Skip to main content
Top
Published in: AIDS and Behavior 10/2014

01-10-2014 | Original Paper

Effectiveness of HIV Prevention for Women: What Is Working?

Authors: María Dolores Gil-Llario, Rafael Ballester-Arnal, Cristina Giménez-García, Pedro Salmerón-Sánchez

Published in: AIDS and Behavior | Issue 10/2014

Login to get access

Abstract

The HIV-AIDS remains a public health problem which disproportionally affects women. However, prevention strategies have rarely considered their specific efficacy for them. For this reason, this study examines the differential effectiveness of six intervention elements based on socio-cognitive theories addressing young women. A controlled between-groups design examined the change in risk profile among 167 young Spanish women (mean age 21.3 years old) involved in five sexual risk prevention interventions (informative talk, attitudinal discussion, role-play, fear induction and informative website) and one control non-intervening group (waiting list). Our findings support the differential efficacy of some HIV preventive intervention elements comparing others for women. In particular, the attitudinal discussion stands out followed by the informative talk and the role play. Contrarily, the fear induction component did not reveal relevant improvements. This study provides new evidence related to HIV prevention. Particularly, the higher efficacy of motivational components for these young Spanish women is revealed.
Literature
1.
go back to reference Cianelli R, Ferrer L, Norr K, et al. Mano a Mano-Mujer: an effective HIV prevention intervention for Chilean women. Health Care Women Int. 2012;33(4):321–41.PubMedCrossRefPubMedCentral Cianelli R, Ferrer L, Norr K, et al. Mano a Mano-Mujer: an effective HIV prevention intervention for Chilean women. Health Care Women Int. 2012;33(4):321–41.PubMedCrossRefPubMedCentral
3.
go back to reference Bowleg L, Lucas K, Tschann JM. “The Ball was always in his court”: an exploratory analysis of relationship scripts, sexual scripts and condom use among African American women. Psychol Women Q. 2004;28(1):70–82.CrossRef Bowleg L, Lucas K, Tschann JM. “The Ball was always in his court”: an exploratory analysis of relationship scripts, sexual scripts and condom use among African American women. Psychol Women Q. 2004;28(1):70–82.CrossRef
7.
go back to reference Lameiras M, Rodríguez Y, Dafonte S. Evolución de la percepción de riesgo de la transmisión heterosexual del VIH en universitarios/as españoles/as. Psicothema. 2002;14(2):255–61. Lameiras M, Rodríguez Y, Dafonte S. Evolución de la percepción de riesgo de la transmisión heterosexual del VIH en universitarios/as españoles/as. Psicothema. 2002;14(2):255–61.
8.
go back to reference Ballester R, Md Gil, Giménez C, Ruiz E. Actitudes y conductas sexuales de riesgo para la infección por VIH/Sida en jóvenes españoles. Revista de Psicopatología y Psicología Clínica. 2009;14(3):181–91. Ballester R, Md Gil, Giménez C, Ruiz E. Actitudes y conductas sexuales de riesgo para la infección por VIH/Sida en jóvenes españoles. Revista de Psicopatología y Psicología Clínica. 2009;14(3):181–91.
9.
go back to reference Gras ME, Soto J, Planes M. Comportamiento anticonceptivo en estudiantes universitarios y riesgo de infección con el virus de inmunodeficiencia humana (VIH). Anuario de Psicología. 2002;33(1):97–110. Gras ME, Soto J, Planes M. Comportamiento anticonceptivo en estudiantes universitarios y riesgo de infección con el virus de inmunodeficiencia humana (VIH). Anuario de Psicología. 2002;33(1):97–110.
10.
