A mixed methods evaluation of the effect of the protect and respect intervention on the condom use and disclosure practices of women living with HIV/AIDS
Teti, M.; Bowleg, L.; Cole, R.; Lloyd, L.; Rubinstein, S.; Spencer, S.; Aaron, E.; Ricksecker, A.; Berhane, Z.; Gold, M.
Aids and Behavior 14(3): 567-579
2010
ISSN/ISBN: 1573-3254 PMID: 19357943 DOI: 10.1007/s10461-009-9562-xDocument Number: 205016
This mixed methods study evaluated the efficacy of an intervention to increase HIV status disclosure and condom use among 184 women living with HIV/AIDS (WLH/A). Participants were recruited from an HIV clinic and randomly assigned to: (1) a comparison group, who received brief messages from their health care providers (HCPs), or; (2) an intervention group, who received messages from HCPs, a group-level intervention, and peer-led support groups. Participants completed risk surveys at baseline, 6-, 12-, and 18-months. Quantitative analyses using hierarchical generalized linear models within a repeated measures framework indicated that intervention participants had significantly higher odds of reporting condom use with sexual partners in months 6 and 18. Grounded Theory-based qualitative analyses suggested that the opportunity to discuss the social context of their lives in addition to HIV/AIDS, including continued stigma and fear related to disclosure, are also essential components of a prevention strategy for WLH/A.
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