Randomized controlled trial to test the RHANi Wives HIV intervention for women in India at risk for HIV from husbands
Raj, A.; Saggurti, N.; Battala, M.; Nair, S.; Dasgupta, A.; Naik, D.D.; Abramovitz, D.; Silverman, J.G.; Balaiah, D.
Aids and Behavior 17(9): 3066-3080
2013
ISSN/ISBN: 1573-3254 PMID: 23921584 DOI: 10.1007/s10461-013-0586-xDocument Number: 582189
This study involved evaluation of the short-term impact of the RHANI Wives HIV intervention among wives at risk for HIV from husbands in Mumbai, India. A two-armed cluster RCT was conducted with 220 women surveyed on marital sex at baseline and 4-5 month follow-up. RHANI Wives was a multisession intervention focused on safer sex, marital communication, gender inequities and violence; control participants received basic HIV prevention education. Generalized linear mixed models were conducted to assess program impact, with cluster as a random effect and with time, treatment group, and the time by treatment interaction as fixed effects. A significant time by treatment effect on proportion of unprotected sex with husband (p = 0.01) was observed, and the rate of unprotected sex for intervention participants was lower than that of control participants at follow-up (RR = 0.83, 95 % CI = 0.75, 0.93). RHANI Wives is a promising model for women at risk for HIV from husbands.
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