go back to reference Faílde J, Lameiras M, Núñez AM. Conducta sexual segura y hábitos de salud en jóvenes españoles de 14 a 24 años. SUMMA Psicol. 2007;4(2):21–33. Faílde J, Lameiras M, Núñez AM. Conducta sexual segura y hábitos de salud en jóvenes españoles de 14 a 24 años. SUMMA Psicol. 2007;4(2):21–33.
11.
go back to reference Robles S, Piña JA, Moreno D. Determinantes del uso inconsistente del condón en mujeres que tienen sexo vaginal, oral y anal. An De Psicol. 2006;22(2):200–4. Robles S, Piña JA, Moreno D. Determinantes del uso inconsistente del condón en mujeres que tienen sexo vaginal, oral y anal. An De Psicol. 2006;22(2):200–4.
12.
go back to reference Ballester R, Gil MD, Ruiz E, Giménez C. Autoeficacia en la prevención sexual del Sida: la influencia del género. An De Psicol. 2013;29(1):76–82. Ballester R, Gil MD, Ruiz E, Giménez C. Autoeficacia en la prevención sexual del Sida: la influencia del género. An De Psicol. 2013;29(1):76–82.
13.
go back to reference Harvey SM, Beckman LJ, Gerend MA, et al. A conceptual model of women’s condom use intentions: integrating intrapersonal and relationship factors. AIDS Care. 2006;18(7):698–709.PubMedCrossRef Harvey SM, Beckman LJ, Gerend MA, et al. A conceptual model of women’s condom use intentions: integrating intrapersonal and relationship factors. AIDS Care. 2006;18(7):698–709.PubMedCrossRef
14.
go back to reference Swan H, O’connell DJ. The impact of intimate partner violence on women’s condom negotiation efficacy. J Interpers Violence. 2012;27(4):775–92.PubMedCrossRef Swan H, O’connell DJ. The impact of intimate partner violence on women’s condom negotiation efficacy. J Interpers Violence. 2012;27(4):775–92.PubMedCrossRef
15.
go back to reference Calado M, Lameiras M, Rodríguez Y. Influencia de la imagen corporal y la autoestima en la experiencia sexual de estudiantes universitarias sin trastornos alimentarios. Int J Clin Health Psychol. 2004;4(2):357–70. Calado M, Lameiras M, Rodríguez Y. Influencia de la imagen corporal y la autoestima en la experiencia sexual de estudiantes universitarias sin trastornos alimentarios. Int J Clin Health Psychol. 2004;4(2):357–70.
16.
go back to reference González-Guarda RM, Peragallo N, Urrutia MT, Vasquez EP. HIV risk, substance abuse and intimate partner violence among Hispanic females and their partners. J Assoc Nurses AIDS Care. 2008;19(4):252–66.PubMedCrossRef González-Guarda RM, Peragallo N, Urrutia MT, Vasquez EP. HIV risk, substance abuse and intimate partner violence among Hispanic females and their partners. J Assoc Nurses AIDS Care. 2008;19(4):252–66.PubMedCrossRef
17.
go back to reference Amaro H, Raj A, Reed E. Women’s sexual health: the need for feminist analyses in public health in the decade of behavior. Psychol Women Q. 2001;25(4):324–34.CrossRef Amaro H, Raj A, Reed E. Women’s sexual health: the need for feminist analyses in public health in the decade of behavior. Psychol Women Q. 2001;25(4):324–34.CrossRef
18.
go back to reference Zweig J, Duberstein L, Alexander K. Adolescent health risk profiles: the co-occurrence of health risks among females and males. J Youth Adolesc. 2001;30(6):707–28.CrossRef Zweig J, Duberstein L, Alexander K. Adolescent health risk profiles: the co-occurrence of health risks among females and males. J Youth Adolesc. 2001;30(6):707–28.CrossRef
19.
go back to reference Gómez C. Preventing HIV in U.S. women and girls: a call for social action. Womens Health Issues. 2011;21(6):287–94.CrossRef Gómez C. Preventing HIV in U.S. women and girls: a call for social action. Womens Health Issues. 2011;21(6):287–94.CrossRef
20.
go back to reference Amaro H, Raj A. On the margin: power and women’s HIV risk reduction strategies. Sex Roles. 2000;42(7/8):723–49.CrossRef Amaro H, Raj A. On the margin: power and women’s HIV risk reduction strategies. Sex Roles. 2000;42(7/8):723–49.CrossRef
