Influence of partner participation on sexual risk behavior reduction among HIV-positive Zambian women

Deborah L. Jones, Danielle Ross, Stephen M. Weiss, Ganapati Bhat, Ndashe Chitalu

Research output: Contribution to journalArticlepeer-review

47 Scopus citations

Abstract

Sexual risk behavior interventions in sub-Saharan Africa focus predominantly on individual and couples counseling. This cognitive-behavioral group intervention was adapted from an urban US context to urban Zambia. Preliminary data analyses assessed the influence of partner participation on sexual risk behavior among HIV-positive Zambian women. Female participants (n = 180) attended four group intervention sessions and received sexual behavior skill training and male and female condoms; male partners (n = 152) were randomly assigned to high- or low-intensity gender-concordant group intervention sessions. Sexual risk behavior, strategies, attitudes, and knowledge were assessed at baseline, 6, and 12 months. At baseline, 19% of males reported using alcohol before sex, 10% reported using alcohol to cope, and negative coping was associated with sexual risk behavior. In contrast, 1% of women reported using alcohol before sex, and 15% used alcohol as an HIV-coping strategy. Consistent barrier use was reported by 48% of women and 74% of men. After intervention, female high intensity participants reported higher rates of condom use (F = 5.68, P = .02), more positive condom attitudes, safer sex intentions, and less alcohol use. These findings highlight the influence of male partners in implementation of effective risk reduction interventions.

Original languageEnglish (US)
Pages (from-to)iv92-iv100
JournalJournal of Urban Health
Volume82
Issue numberSUPPL. 4
DOIs
StatePublished - Sep 1 2005

Keywords

  • HIV
  • Men
  • Sexual risk reduction
  • Women
  • Zambia

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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