IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v13y2015i1p51-d61002.html
   My bibliography  Save this article

Color It Real: A Program to Increase Condom Use and Reduce Substance Abuse and Perceived Stress

Author

Listed:
  • Tiffany Zellner

    (Department of Community Health and Preventive Medicine, Morehouse School of Medicine Prevention Research Center, 720 Westview Drive SW, Atlanta, GA 30310, USA)

  • Jennie Trotter

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • Shelia Lenoir

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • Kelvin Walston

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • L’dia Men-Na’a

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA)

  • Tabia Henry-Akintobi

    (Department of Community Health and Preventive Medicine, Morehouse School of Medicine Prevention Research Center, 720 Westview Drive SW, Atlanta, GA 30310, USA)

  • Assia Miller

    (McKing Consulting Corporation, 2900 Chamblee Tucker Road, Building 10, Suite 100, Atlanta, GA 30341, USA)

Abstract

Few interventions have targeted perceived stress as a co-occurring construct central to substance use and subsequent HIV/AIDS risk reduction among African American urban young adults. The Color It Real Program was a seven session, weekly administered age-specific and culturally-tailored intervention designed to provide substance abuse and HIV education and reduce perceived stress among African Americans ages 18 to 24 in Atlanta, GA. Effectiveness was assessed through a quasi-experimental study design that consisted of intervention ( n = 122) and comparison ( n = 70) groups completing a pre- and post-intervention survey. A series of Analysis of Variance (ANOVA) tests were used to assess pre- to post-intervention changes between study groups. For intervention participants, perceived stress levels were significantly reduced by the end of the intervention ( t (70) = 2.38, p = 0.020), condom use at last sexual encounter significantly increased ( F = 4.43, p = 0.0360), intervention participants were significantly less likely to drink five or more alcoholic drinks in one sitting ( F = 5.10, p = 0.0245), and to use clean needles when injecting the drug ( F = 36.99, p = 0.0001). This study is among the first of its kind to incorporate stress management as an integral approach to HIV/SA prevention. The program has implications for the design of other community-based, holistic approaches to addressing substance use and risky behaviors for young adults.

