Impact of a longitudinal community HIV intervention targeting injecting drug users' stage of change for condom and bleach use.

Important note: Information in this article was accurate in 1997. The state of the art may have changed since the publication date.

Impact of a longitudinal community HIV intervention targeting injecting drug users' stage of change for condom and bleach use.

Am J Health Promot. 1997 Sep-Oct;12(1):15-24. Unique Identifier : AIDSLINE MED/97448548
Jamner MS; Wolitski RJ; Corby NH; Center for Behavioral Research and Services, California State; University, Long Beach, USA.

Abstract: PURPOSE: To evaluate the impact of the Long Beach AIDS Community Demonstration Project, a community-based HIV-prevention intervention incorporating principles from the Transtheoretical model in its design and evaluation. DESIGN: Repeated cross-sectional sampling with matched intervention and comparison communities. SETTING: Neighborhoods in Long Beach, California, having a high prevalence of drug abuse and prostitution. SUBJECTS: 3081 injecting drug users who were sexually active and/or shared injection equipment. INTERVENTION: Trained peer volunteers distributed fliers featuring role model stories targeted to the population's stage of change. Fliers were packaged with bleaching kits and/or condoms. MEASURES: Primary outcome measures were exposure to the intervention, condom carrying, and stage of change for disinfecting injection equipment with bleach and for using condoms with main and other partners. RESULTS: Toward the end of the study, 77% of injection drug users in the intervention area reported being exposed to the intervention. In the intervention area, rates of condom carrying increased from 10 to 27% (p < .001), and there was an increase from 2.32 to 3.11 in mean stage of change for using condoms with other partners, while stage of change decreased in the comparison area (p < .01). Mean stage of change for using condoms with a main partner also increased in the intervention area, but the difference was not significant after controlling for change in the comparison area. Subjects with recent project exposure had higher stage-of-change scores for using condoms with a main partner (p < .05) and other partners (p < .01) and for cleaning injection equipment with bleach (p < .05). CONCLUSIONS: The results demonstrate the effectiveness of the AIDS Community Demonstration Project intervention for reaching injecting drug users in the community and for motivating the adoption of risk-reducing practices.

Keywords: *Health Promotion/METHODS *HIV Infections/PREVENTION & CONTROL *Knowledge, Attitudes, Practice *Sex Behavior *Substance Abuse, Intravenous
971230
M97C1608

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