A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: The WiLLOW Program.
Identifieur interne : 001E23 ( Main/Exploration ); précédent : 001E22; suivant : 001E24A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: The WiLLOW Program.
Auteurs : Gina M. Wingood [États-Unis] ; Ralph J. Diclemente ; Isis Mikhail ; Delia L. Lang ; Donna Hubbard Mccree ; Susan L. Davies ; James W. Hardin ; Edward W. Hook ; Michael SaagSource :
- Journal of acquired immune deficiency syndromes (1999) [ 1525-4135 ] ; 2004.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Comportement sexuel (MeSH), Connaissances, attitudes et pratiques en santé (MeSH), Femelle (MeSH), Humains (MeSH), Infections à VIH (prévention et contrôle), Infections à VIH (rééducation et réadaptation), Infections à VIH (transmission), Maladies sexuellement transmissibles (prévention et contrôle), Maladies sexuellement transmissibles (rééducation et réadaptation), Maladies sexuellement transmissibles (transmission), Prise de risque (MeSH), Promotion de la santé (MeSH), Préservatifs masculins (MeSH), Éducation du patient comme sujet (MeSH).
- MESH :
- prévention et contrôle : Infections à VIH, Maladies sexuellement transmissibles.
- rééducation et réadaptation : Infections à VIH, Maladies sexuellement transmissibles.
- transmission : Adulte, Comportement sexuel, Connaissances, attitudes et pratiques en santé, Femelle, Humains, Infections à VIH, Maladies sexuellement transmissibles, Prise de risque, Promotion de la santé, Préservatifs masculins, Éducation du patient comme sujet.
English descriptors
- KwdEn :
- Adult (MeSH), Condoms (MeSH), Female (MeSH), HIV Infections (prevention & control), HIV Infections (rehabilitation), HIV Infections (transmission), Health Knowledge, Attitudes, Practice (MeSH), Health Promotion (MeSH), Humans (MeSH), Patient Education as Topic (MeSH), Risk-Taking (MeSH), Sexual Behavior (MeSH), Sexually Transmitted Diseases (prevention & control), Sexually Transmitted Diseases (rehabilitation), Sexually Transmitted Diseases (transmission).
- MESH :
- prevention & control : HIV Infections, Sexually Transmitted Diseases.
- rehabilitation : HIV Infections, Sexually Transmitted Diseases.
- transmission : HIV Infections, Sexually Transmitted Diseases.
- Adult, Condoms, Female, Health Knowledge, Attitudes, Practice, Health Promotion, Humans, Patient Education as Topic, Risk-Taking, Sexual Behavior.
Abstract
OBJECTIVE
To evaluate the efficacy of an intervention to reduce HIV transmission risk behaviors and sexually transmitted diseases (STDs) and enhance HIV-preventive psychosocial and structural factors among women living with HIV.
DESIGN
A randomized controlled trial of 366 women living with HIV in Alabama and Georgia.
INTERVENTION
The intervention emphasized gender pride, maintaining current and identifying new network members, HIV transmission knowledge, communication and condom use skills, and healthy relationships.
PRIMARY OUTCOME
Unprotected vaginal intercourse. OTHER OUTCOMES: Proportion never used condoms, incident STDs, psychosocial factors, and number of supportive network members.
RESULTS
Over the 12-month follow-up, women in the WiLLOW intervention, relative to the comparison, reported fewer episodes of unprotected vaginal intercourse (1.8 vs. 2.5; P = 0.022); were less likely to report never using condoms (odds ratio [OR] = 0.27; P = 0.008); had a lower incidence of bacterial infections (Chlamydia and gonorrhea) (OR = 0.19; P = 0.006); reported greater HIV knowledge and condom use self-efficacy, more network members, fewer beliefs that condoms interfere with sex, and fewer partner-related barriers to condom use; and demonstrated greater skill in using condoms.
CONCLUSION
This is the first trial to demonstrate reductions in risky sexual behavior and incident bacterial STDs and to enhance HIV-preventive psychosocial and structural factors among women living with HIV.
