Abstract
OBJECTIVE: This article describes the Health Intervention Project, an intervention for African American women in Atlanta, Georgia, who are crack cocaine users. METHODS:A formative phase involved ethnographic mapping of the physical and social infrastructure of the study communities and in-depth interviews with women crack cocaine users. Key findings that were incorporated into the intervention program included the exchange of sex for money or drugs, the women's experience with trauma and abuse, the role of men and male partners, the women's roles as mothers and members of extended families, their identity as African Americans, and their desire to reduce their risk for HIV/AIDS related to their drug use and sexual behavior. Individualized intervention sessions were designed to meet the women's needs. The motivation intervention emphasized self-motivation for behavioral change with the assistance of the interventionist, who facilitated the women's goal identification, action plan, and problem-solving skills. The negotiation intervention focused on improving technical and assertive communication skills. An action plan was developed, and the women worked on negotiation skills, self-control regarding sexual and drug-use encounters, assertiveness in sexual and drug-use interactions, and conflict resolution. CONCLUSION: Effective prevention and intervention programs must be framed within an appropriate racial, ethnic, and cultural context. Future research is needed to better understand risk in its social context, including the impact of community factors.
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Selected References
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- Amaro H. Love, sex, and power. Considering women's realities in HIV prevention. Am Psychol. 1995 Jun;50(6):437–447. doi: 10.1037//0003-066x.50.6.437. [DOI] [PubMed] [Google Scholar]
- Kagawa-Singer M. Redefining health: living with cancer. Soc Sci Med. 1993 Aug;37(3):295–304. doi: 10.1016/0277-9536(93)90261-2. [DOI] [PubMed] [Google Scholar]
- Kandel D., Chen K., Warner L. A., Kessler R. C., Grant B. Prevalence and demographic correlates of symptoms of last year dependence on alcohol, nicotine, marijuana and cocaine in the U.S. population. Drug Alcohol Depend. 1997 Jan 10;44(1):11–29. doi: 10.1016/s0376-8716(96)01315-4. [DOI] [PubMed] [Google Scholar]
- Krieger N. Embodying inequality: a review of concepts, measures, and methods for studying health consequences of discrimination. Int J Health Serv. 1999;29(2):295–352. doi: 10.2190/M11W-VWXE-KQM9-G97Q. [DOI] [PubMed] [Google Scholar]
- Makulowich G. S. Certain social and cultural factors put women at risk of HIV infection. AIDS Patient Care STDS. 1997 Jun;11(3):201–201. [PubMed] [Google Scholar]
- Mays V. M., Cochran S. D. Issues in the perception of AIDS risk and risk reduction activities by black and Hispanic/Latina women. Am Psychol. 1988 Nov;43(11):949–957. doi: 10.1037//0003-066x.43.11.949. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nyamathi A. M., Leake B., Flaskerud J., Lewis C., Bennett C. Outcomes of specialized and traditional AIDS counseling programs for impoverished women of color. Res Nurs Health. 1993 Feb;16(1):11–21. doi: 10.1002/nur.4770160104. [DOI] [PubMed] [Google Scholar]
- Prochaska J. O., DiClemente C. C., Norcross J. C. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992 Sep;47(9):1102–1114. doi: 10.1037//0003-066x.47.9.1102. [DOI] [PubMed] [Google Scholar]
- Weeks M. R., Schensul J. J., Williams S. S., Singer M., Grier M. AIDS prevention for African-American and Latina women: building culturally and gender-appropriate intervention. AIDS Educ Prev. 1995 Jun;7(3):251–264. [PubMed] [Google Scholar]