Suggested Citation

  • Tiffany Zellner & Jennie Trotter & Shelia Lenoir & Kelvin Walston & L’dia Men-Na’a & Tabia Henry-Akintobi & Assia Miller, 2015. "Color It Real: A Program to Increase Condom Use and Reduce Substance Abuse and Perceived Stress," IJERPH, MDPI, vol. 13(1), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:13:y:2015:i:1:p:51-:d:61002
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/13/1/51/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/13/1/51/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wyatt, G.E., 2009. "Enhancing cultural and contextual intervention strategies to reduce HIV/AIDS among African Americans," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1941-1945.
    2. Gee, G.C., 2002. "A multilevel analysis of the relationship between institutional and individual racial discrimination and health status," American Journal of Public Health, American Public Health Association, vol. 92(4), pages 615-623.
    3. Peterson, J.L. & Jones, K.T., 2009. "HIV prevention for black men who have sex with men in the United States," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 976-980.
    4. El-Bassel, N. & Caldeira, N.A. & Ruglass, L.M. & Gilbert, L., 2009. "Addressing the unique needs of African American women in HIV prevention," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 996-1001.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Antonella Zizza & Marcello Guido & Virginia Recchia & Pierfrancesco Grima & Federico Banchelli & Andrea Tinelli, 2021. "Knowledge, Information Needs and Risk Perception about HIV and Sexually Transmitted Diseases after an Education Intervention on Italian High School and University Students," IJERPH, MDPI, vol. 18(4), pages 1-14, February.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Liat Ayalon, 2018. "Perceived Age Discrimination: A Precipitator or a Consequence of Depressive Symptoms?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 73(5), pages 860-869.
    2. Johnston, David W. & Lordan, Grace, 2012. "Discrimination makes me sick! An examination of the discrimination–health relationship," Journal of Health Economics, Elsevier, vol. 31(1), pages 99-111.
    3. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    4. Cheney, Ann M. & Newkirk, Christine & Rodriguez, Katheryn & Montez, Anselmo, 2018. "Inequality and health among foreign-born latinos in rural borderland communities," Social Science & Medicine, Elsevier, vol. 215(C), pages 115-122.
    5. Mieko Yoshihama & Jun Sung Hong & Yueqi Yan, 2022. "Everyday Discrimination and Depressive Symptoms among Gujarati Adults: Gender Difference in the Role of Social Support," IJERPH, MDPI, vol. 19(14), pages 1-13, July.
    6. Vasiliki Bozani & Nick Drydakis & Katerina Sidiropoulou & Benjamin Harvey & Anna Paraskevopoulou, 2019. "Workplace positive actions, trans people’s self-esteem and human resources’ evaluations," International Journal of Manpower, Emerald Group Publishing Limited, vol. 41(6), pages 809-831, November.
    7. Locke, Dexter & Hall, Billy & Grove, J Morgan & Pickett, Steward T.A. & Ogden, Laura A. & Aoki, Carissa & Boone, Christopher G. & O’Neil-Dunne, Jarlath PM, 2020. "Residential housing segregation and urban tree canopy in 37 US Cities," SocArXiv 97zcs, Center for Open Science.
    8. Tabia Henry-Akintobi & Nastassia Laster & Jennie Trotter & DeBran Jacobs & Tarita Johnson & Tandeca King Gordon & Assia Miller, 2016. "The Health, Enlightenment, Awareness, and Living (HEAL) Intervention: Outcome of an HIV and Hepatitis B and C Risk Reduction Intervention," IJERPH, MDPI, vol. 13(10), pages 1-14, September.
    9. Lee, Min-Ah & Ferraro, Kenneth F., 2009. "Perceived discrimination and health among Puerto Rican and Mexican Americans: Buffering effect of the Lazo matrimonial?," Social Science & Medicine, Elsevier, vol. 68(11), pages 1966-1974, June.
    10. Josephine Agu & Roanna Lobo & Gemma Crawford & Bethwyn Chigwada, 2016. "Migrant Sexual Health Help-Seeking and Experiences of Stigmatization and Discrimination in Perth, Western Australia: Exploring Barriers and Enablers," IJERPH, MDPI, vol. 13(5), pages 1-22, May.
    11. Gee, Gilbert C. & Spencer, Michael & Chen, Juan & Yip, Tiffany & Takeuchi, David T., 2007. "The association between self-reported racial discrimination and 12-month DSM-IV mental disorders among Asian Americans nationwide," Social Science & Medicine, Elsevier, vol. 64(10), pages 1984-1996, May.
    12. Scott, Darius, 2022. "Uncaring landscapes and HIV peer support in the rural Southern United States," Social Science & Medicine, Elsevier, vol. 292(C).
    13. Ríos-Salas, Vanessa & Larson, Andrea, 2015. "Perceived discrimination, socioeconomic status, and mental health among Latino adolescents in US immigrant families," Children and Youth Services Review, Elsevier, vol. 56(C), pages 116-125.
    14. Yang, Tse-Chuan & Chen, I-Chien & Choi, Seung-won & Kurtulus, Aysenur, 2019. "Linking perceived discrimination during adolescence to health during mid-adulthood: Self-esteem and risk-behavior mechanisms," Social Science & Medicine, Elsevier, vol. 232(C), pages 434-443.
    15. Raj, Anita & Chatterji, Sangeeta & Johns, Nicole E. & Yore, Jennifer & Dey, Arnab K. & Williams, David R., 2023. "The associations of everyday and major discrimination exposure with violence and poor mental health outcomes during the COVID-19 pandemic," Social Science & Medicine, Elsevier, vol. 318(C).
    16. Maureen R Benjamins & Megan Middleton, 2019. "Perceived discrimination in medical settings and perceived quality of care: A population-based study in Chicago," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-15, April.
    17. Lindsay E. Young & John A. Schneider, 2021. "The Co-Evolution of Network Structure and PrEP Adoption among a Large Cohort of PrEP Peer Leaders: Implications for Intervention Evaluation and Community Capacity-Building," IJERPH, MDPI, vol. 18(11), pages 1-19, June.
    18. Sun, Shufang & Crooks, Natasha & Kemnitz, Rebecca & Westergaard, Ryan P., 2018. "Re-entry experiences of Black men living with HIV/AIDS after release from prison: Intersectionality and implications for care," Social Science & Medicine, Elsevier, vol. 211(C), pages 78-86.
    19. Pachankis, John E. & Hatzenbuehler, Mark L. & Starks, Tyrel J., 2014. "The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use," Social Science & Medicine, Elsevier, vol. 103(C), pages 67-75.
    20. McGinnity, Frances & Grotti, Raffaele & Groarke, Sarah & Coughlan, Sarah, 2018. "Ethnicity and nationality in the Irish labour market," Research Series, Economic and Social Research Institute (ESRI), number BKMNEXT369.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:13:y:2015:i:1:p:51-:d:61002. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.