DOI: 10.1097/01.qai.0000140603.57478.a9
PubMed: 15385901
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Wingood</name><affiliation wicri:level="2"><nlm:affiliation>Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. gwingoo@sph.emory.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Diclemente, Ralph J" sort="Diclemente, Ralph J" uniqKey="Diclemente R" first="Ralph J" last="Diclemente">Ralph J. Diclemente</name></author><author><name sortKey="Mikhail, Isis" sort="Mikhail, Isis" uniqKey="Mikhail I" first="Isis" last="Mikhail">Isis Mikhail</name></author><author><name sortKey="Lang, Delia L" sort="Lang, Delia L" uniqKey="Lang D" first="Delia L" last="Lang">Delia L. Lang</name></author><author><name sortKey="Mccree, Donna Hubbard" sort="Mccree, Donna Hubbard" uniqKey="Mccree D" first="Donna Hubbard" last="Mccree">Donna Hubbard Mccree</name></author><author><name sortKey="Davies, Susan L" sort="Davies, Susan L" uniqKey="Davies S" first="Susan L" last="Davies">Susan L. Davies</name></author><author><name sortKey="Hardin, James W" sort="Hardin, James W" uniqKey="Hardin J" first="James W" last="Hardin">James W. Hardin</name></author><author><name sortKey="Hook, Edward W" sort="Hook, Edward W" uniqKey="Hook E" first="Edward W" last="Hook">Edward W. Hook</name></author><author><name sortKey="Saag, Michael" sort="Saag, Michael" uniqKey="Saag M" first="Michael" last="Saag">Michael Saag</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15385901</idno><idno type="pmid">15385901</idno><idno type="doi">10.1097/01.qai.0000140603.57478.a9</idno><idno type="wicri:Area/Main/Corpus">001D64</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">001D64</idno><idno type="wicri:Area/Main/Curation">001D64</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">001D64</idno><idno type="wicri:Area/Main/Exploration">001D64</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: The WiLLOW Program.</title><author><name sortKey="Wingood, Gina M" sort="Wingood, Gina M" uniqKey="Wingood G" first="Gina M" last="Wingood">Gina M. Wingood</name><affiliation wicri:level="2"><nlm:affiliation>Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. gwingoo@sph.emory.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322</wicri:regionArea><placeName><region type="state">Géorgie (États-Unis)</region></placeName></affiliation></author><author><name sortKey="Diclemente, Ralph J" sort="Diclemente, Ralph J" uniqKey="Diclemente R" first="Ralph J" last="Diclemente">Ralph J. Diclemente</name></author><author><name sortKey="Mikhail, Isis" sort="Mikhail, Isis" uniqKey="Mikhail I" first="Isis" last="Mikhail">Isis Mikhail</name></author><author><name sortKey="Lang, Delia L" sort="Lang, Delia L" uniqKey="Lang D" first="Delia L" last="Lang">Delia L. Lang</name></author><author><name sortKey="Mccree, Donna Hubbard" sort="Mccree, Donna Hubbard" uniqKey="Mccree D" first="Donna Hubbard" last="Mccree">Donna Hubbard Mccree</name></author><author><name sortKey="Davies, Susan L" sort="Davies, Susan L" uniqKey="Davies S" first="Susan L" last="Davies">Susan L. Davies</name></author><author><name sortKey="Hardin, James W" sort="Hardin, James W" uniqKey="Hardin J" first="James W" last="Hardin">James W. Hardin</name></author><author><name sortKey="Hook, Edward W" sort="Hook, Edward W" uniqKey="Hook E" first="Edward W" last="Hook">Edward W. Hook</name></author><author><name sortKey="Saag, Michael" sort="Saag, Michael" uniqKey="Saag M" first="Michael" last="Saag">Michael Saag</name></author></analytic><series><title level="j">Journal of acquired immune deficiency syndromes (1999)</title><idno type="ISSN">1525-4135</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term><term>Condoms (MeSH)</term><term>Female (MeSH)</term><term>HIV Infections (prevention & control)</term><term>HIV Infections (rehabilitation)</term><term>HIV Infections (transmission)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Health Promotion (MeSH)</term><term>Humans (MeSH)</term><term>Patient Education as Topic (MeSH)</term><term>Risk-Taking (MeSH)</term><term>Sexual Behavior (MeSH)</term><term>Sexually Transmitted Diseases (prevention & control)</term><term>Sexually Transmitted Diseases (rehabilitation)</term><term>Sexually Transmitted Diseases (transmission)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term><term>Comportement sexuel (MeSH)</term><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Infections à VIH (prévention et contrôle)</term><term>Infections à VIH (rééducation et réadaptation)</term><term>Infections à VIH (transmission)</term><term>Maladies sexuellement transmissibles (prévention et contrôle)</term><term>Maladies sexuellement transmissibles (rééducation et réadaptation)</term><term>Maladies sexuellement transmissibles (transmission)</term><term>Prise de risque (MeSH)</term><term>Promotion de la santé (MeSH)</term><term>Préservatifs