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Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: A randomized controlled trial

Author

Listed:
  • Fogel, C.I.
  • Crandell, J.L.
  • Neevel, A.M.
  • Parker, S.D.
  • Carry, M.
  • White, B.L.
  • Fasula, A.M.
  • Herbst, J.H.
  • Gelaude, D.J.

Abstract

Objectives. We tested the efficacy of an adapted evidence-based HIV-sexually transmitted infection (STI) behavioral intervention (Providing Opportunities for Women's Empowerment, Risk-Reduction, and Relationships, or POWER) among incarcerated women. Methods. We conducted a randomized trial with 521 women aged 18 to 60 years in 2 correctional facilities in North Carolina in 2010 and 2011. Intervention participants attended 8 POWER sessions; control participants received a single standard-of-care STI prevention session. We followed up at 3 and 6 months after release. We examined intervention efficacy with mixed-effects models. Results. POWER participants reported fewer male sexual partners than did control participants at 3 months, although this finding did not reach statistical significance; at 6 months they reported significantly less vaginal intercourse without a condom outside of a monogamous relationship and more condom use with a main male partner. POWER participants also reported significantly fewer condom barriers, and greater HIV knowledge, health-protective communication, and tangible social support. The intervention had no significant effects on incident STIs. Conclusions. POWER is a behavioral intervention with potential to reduce risk of acquiring or transmitting HIV and STIs among incarcerated women returning to their communities. © 2015, American Public Health Association Inc. All rights reserved.

Suggested Citation

  • Fogel, C.I. & Crandell, J.L. & Neevel, A.M. & Parker, S.D. & Carry, M. & White, B.L. & Fasula, A.M. & Herbst, J.H. & Gelaude, D.J., 2015. "Efficacy of an adapted HIV and sexually transmitted infection prevention intervention for incarcerated women: A randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 105(4), pages 802-809.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302105_1
    DOI: 10.2105/AJPH.2014.302105
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