The 130th Annual Meeting of APHA

5205.0: Wednesday, November 13, 2002 - 3:20 PM

Abstract #49445

Relationship-based HIV/STD prevention program promoting female condom use

Susan S. Witte, PhD1, Nabila El-Bassel, DSW1, Louisa Gilbert, MS1, Elwin Wu, PhD1, Mingway Chang, MPhil1, and Jennifer Hill, PhD2. (1) Social Intervention Group, Columbia University School of Social Work, 475 Riverside Drive, Suite 1842, New York, NY 10115, 212-870-3273,, (2) School of Social Work, Columbia University, 622 West 113 St., New York, NY 10025

OBJECTIVES: This NIMH-funded study tested the efficacy of a relationship-based HIV/STD prevention intervention at promoting female condom use among 217 urban African American and Latina women and their main male sexual partners. METHODS: A randomized clinical trial: at baseline, a woman and her main male partner were randomized to (1) a six-session, relationship-based intervention provided to both members of a couple together; (2) the same six-session intervention with only the female partner; or (3) a single-session HIV/STD education video and discussion provided to the female partner alone. All women and their study partners were followed up three months post intervention. Primary endpoints were based on self-report: (1) whether a female condom was used in the past 90 days; (2) number vaginal intercourse acts with a female condom in the past 90 days; and (3) intent to use a female condom in the next 90 days. Individual men and women were the unit of analysis (N=434), using random effects regression to account for within-couple correlations. RESULTS: At follow-up, individuals assigned to both active arms were more likely to have used female condoms (OR=2.5, p=.037); used female condoms a greater number of times(p=.047); and more likely to intend on using them (OR=2.0, p=.014) compared to those assigned to the education control arm. Comparing conjoint versus female-only modality of the relationship-based intervention revealed no significant differences in outcomes. CONCLUSION: Findings demonstrate the efficacy of this relationship-based HIV/STD prevention intervention in promoting female condom use and use intention among heterosexual couples at risk for HIV/STDs.

Learning Objectives:

Keywords: HIV Interventions, Women and HIV/AIDS

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The Female Condom: Is it Working?

The 130th Annual Meeting of APHA