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A Psycho-Educational HIV/STI Prevention Intervention for Internally Displaced Women in Leogane, Haiti: Results from a Non-Randomized Cohort Pilot Study

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  • Carmen H Logie
  • CarolAnn Daniel
  • Peter A Newman
  • James Weaver
  • Mona R Loutfy

Abstract

Background: Little evidence exists regarding efficacious HIV and sexually transmitted infections (STI) prevention interventions with internally displaced populations. Internally displaced women are at elevated risk for HIV/STI due to limited access to health services, heightened poverty and social network breakdown. The FASY (Famn an Aksyon Pou Sante' Yo) (Women Taking Action For Their Health) study examined the effectiveness of a peer health worker (PHW) delivered psycho-educational HIV/STI pilot study with internally displaced women in Leogane, Haiti. Method: This was a non-randomized cohort pilot study. Participants completed a computer-assisted pre-test programmed on Android tablet PCs followed by an HIV/STI educational video-based session and a 6-week psycho-educational group program of weekly meetings. Participants completed a post-test upon completion of group sessions. The primary outcome was HIV knowledge; our pre-specified index of clinically significant change was an effect size of 0.30. Secondary outcomes included: STI knowledge, condom use, social support, resilient coping, depression and relationship control. We used mixed-effects regression to calculate mean outcome pre-post score change. This study was registered (clinicaltrials.gov, NCT01492829). Results: Between January 1-April 30, 2012 we assigned 200 participants to the study. The majority of participants (n = 176, 88%) completed the study and were followed up at 8 weeks, finishing April 30, 2012. Adjusted for socio-demographic characteristics, HIV knowledge (β = 4.81; 95% CI 4.36–5.26), STI knowledge (β = 0.84; 95% CI 0.70–0.99), condom use (AOR = 4.05, 95% CI 1.86–8.83), and depression (β = −0.63, 95% CI −0.88–−0.39) scores showed statistically significant change post-intervention (p

Suggested Citation

  • Carmen H Logie & CarolAnn Daniel & Peter A Newman & James Weaver & Mona R Loutfy, 2014. "A Psycho-Educational HIV/STI Prevention Intervention for Internally Displaced Women in Leogane, Haiti: Results from a Non-Randomized Cohort Pilot Study," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-8, February.
  • Handle: RePEc:plo:pone00:0089836
    DOI: 10.1371/journal.pone.0089836
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    References listed on IDEAS

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    1. Logie, Carmen H. & Newman, Peter A. & Chakrapani, Venkatesan & Shunmugam, Murali, 2012. "Adapting the minority stress model: Associations between gender non-conformity stigma, HIV-related stigma and depression among men who have sex with men in South India," Social Science & Medicine, Elsevier, vol. 74(8), pages 1261-1268.
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    Cited by:

    1. Devi Leena Bose & Anhad Hundal & Sabina Singh & Shweta Singh & Kuhika Seth & Saif ul Hadi & Ashrita Saran & Jessy Joseph & Kriti Goyal & Solomon Salve, 2023. "Evidence and gap map report: Social and Behavior Change Communication (SBCC) interventions for strengthening HIV prevention and research among adolescent girls and young women (AGYW) in low‐ and middl," Campbell Systematic Reviews, John Wiley & Sons, vol. 19(1), March.

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