masculins (MeSH)</term><term>Éducation du patient comme sujet (MeSH)</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>HIV Infections</term><term>Sexually Transmitted Diseases</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à VIH</term><term>Maladies sexuellement transmissibles</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>HIV Infections</term><term>Sexually Transmitted Diseases</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Infections à VIH</term><term>Maladies sexuellement transmissibles</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>HIV Infections</term><term>Sexually Transmitted Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Condoms</term><term>Female</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Promotion</term><term>Humans</term><term>Patient Education as Topic</term><term>Risk-Taking</term><term>Sexual Behavior</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="fr"><term>Adulte</term><term>Comportement sexuel</term><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Humains</term><term>Infections à VIH</term><term>Maladies sexuellement transmissibles</term><term>Prise de risque</term><term>Promotion de la santé</term><term>Préservatifs masculins</term><term>Éducation du patient comme sujet</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To evaluate the efficacy of an intervention to reduce HIV transmission risk behaviors and sexually transmitted diseases (STDs) and enhance HIV-preventive psychosocial and structural factors among women living with HIV.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>A randomized controlled trial of 366 women living with HIV in Alabama and Georgia.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>The intervention emphasized gender pride, maintaining current and identifying new network members, HIV transmission knowledge, communication and condom use skills, and healthy relationships.</p></div><div type="abstract" xml:lang="en"><p><b>PRIMARY OUTCOME</b></p><p>Unprotected vaginal intercourse. OTHER OUTCOMES: Proportion never used condoms, incident STDs, psychosocial factors, and number of supportive network members.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Over the 12-month follow-up, women in the WiLLOW intervention, relative to the comparison, reported fewer episodes of unprotected vaginal intercourse (1.8 vs. 2.5; P = 0.022); were less likely to report never using condoms (odds ratio [OR] = 0.27; P = 0.008); had a lower incidence of bacterial infections (Chlamydia and gonorrhea) (OR = 0.19; P = 0.006); reported greater HIV knowledge and condom use self-efficacy, more network members, fewer beliefs that condoms interfere with sex, and fewer partner-related barriers to condom use; and demonstrated greater skill in using condoms.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>This is the first trial to demonstrate reductions in risky sexual behavior and incident bacterial STDs and to enhance HIV-preventive psychosocial and structural factors among women living with HIV.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15385901</PMID><DateCompleted><Year>2005</Year><Month>10</Month><Day>26</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>30</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1525-4135</ISSN><JournalIssue CitedMedium="Print"><Volume>37 Suppl 2</Volume><PubDate><Year>2004</Year><Month>Oct</Month><Day>01</Day></PubDate></JournalIssue><Title>Journal of acquired immune deficiency syndromes (1999)</Title><ISOAbbreviation>J Acquir Immune Defic Syndr</ISOAbbreviation></Journal><ArticleTitle>A randomized controlled trial to reduce HIV transmission risk behaviors and sexually transmitted diseases among women living with HIV: The WiLLOW Program.</ArticleTitle><Pagination><MedlinePgn>S58-67</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To evaluate the efficacy of an intervention to reduce HIV transmission risk behaviors and sexually transmitted diseases (STDs) and enhance HIV-preventive psychosocial and structural factors among women living with HIV.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">A randomized controlled trial of 366 women living with HIV in Alabama and Georgia.</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">The intervention emphasized gender pride, maintaining current and identifying new network members, HIV transmission knowledge, communication and condom use skills, and healthy relationships.</AbstractText><AbstractText Label="PRIMARY OUTCOME" NlmCategory="METHODS">Unprotected vaginal intercourse. OTHER OUTCOMES: Proportion never used condoms, incident STDs, psychosocial factors, and number of supportive network members.