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The Health, Enlightenment, Awareness, and Living (HEAL) Intervention: Outcome of an HIV and Hepatitis B and C Risk Reduction Intervention

Author

Listed:
  • 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)

  • Nastassia Laster

    (Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, 1600 Clifton Road Atlanta, GA 30329, USA)

  • Jennie Trotter

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

  • DeBran Jacobs

    (University of Alabama at Birmingham School of Education, 1720 2nd Avenue South Birmingham, AL 35294, USA)

  • Tarita Johnson

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

  • Tandeca King Gordon

    (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

African American women have among the highest HIV/AIDS and hepatitis B and C incidence rates in the United States, especially among those homeless or incarcerated. The objective of this study was to evaluate the Health Enlightenment, Awareness and Living Intervention, designed to decrease HIV/AIDS, hepatitis and related risky behaviors. The thirteen-session intervention was implemented among homeless and formerly incarcerated low-income African American women, ages 18 to 55, in Atlanta, Georgia from 2006 to 2010. A single group repeated measures study design was employed and consisted of a pre-test (n = 355) group, an immediate post-test (n = 228) group with a response rate of 64%, and a six-month follow up (n = 110) group with response rate of 48%, completing a 135-item survey. Paired-sample t-tests, McNemar tests, and repeated measures ANOVA were applied to compare survey results. Participants demonstrated statistically significant increases in hepatitis B and C knowledge over time ( p < 0.001). Statistically significant decreases were also reported for unprotected sex in exchange for money, drugs or shelter ( p = 0.008), and sex under the influence of drugs or alcohol ( p < 0.001). Reported substance use decreased with statistical significance for alcohol ( p = 0.011), marijuana ( p = 0.011), illegal drugs ( p = 0.002), and crack/cocaine ( p = 0.003). Findings broaden the evidence base related to the effectiveness of HIV/AIDS and hepatitis risk reduction interventions designed for homeless and previously incarcerated African American women.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:10:p:948-:d:78825
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    References listed on IDEAS

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    1. Purcell, D.W. & McCree, D.H., 2009. "Recommendations from a research consultation to address intervention strategies for HIV/AIDS prevention focused on African Americans," American Journal of Public Health, American Public Health Association, vol. 99(11), pages 1937-1940.
    2. Hagan, H. & Thiede, H. & Weiss, N.S. & Hopkins, S.G. & Duchin, J.S. & Alexander, E.R., 2001. "Sharing of drug preparation equipment as a risk factor for hepatitis C," American Journal of Public Health, American Public Health Association, vol. 91(1), pages 42-46.
    3. 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.
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    Cited by:

    1. Rhonda C. Holliday & Romell Phillips & Tabia Henry Akintobi, 2020. "A Community-Based Participatory Approach to the Development and Implementation of an HIV Health Behavior Intervention: Lessons Learned in Navigating Research and Practice Systems from Project HAPPY," IJERPH, MDPI, vol. 17(2), pages 1-15, January.

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