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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Alcohol, cannabis, and methamphetamine use and other risk behaviours among Black and Coloured South African women: A small randomized trial in the Western Cape</title><author><name sortKey="Wechsberg, Wendee M" sort="Wechsberg, Wendee M" uniqKey="Wechsberg W" first="Wendee M." last="Wechsberg">Wendee M. Wechsberg</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Luseno, Winnie K" sort="Luseno, Winnie K" uniqKey="Luseno W" first="Winnie K." last="Luseno">Winnie K. Luseno</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Karg, Rhonda S" sort="Karg, Rhonda S" uniqKey="Karg R" first="Rhonda S." last="Karg">Rhonda S. Karg</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Young, Siobhan" sort="Young, Siobhan" uniqKey="Young S" first="Siobhan" last="Young">Siobhan Young</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Rodman, Nat" sort="Rodman, Nat" uniqKey="Rodman N" first="Nat" last="Rodman">Nat Rodman</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Myers, Bronwyn" sort="Myers, Bronwyn" uniqKey="Myers B" first="Bronwyn" last="Myers">Bronwyn Myers</name><affiliation><nlm:aff id="A2">Medical Research Council of South Africa, Tygerberg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Parry, Charles D H" sort="Parry, Charles D H" uniqKey="Parry C" first="Charles D. H." last="Parry">Charles D. H. Parry</name><affiliation><nlm:aff id="A2">Medical Research Council of South Africa, Tygerberg, South Africa</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">18207723</idno><idno type="pmc">2435299</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2435299</idno><idno type="RBID">PMC:2435299</idno><idno type="doi">10.1016/j.drugpo.2007.11.018</idno><date when="2008">2008</date><idno type="wicri:Area/Pmc/Corpus">001098</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001098</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Alcohol, cannabis, and methamphetamine use and other risk behaviours among Black and Coloured South African women: A small randomized trial in the Western Cape</title><author><name sortKey="Wechsberg, Wendee M" sort="Wechsberg, Wendee M" uniqKey="Wechsberg W" first="Wendee M." last="Wechsberg">Wendee M. Wechsberg</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Luseno, Winnie K" sort="Luseno, Winnie K" uniqKey="Luseno W" first="Winnie K." last="Luseno">Winnie K. Luseno</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Karg, Rhonda S" sort="Karg, Rhonda S" uniqKey="Karg R" first="Rhonda S." last="Karg">Rhonda S. Karg</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Young, Siobhan" sort="Young, Siobhan" uniqKey="Young S" first="Siobhan" last="Young">Siobhan Young</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Rodman, Nat" sort="Rodman, Nat" uniqKey="Rodman N" first="Nat" last="Rodman">Nat Rodman</name><affiliation><nlm:aff id="A1">RTI International, Research Triangle Park, North Carolina, USA</nlm:aff></affiliation></author><author><name sortKey="Myers, Bronwyn" sort="Myers, Bronwyn" uniqKey="Myers B" first="Bronwyn" last="Myers">Bronwyn Myers</name><affiliation><nlm:aff id="A2">Medical Research Council of South Africa, Tygerberg, South Africa</nlm:aff></affiliation></author><author><name sortKey="Parry, Charles D H" sort="Parry, Charles D H" uniqKey="Parry C" first="Charles D. H." last="Parry">Charles D. H. Parry</name><affiliation><nlm:aff id="A2">Medical Research Council of South Africa, Tygerberg, South Africa</nlm:aff></affiliation></author></analytic><series><title level="j">The International journal on drug policy</title><idno type="ISSN">0955-3959</idno><idno type="eISSN">1873-4758</idno><imprint><date when="2008">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P8">There is a pressing need for brief behavioural interventions to address the intersection of high HIV prevalence, increasing substance use, and high-risk sex practices among South African women. The primary aim of this pilot, randomized trial was to examine whether an adapted evidence-based intervention would be equally, more, or less effective at reducing HIV risk behaviours when delivered using an individual or group format. The secondary aim was to examine differences between Black and Coloured South African women across pre- and post-intervention measures of alcohol and illicit drug use and sex risk behaviours.