Randomized community-level HIV prevention intervention trial for men who drink in South African alcohol-serving venues.
Eur J Public Health
; 24(5): 833-9, 2014 Oct.
Article
em En
| MEDLINE
| ID: mdl-24248803
ABSTRACT
BACKGROUND:
South African alcohol-serving establishments (i.e., shebeens) offer unique opportunities to reduce HIV risks among men who drink.PURPOSE:
To test an individual- and a social structural-level HIV prevention intervention for men who drink in shebeens.METHODS:
Twelve matched pairs of township neighbourhoods were randomized to receive either (i) an HIV prevention intervention (guided by Social Action Theory) to reduce sexual risk and increase risk reduction communication in social networks, or (ii) an attention-matched control intervention that focused on the prevention of relationship violence. At the individual level, the interventions delivered skills building workshops focused on sexual risk reduction. At the social structural level, the intervention aimed to increase conversations about safer sex among men in the shebeens, distributed small media and implemented community educational events. Individual-level outcomes were assessed by following the workshop cohorts for 1 year (N = 984), and community-level outcomes were examined through cross-sectional community surveys conducted for 1 year in the shebeens (N = 9,678).RESULTS:
Men in the HIV prevention workshops demonstrated greater condom use, more HIV prevention-oriented conversations and greater perceptions of safer sex norms than men in the comparison workshops. Changes at the community level demonstrated significant differences in condom use, although the pattern was not consistent over time.CONCLUSIONS:
Multi-level interventions that target men who drink in South African shebeens may help reduce risks for HIV and other sexually transmitted infections.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Consumo de Bebidas Alcoólicas
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Avaliação de Programas e Projetos de Saúde
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Infecções por HIV
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Educação em Saúde
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Serviços de Saúde Comunitária
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Etiology_studies
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Evaluation_studies
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Observational_studies
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Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Adult
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Humans
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Male
País/Região como assunto:
Africa
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article