Cluster-randomized Controlled Trial of an HIV/sexually Transmitted Infection Risk-reduction Intervention for South African Men

Overview

Journal Am J Public Health

Specialty Public Health

Date 2014 Jan 18

PMID 24432923

Citations 19

Authors

John B Jemmott 3rd

Loretta S Jemmott

Ann OLeary

Zolani Ngwane

Larry D Icard

G Anita Heeren

Xoliswa Mtose

Craig Carty

Affiliations

Soon will be listed here.

Abstract

Objectives: We tested the efficacy of a sexual risk-reduction intervention for men in South Africa, where heterosexual exposure is the main mode of HIV transmission.

Methods: Matched-pairs of neighborhoods in Eastern Cape Province, South Africa, were randomly selected and within pairs randomized to 1 of 2 interventions based on social cognitive theory and qualitative research: HIV/sexually transmitted infection (STI) risk-reduction, targeting condom use, or attention-matched control, targeting health issues unrelated to sexual risks. Sexually active men aged 18 to 45 years were eligible. The primary outcome was consistent condom use in the past 3 months.

Results: Of 1181 participants, 1106 (93.6%) completed the 12-month follow-up. HIV and STI risk-reduction participants had higher odds of reporting consistent condom use (odds ratio [OR] = 1.32; 95% confidence interval [CI] = 1.03, 1.71) and condom use at last vaginal intercourse (OR = 1.40; 95% CI = 1.08, 1.82) than did attention-control participants, adjusting for baseline prevalence. No differences were observed on unprotected intercourse or multiple partnerships. Findings did not differ for sex with steady as opposed to casual partners.

Conclusions: Behavioral interventions specifically targeting men can contribute to efforts to reduce sexual risk behaviors in South Africa.

Citing Articles

HIV Focused Sexual Risk-Reduction Interventions Targeting Adolescent Boys and Young Men in Sub-Saharan Africa: A Scoping Review.

Kanyemba R, Govender K, Dzomba A, Mashamba T, Mantell J AIDS Behav. 2023; 27(10):3356-3391.

PMID: 37405621 PMC: 10516779. DOI: 10.1007/s10461-023-04054-8.

Gender and Context Matter: Behavioral and Structural Interventions for People Who Use Alcohol and Other Drugs in Africa.

Wechsberg W, van der Drift I, Howard B, Myers B, Browne F, Bonner C Int J Environ Res Public Health. 2022; 19(14).

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A Skills-Based HIV Serostatus Disclosure Intervention for Sexual Minority Men in South Africa: Protocol for Intervention Adaptation and a Pilot Randomized Controlled Trial.

Daniels J, Peters R, Medina-Marino A, Bongo C, Stephenson R JMIR Res Protoc. 2022; 11(5):e36845.

PMID: 35576574 PMC: 9152729. DOI: 10.2196/36845.

What is the added value of incorporating pleasure in sexual health interventions? A systematic review and meta-analysis.

Zaneva M, Philpott A, Singh A, Larsson G, Gonsalves L PLoS One. 2022; 17(2):e0261034.

PMID: 35148319 PMC: 8836333. DOI: 10.1371/journal.pone.0261034.

"We've Got Our Own Beliefs, Attitudes, Myths": A Mixed Methods Assessment of Rural South African Health Care Workers' Knowledge of and Attitudes Towards PrEP Implementation.

Asabor E, Lett E, Moll A, Shenoi S AIDS Behav. 2021; 25(8):2517-2532.

PMID: 33763802 PMC: 8450017. DOI: 10.1007/s10461-021-03213-z.

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