21.
go back to reference Li X, Hong Y, Poston D. Preventing HIV in women: a top priority in China’s efforts in fighting AIDS. AIDS Care. 2001;23(Suppl 1):1–4. Li X, Hong Y, Poston D. Preventing HIV in women: a top priority in China’s efforts in fighting AIDS. AIDS Care. 2001;23(Suppl 1):1–4.
22.
go back to reference Wechsberg W, Lusseno WK. The need for culturally appropriate, gender-specific global HIV prevention efforts with vulnerable women. J Prev Interv Community. 2010;38(2):85–8.PubMedCrossRef Wechsberg W, Lusseno WK. The need for culturally appropriate, gender-specific global HIV prevention efforts with vulnerable women. J Prev Interv Community. 2010;38(2):85–8.PubMedCrossRef
23.
go back to reference Dixon D, Wade T, Ngalame P, White L, Herbst J, Painter T. Efficacy of a single-session HIV prevention intervention for black women: a group randomized controlled trial. AIDS Behav. 2010;14(3):518–29.CrossRef Dixon D, Wade T, Ngalame P, White L, Herbst J, Painter T. Efficacy of a single-session HIV prevention intervention for black women: a group randomized controlled trial. AIDS Behav. 2010;14(3):518–29.CrossRef
24.
go back to reference Wingood GM, Card JJ, Solomon J, et al. Preliminary efficacy of a computer-based HIV intervention for African-American women. Psychol Health. 2011;26(2):223–34.PubMedCrossRef Wingood GM, Card JJ, Solomon J, et al. Preliminary efficacy of a computer-based HIV intervention for African-American women. Psychol Health. 2011;26(2):223–34.PubMedCrossRef
25.
go back to reference Choi KH, Hoff C, Gregorich SE, Grinstead O, Gomez C, Hussey W. The efficacy of female condom skills training in HIV risk reduction among women: a randomized controlled trial. Am J Public Health. 2008;98(10):1841–8.PubMedCrossRefPubMedCentral Choi KH, Hoff C, Gregorich SE, Grinstead O, Gomez C, Hussey W. The efficacy of female condom skills training in HIV risk reduction among women: a randomized controlled trial. Am J Public Health. 2008;98(10):1841–8.PubMedCrossRefPubMedCentral
26.
go back to reference Diclemente RJ, Wingood GM, Rose ES, et al. Efficacy of STD/HIV sexual risk-reduction intervention for African American adolescent females seeking sexual health services: a randomized controlled trial. Arch Pediatr Adolesc Med. 2009;163(12):1112–21.PubMed Diclemente RJ, Wingood GM, Rose ES, et al. Efficacy of STD/HIV sexual risk-reduction intervention for African American adolescent females seeking sexual health services: a randomized controlled trial. Arch Pediatr Adolesc Med. 2009;163(12):1112–21.PubMed
27.
go back to reference Peragallo N, Gonzalez-Guarda R, Mccabe B, Cianelli R. The efficacy of an HIV risk reduction intervention for Hispanic women. AIDS Behav. 2012;16(5):1316–26.PubMedCrossRefPubMedCentral Peragallo N, Gonzalez-Guarda R, Mccabe B, Cianelli R. The efficacy of an HIV risk reduction intervention for Hispanic women. AIDS Behav. 2012;16(5):1316–26.PubMedCrossRefPubMedCentral
28.
go back to reference Charania MR, Crepaz N, Guenther-Gray C, et al. Eficacy of structural-level condom distribution interventions: a meta-analysis of U.S. and international studies, 1998–2007. AIDS Behav. 2011;15(7):1283–97.PubMedCrossRefPubMedCentral Charania MR, Crepaz N, Guenther-Gray C, et al. Eficacy of structural-level condom distribution interventions: a meta-analysis of U.S. and international studies, 1998–2007. AIDS Behav. 2011;15(7):1283–97.PubMedCrossRefPubMedCentral
29.
go back to reference Kirby DB, Laris BA, Rolleri LA. Sex and HIV education programs: their impact on sexual behaviors of young people throughout the world. J Adolesc Health. 2007;40(3):206–17.PubMedCrossRef Kirby DB, Laris BA, Rolleri LA. Sex and HIV education programs: their impact on sexual behaviors of young people throughout the world. J Adolesc Health. 2007;40(3):206–17.PubMedCrossRef