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P9">The Cape Town Women’s Health CoOp was adapted from an evidence-based intervention known as the Women’s CoOp._Study participants included Black (<italic>n</italic>=60) and Coloured (<italic>n</italic>=52) women living in the township communities of Cape Town, South Africa, who reported using illicit drugs and alcohol.</p></sec><sec id="S3"><title>Results</title><p id="P10">Coloured women reported greater methamphetamine use (13 days in the past 30 days) and Black women reported mostly cannabis use (27days in the past 30 days). Although both groups reported having unprotected sex under the influence of alcohol and/or other drugs, Black women reported greater condom use and having one partner; Coloured women reported having more than one sex partner. One-month post-intervention assessments indicated significant reductions in substance use and sex risk behaviours. After controlling for baseline measures, there were no significant differences between the two intervention conditions.</p></sec><sec id="S4"><title>Conclusion</title><p id="P11">Significant differences in risk behaviours were observed between Black and Coloured South African women. However, both ethnic groups were responsive to the adapted intervention and no differences were found by intervention assignment. These findings support the assertion that group interventions may be more cost-effective in reaching at-risk women in resource-scarce environments. Larger studies are needed to show efficacy and effectiveness of woman-focused group prevention interventions.</p></sec></div></front></TEI><pmc article-type="research-article" xml:lang="EN"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9014759</journal-id><journal-id journal-id-type="pubmed-jr-id">21498</journal-id><journal-id journal-id-type="nlm-ta">Int J Drug Policy</journal-id><journal-title>The International journal on drug policy</journal-title><issn pub-type="ppub">0955-3959</issn><issn pub-type="epub">1873-4758</issn></journal-meta><article-meta><article-id pub-id-type="pmid">18207723</article-id><article-id pub-id-type="pmc">2435299</article-id><article-id pub-id-type="manuscript">NIHMS46760</article-id><article-id pub-id-type="doi">10.1016/j.drugpo.2007.11.018</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Alcohol, cannabis, and methamphetamine use and other risk behaviours among Black and Coloured South African women: A small randomized trial in the Western Cape</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Wechsberg</surname><given-names>Wendee M.</given-names></name><xref ref-type="aff" rid="A1">a</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Luseno</surname><given-names>Winnie K.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Karg</surname><given-names>Rhonda S.</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Young</surname><given-names>Siobhan</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Rodman</surname><given-names>Nat</given-names></name><xref ref-type="aff" rid="A1">a</xref></contrib><contrib contrib-type="author"><name><surname>Myers</surname><given-names>Bronwyn</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib><contrib contrib-type="author"><name><surname>Parry</surname><given-names>Charles D. H.</given-names></name><xref ref-type="aff" rid="A2">b</xref></contrib></contrib-group><aff id="A1"><label>a</label>RTI International, Research Triangle Park, North Carolina, USA</aff><aff id="A2"><label>b</label>Medical Research Council of South Africa, Tygerberg, South Africa</aff><author-notes><fn id="FN1"><p id="P1">RTI International is a trade name of Research Triangle Institute.