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SiHLE: Health Workshops for Young Black Women
Investigators:
SiHLE was developed to address the STI/HIV/AIDS prevention needs
of African-American adolescent girls. Research has shown that this subgroup
of the general population is at higher risk than their White or Hispanic peers. SiHLE was
originally implemented in the South, where adolescent HIV prevalence was higher
than any other geographic region in the U.S.
Participants were girls seeking health
services at community health agencies. Eliglible participants were African
American between the ages of 14 and 18 who had engaged in vaginal intercourse
within the previous six months. At baseline, 522 girls, aged 14-18, completed
the baseline survey and were randomized into either the HIV-prevention intervention
(n=251) or the general health control group (n=271).
The HIV-prevention intervention was grounded in social cognitive theory and
the theory of gender and power. Participants explored issues related to ethnic
and gender pride, risk reduction strategies (including correct and consistent
condom use), negotiating safer sex, and healthy relationships as they relate
to practicing safer sex.
At the six-month follow-up, intervention girls reported using condoms more
consistently in the previous 30 days than did their control group counterparts
(intervention, 75.3% vs. control, 58.2%). At the 12-month follow-up, intervention
girls reported more consistent condom use both in the previous 30 days (intervention,
73.3% vs. control, 56.5%) and during the entire 12-month review period (adjusted
odds ratio, 2.30; 95% CI, 1.51-3.5; P<.001). In general, at the 12-month
point, intervention girls were more likely to have used a condom at last intercourse,
and less likely to have had a new sexual partner in the last 30 days. They
also had better condom application skills and a higher percentage of condom-protected
sex acts than their control-group peers. Promising effects were also observed
for chlamydia infections and self-reported pregnancy. View
more detailed information on this program.
This product is also available in Multimedia Format.
If you are purchasing a download/digitized version of this program, click here for download and use instructions.
Materials in this program package are licensed for use in one implementation site.
All materials are copyrighted and may not be copied or distributed. If you would like to order
additional materials or program packages, please contact: Laurie Rose, Director of Customer Support,
Email: lrose@socio.com Tel: 650-383-6253.
