THE EFFECTS OF HIV AIDS INTERVENTION GROUPS FOR HIGH-RISK WOMEN IN URBAN CLINICS

Objectives. This study reports the results of a behavior change interv ention offered to women at high risk for human immunodeficiency virus (HIV) infection seen in an urban primary health care clinic. Methods. Participants were 197 women randomly assigned to either an HIV/acquire d immunodeficiency syndrome (AIDS) risk reduction group or a compariso n group. Women in the HIV/AIDS intervention group attended five group sessions focusing on risk education; skills training in condom use, se xual assertiveness, problem solving, and risk trigger self-management; and peer support for change efforts. Women in the comparison group at tended sessions on health topics unrelated to AIDS. Results. At the 3- month followup, women in the HIV/AIDS intervention group had increased in sexual communication and negotiation skills. Unprotected sexual in tercourse had declined significantly and condom use had increased from 26% to 56% of all intercourse occasions. Women in the comparison grou p showed no change. Conclusions. Socially disadvantaged women can be a ssisted in reducing their risk of contracting HIV infection. Risk redu ction behavior change interventions should be offered routinely in pri mary health care clinics serving low-income and high-risk patients.