TY - JOUR
T1 - The Impact of Key HIV Intervention Components as Predictors of Sexual Barrier Use
T2 - The Zambia Partner Project
AU - Chitalu, Ndashi
AU - Mumbi, Mirriam
AU - Cook, Ryan
AU - Weiss, Stephen M.
AU - Jones, Deborah
N1 - Publisher Copyright:
© The Author(s) 2014.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Behavioral interventions have utilized a variety of strategies and components to reduce HIV risk. This article describes the partner intervention, a couple-based group HIV risk reduction intervention implemented in 6 urban community health clinics in Lusaka, Zambia, and examines the components of the intervention and their relationship with condom use. Couple members completed assessments on condom use, acceptability, willingness to use condoms, communication, intimate partner violence (IPV), self-efficacy, and HIV information at baseline and 6 months' follow-up. This study examined the relative impact of elements of the intervention as predictors of condom use. Changes in acceptability had the greatest overall influence on condom use, followed by social support, relationship consensus, and willingness to use condoms. Changes in self-efficacy, IPV, negotiation, and information had no influence. Results support the use of multidimensional approaches in behavioral interventions and highlight the importance of identifying critical elements of interventions to maximize risk reduction outcomes.
AB - Behavioral interventions have utilized a variety of strategies and components to reduce HIV risk. This article describes the partner intervention, a couple-based group HIV risk reduction intervention implemented in 6 urban community health clinics in Lusaka, Zambia, and examines the components of the intervention and their relationship with condom use. Couple members completed assessments on condom use, acceptability, willingness to use condoms, communication, intimate partner violence (IPV), self-efficacy, and HIV information at baseline and 6 months' follow-up. This study examined the relative impact of elements of the intervention as predictors of condom use. Changes in acceptability had the greatest overall influence on condom use, followed by social support, relationship consensus, and willingness to use condoms. Changes in self-efficacy, IPV, negotiation, and information had no influence. Results support the use of multidimensional approaches in behavioral interventions and highlight the importance of identifying critical elements of interventions to maximize risk reduction outcomes.
KW - Africa
KW - HIV
KW - couples
KW - intervention
UR - http://www.scopus.com/inward/record.url?scp=84953266343&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84953266343&partnerID=8YFLogxK
U2 - 10.1177/2325957414520980
DO - 10.1177/2325957414520980
M3 - Article
C2 - 24482105
AN - SCOPUS:84953266343
SN - 2325-9574
VL - 15
SP - 51
EP - 58
JO - Journal of the International Association of Providers of AIDS Care
JF - Journal of the International Association of Providers of AIDS Care
IS - 1
ER -