287569
Enhancing self-efficacy using a HIV and substance use prevention program for African American women
Zakiya Tate, M.S. LPC
,
Substance Abuse Resources and Disability Issues (SARDI), Boonshoft School of Medicine, Wright State University, Kettering, OH
Nicole Kinzeler, Ph.D
,
Substance Abuse Resources and Disability Issues (SARDI), Boonshoft School of Medicine, Wright State University, Kettering, OH
Jo Ann Ford, MA, CCDC III
,
Sardi, Wright State University, Dayton, OH
Josephine Wilson, DDS, PhD
,
Substance Abuse Resources and Disability Issues Program, Boonshoft School of Medicine, Wright State University, Dayton, OH
Background: African American women living in Dayton, Ohio's public housing neighborhoods are an underserved population. These women tend to be primary caregivers, and often postpone their own health needs, including HIV testing and substance use disorder (SUD) services. The need for increased focus on HIV/AIDS prevention efforts in this population is illustrated by the growing prevalence of HIV infection in African American women. In response to this need, we developed Sisterline, a prevention program designed to improve access to SUD services and HIV testing for adult African American women with high SUD and HIV risk living in Dayton, OH. Methods: Women enrolled in the program were offered strength-based case management to address SUD risks and the Sisters Informing Sisters about Topics on AIDS (SISTA) intervention focused on ethnic and gender pride, HIV education, and skills training to reduce risky sexual behaviors and improve decision making. Outcome measures including alcohol and drug use, HIV knowledge, and self-advocacy in sexual situations, were obtained from self-reported data at baseline and 6 month follow-up. Results: Matched baseline and follow-up data was available for 233 participants. Paired-samples t-tests revealed that there were significant decreases in alcohol and drug use from baseline to follow-up (p's < 0.01). Furthermore, at follow-up, enrollees were significantly more knowledgeable in HIV awareness (p's <0.05) and report increased sexual self-efficacy (p's < 0.01) compared to baseline. Conclusions: As evidenced by significant changes from baseline to follow-up, the preventative strategies utilized by our program are positively affecting the behavior of our participants.
Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Protection of the public in relation to communicable diseases including prevention or control
Public health or related education
Learning Objectives:
Describe the impact of strength-based case management and a prevention intervention on sustance use, HIV testing and knowledge, and sexual self-efficacy.
Design a prevention program to reduce HIV and substance use risk behaviors for underserved populations in their community.
Keywords: HIV Risk Behavior, Prevention
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I am currently the manager for a project focusing on HIV prevention for women at high risk. I have also managed a CDC funded project that utilized four strategies to provide first time HIV rapid testing for African American women. For the last 15 years, I have counseled newly diagnosed people in a multiple county area and coordinated care with local health departments.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.