_1
    DOI: 10.2105/AJPH.2004.056044
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    Cited by:

    1. William D. Barta & Deborah Shelton & Cheryl Cepelak & Colleen Gallagher, 2016. "Promoting a Sustainable Academic–Correctional Health Partnership: Lessons for Systemic Action Research," Systemic Practice and Action Research, Springer, vol. 29(1), pages 27-50, February.
    2. Seal, D.W. & Eldrige, G.D. & Kacanek, D. & Binson, D. & MacGowan, R.J., 2007. "A longitudinal, qualitative analysis of the context of substance use and sexual behavior among 18- to 29-year-old men after their release from prison," Social Science & Medicine, Elsevier, vol. 65(11), pages 2394-2406, December.
    3. Smith, Bryce D. & Kalayil, Elizabeth J. & Patel-Larson, Alpa & Chen, Brenda & Vaughan, Marla, 2012. "Retaining clients in an outcome monitoring evaluation study: HIV prevention efforts in community settings," Evaluation and Program Planning, Elsevier, vol. 35(1), pages 16-24.

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