</p></fn><fn id="FN2"><p id="P2"><bold>Contact details:</bold> Winnie K. Luseno, M.S., Substance Abuse Treatment Evaluations and Interventions, RTI International, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA, Tel: 919-316-3818, Fax: 919-485-5555, E-mail: <email>wluseno@rti.org</email></p><p id="P3">Rhonda S. Karg, Ph.D., Substance Abuse Treatment Evaluations and Interventions, RTI International, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA, Tel: 919-316-3516, Fax: 919-485-5555, E-mail: <email>rkarg@rti.org</email></p><p id="P4">Siobhan Young, M.P.H., Substance Abuse Treatment Evaluations and Interventions, RTI International, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA, Tel: 919-541-6263, Fax: 919-485-5555, E-mail: <email>syoung@rti.org</email></p><p id="P5">Nat Rodman, M.S., RTI International, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA, Tel: 919-541-7109, Fax: 919-485-5555, E-mail: <email>nfr@rti.org</email></p><p id="P6">Bronwyn Myers, Ph.D., Alcohol and Drug Abuse Research Group, Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town, 7505, South Africa, Tel: 27-21-938-0350, Fax: 27-21-938-0342., E-mail: <email>bronwyn.myers@mrc.ac.za</email></p><p id="P7">Charles D. H. Parry, Ph.D., Alcohol and Drug Abuse Research Group, Medical Research Council, P.O. Box 19070, Tygerberg, Cape Town, 7505, South Africa, Tel: 27-21-938-0419, Fax: 27-21-938-0342, E-mail: <email>cparry@mrc.ac.za</email></p></fn><corresp id="cor1"><label>*</label><bold>Corresponding author:</bold> Wendee M. Wechsberg, Ph.D., Senior Director, Substance Abuse Treatment Evaluations and Interventions, RTI International, P.O. Box 12194, Research Triangle Park, NC 27709-2194, USA, Tel: 919-541-6422, Fax: 919-485-5555, E-mail: <email>wmw@rti.org</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>30</day><month>4</month><year>2008</year></pub-date><pub-date pub-type="epub"><day>18</day><month>1</month><year>2008</year></pub-date><pub-date pub-type="ppub"><month>4</month><year>2008</year></pub-date><pub-date pub-type="pmc-release"><day>1</day><month>4</month><year>2009</year></pub-date><volume>19</volume><issue>2</issue><fpage>130</fpage><lpage>139</lpage><abstract><sec id="S1"><title>Background</title><p id="P8">There is a pressing need for brief behavioural interventions to address the intersection of high HIV prevalence, increasing substance use, and high-risk sex practices among South African women. The primary aim of this pilot, randomized trial was to examine whether an adapted evidence-based intervention would be equally, more, or less effective at reducing HIV risk behaviours when delivered using an individual or group format. The secondary aim was to examine differences between Black and Coloured South African women across pre- and post-intervention measures of alcohol and illicit drug use and sex risk behaviours.</p></sec><sec sec-type="methods" id="S2"><title>Methods</title><p id="P9">The Cape Town Women’s Health CoOp was adapted from an evidence-based intervention known as the Women’s CoOp._Study participants included Black (<italic>n</italic>=60) and Coloured (<italic>n</italic>=52) women living in the township communities of Cape Town, South Africa, who reported using illicit drugs and alcohol.</p></sec><sec id="S3"><title>Results</title><p id="P10">Coloured women reported greater methamphetamine use (13 days in the past 30 days) and Black women reported mostly cannabis use (27days in the past 30 days). Although both groups reported having unprotected sex under the influence of alcohol and/or other drugs, Black women reported greater condom use and having one partner; Coloured women reported having more than one sex partner. One-month post-intervention assessments indicated significant reductions in substance use and sex risk behaviours. After controlling for baseline measures, there were no significant differences between the two intervention conditions.</p></sec><sec id="S4"><title>Conclusion</title><p id="P11">Significant differences in risk behaviours were observed between Black and Coloured South African women. However, both ethnic groups were responsive to the adapted intervention and no differences were found by intervention assignment. These findings support the assertion that group interventions may be more cost-effective in reaching at-risk women in resource-scarce environments. Larger studies are needed to show efficacy and effectiveness of woman-focused group prevention interventions.</p></sec></abstract><kwd-group><kwd>alcohol</kwd><kwd>illicit drugs</kwd><kwd>HIV risk</kwd><kwd>woman-focused intervention</kwd><kwd>South Africa</kwd></kwd-group><contract-num rid="DA1">R01 DA011609-07S2</contract-num><contract-sponsor id="DA1">National Institute on Drug Abuse : NIDA</contract-sponsor></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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