Table 2.
Characteristics of selected HIV prevention interventions for drug-using women with histories of partner violence
Study | Behavioral theory | Sample | Integrated micro-environmental determinants | Outcomes |
---|---|---|---|---|
Amaro et al65 The Boston Consortium Model |
• Empowerment theory | n = 342; women of all race/ethnicities in community-based substance abuse treatment; English and Spanish | • Trauma history • Mental health • Substance abuse/HIV • Economics • Family dynamics |
↓ substance use ↓ mental health ↓ Post-traumatic stress disorder ↓ unprotected sex ↑ relationship power scores |
Gilbert et al55 Relapse prevention and relationship safety |
• Social cognitive theory • Empowerment theory |
n = 34; enrolled in outpatient MMTP; Latina (~60%), African American, White | • IPV | ↓ drug use ↓ minor physical/sexual IPV ↓ minor and severe psychological IPV |
Gollub et al64 Women Fighting Infection Together* (Women FIT) |
• Empowerment theory | n = 189; out-of-treatment drug users; 2/3 African American | • HIV risks • Economic stress • Violence, abuse, and violent sex |
↑ knowledge of protection methods ↑ pre-post anatomy knowledge scores ↑ male/female condom use |
Tross et al56 Safer Sex Skills Building* |
• Social cognitive learning theory • Empowerment theory |
n = 384; recruited from methadone or psychosocial treatment programs; All racial/ethnic groups | • Partner abuse • Female-male control issues • HIV risk behaviors |
↓ unprotected sex acts |
Sterk et al62 The Health Intervention Project* |
• Social cognitive theory • Theory of reasoned action • Theory of planned behavior • Transtheoretical model of change • Theory of Gender and Power |
n = 68; recruited using street-outreach from inner city neighborhoods; African American | • Gender dynamics • Economic stress • Gender norms • Power and control • HIV risk behaviors |
↓ number of paying partners ↓ frequency of sex with paying partners ↓ crack use in risky settings |
Wechsberg et al26 The Women’s Health CoOp* |
• Empowerment theory | n = 620; out-of-drug-treatment African Americans | • HIV risk behaviors • Barriers of education, employment, housing, and parenting |
↓ unprotected sex ↓ crack use Improvement in housing and employment status |
Note:
Integrated the promotion of the female condom, a biomedical approach.
Abbreviations: MMTP, methadone maintenance treatment program; IPV, intimate partner violence; HIV, human immunodeficiency virus.