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Over the 12-month follow-up, women in the WiLLOW intervention, relative to the comparison, reported fewer episodes of unprotected vaginal intercourse (1.8 vs. 2.5; P = 0.022); were less likely to report never using condoms (odds ratio [OR] = 0.27; P = 0.008); had a lower incidence of bacterial infections (Chlamydia and gonorrhea) (OR = 0.19; P = 0.006); reported greater HIV knowledge and condom use self-efficacy, more network members, fewer beliefs that condoms interfere with sex, and fewer partner-related barriers to condom use; and demonstrated greater skill in using condoms.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This is the first trial to demonstrate reductions in risky sexual behavior and incident bacterial STDs and to enhance HIV-preventive psychosocial and structural factors among women living with HIV.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wingood</LastName><ForeName>Gina M</ForeName><Initials>GM</Initials><AffiliationInfo><Affiliation>Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. gwingoo@sph.emory.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>DiClemente</LastName><ForeName>Ralph J</ForeName><Initials>RJ</Initials></Author><Author ValidYN="Y"><LastName>Mikhail</LastName><ForeName>Isis</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Lang</LastName><ForeName>Delia L</ForeName><Initials>DL</Initials></Author><Author ValidYN="Y"><LastName>McCree</LastName><ForeName>Donna Hubbard</ForeName><Initials>DH</Initials></Author><Author ValidYN="Y"><LastName>Davies</LastName><ForeName>Susan L</ForeName><Initials>SL</Initials></Author><Author ValidYN="Y"><LastName>Hardin</LastName><ForeName>James W</ForeName><Initials>JW</Initials></Author><Author ValidYN="Y"><LastName>Hook</LastName><ForeName>Edward W</ForeName><Initials>EW</Initials><Suffix>3rd</Suffix></Author><Author ValidYN="Y"><LastName>Saag</LastName><ForeName>Michael</ForeName><Initials>M</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>1R01MH54412</GrantID><Acronym>MH</Acronym><Agency>NIMH NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>AI027767</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D003160">Comparative Study</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016448">Multicenter Study</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Acquir Immune Defic Syndr</MedlineTA><NlmUniqueID>100892005</NlmUniqueID><ISSNLinking>1525-4135</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>X</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017280" MajorTopicYN="N">Condoms</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="N">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006293" MajorTopicYN="N">Health Promotion</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010353" MajorTopicYN="Y">Patient Education as Topic</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012309" MajorTopicYN="Y">Risk-Taking</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012725" MajorTopicYN="N">Sexual Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012749" MajorTopicYN="N">Sexually Transmitted Diseases</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000534" MajorTopicYN="N">rehabilitation</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>9</Month><Day>24</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>10</Month><Day>27</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>9</Month><Day>24</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15385901</ArticleId><ArticleId IdType="pii">00126334-200410012-00002</ArticleId><ArticleId IdType="doi">10.1097/01.qai.0000140603.57478.a9</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li></region></list><tree><noCountry><name sortKey="Davies, Susan L" sort="Davies, Susan L" uniqKey="Davies S" first="Susan L" last="Davies">Susan L. Davies</name><name sortKey="Diclemente, Ralph J" sort="Diclemente, Ralph J" uniqKey="Diclemente R" first="Ralph J" last="Diclemente">Ralph J. Diclemente</name><name sortKey="Hardin, James W" sort="Hardin, James W" uniqKey="Hardin J" first="James W" last="Hardin">James W. Hardin</name><name sortKey="Hook, Edward W" sort="Hook, Edward W" uniqKey="Hook E" first="Edward W" last="Hook">Edward W. Hook</name><name sortKey="Lang, Delia L" sort="Lang, Delia L" uniqKey="Lang D" first="Delia L" last="Lang">Delia L. Lang</name><name sortKey="Mccree, Donna Hubbard" sort="Mccree, Donna Hubbard" uniqKey="Mccree D" first="Donna Hubbard" last="Mccree">Donna Hubbard Mccree</name><name sortKey="Mikhail, Isis" sort="Mikhail, Isis" uniqKey="Mikhail I" first="Isis" last="Mikhail">Isis Mikhail</name><name sortKey="Saag, Michael" sort="Saag, Michael" uniqKey="Saag M" first="Michael" last="Saag">Michael Saag</name></noCountry><country name="États-Unis"><region name="Géorgie (États-Unis)"><name sortKey="Wingood, Gina M" sort="Wingood, Gina M" uniqKey="Wingood G" first="Gina M" last="Wingood">Gina M. Wingood</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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