30.
go back to reference Rotheram-Borus MJ, Swendeman D, Chovnick G. The past, present, and future of HIV prevention: integrating behavioral, biomedical, and structural intervention strategies for the next generation of HIV prevention. Annu Rev Clin Psychol. 2009;5:143–67.PubMedCrossRefPubMedCentral Rotheram-Borus MJ, Swendeman D, Chovnick G. The past, present, and future of HIV prevention: integrating behavioral, biomedical, and structural intervention strategies for the next generation of HIV prevention. Annu Rev Clin Psychol. 2009;5:143–67.PubMedCrossRefPubMedCentral
31.
go back to reference Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179–211.CrossRef
32.
go back to reference Bandura A. Teoría del aprendizaje social. 3rd ed. Madrid: Espasa-Calpe; 1987. p. 279. Bandura A. Teoría del aprendizaje social. 3rd ed. Madrid: Espasa-Calpe; 1987. p. 279.
33.
go back to reference Rosenstock I, Strecher V, Becker M. Social learning and the health belief model. Health Educ Q. 1980;15(2):175–83.CrossRef Rosenstock I, Strecher V, Becker M. Social learning and the health belief model. Health Educ Q. 1980;15(2):175–83.CrossRef
34.
go back to reference Ballester R, Gil MD, Giménez C. El “Cuestionario de Prevención del Sida (CPS)”: Análisis de la fiabilidad y validez. San Sebastián: X Congreso Nacional sobre el Sida; 2007. p. 135. Ballester R, Gil MD, Giménez C. El “Cuestionario de Prevención del Sida (CPS)”: Análisis de la fiabilidad y validez. San Sebastián: X Congreso Nacional sobre el Sida; 2007. p. 135.
35.
go back to reference Demarco R, Kendricks M, Dolmo Y, Dolan S, Rinne K. The effect of prevention messages and self-efficacy skill building with inner-city women at risk for HIV infection. J Assoc Nurses AIDS Care. 2009;20(4):283–92.PubMedCrossRef Demarco R, Kendricks M, Dolmo Y, Dolan S, Rinne K. The effect of prevention messages and self-efficacy skill building with inner-city women at risk for HIV infection. J Assoc Nurses AIDS Care. 2009;20(4):283–92.PubMedCrossRef
36.
go back to reference Mallory C, Fife B. Women and the prevention of HIV infection: an integrative review of the literature. J Assoc Nurses AIDS Care. 1999;10(1):51–63.PubMedCrossRef Mallory C, Fife B. Women and the prevention of HIV infection: an integrative review of the literature. J Assoc Nurses AIDS Care. 1999;10(1):51–63.PubMedCrossRef
37.
go back to reference Earl A, Albarracín D. Nature, decay, and spiraling of the effects of fear-inducing arguments and HIV counseling and testing: a meta-analysis of the short- and long-term outcomes of HIV-prevention interventions. Health Psychol. 2007;26(6):496–506.PubMedCrossRefPubMedCentral Earl A, Albarracín D. Nature, decay, and spiraling of the effects of fear-inducing arguments and HIV counseling and testing: a meta-analysis of the short- and long-term outcomes of HIV-prevention interventions. Health Psychol. 2007;26(6):496–506.PubMedCrossRefPubMedCentral
38.
go back to reference Singh S, Wulf D, Samara R, Cuca Y. Gender differences in the timing of first intercourse: data from 14 countries. Int Fam Plan Perspect. 2000;26(1):21–43.CrossRef Singh S, Wulf D, Samara R, Cuca Y. Gender differences in the timing of first intercourse: data from 14 countries. Int Fam Plan Perspect. 2000;26(1):21–43.CrossRef
39.
go back to reference Carey MP, Braaten LS, Maisto SA, et al. Using information, motivational enhancement, and skills training to reduce risk of HIV infection for low-income urban women: a second randomized clinical trial. Health Psychol. 2000;19(1):3–11.PubMedCrossRef Carey MP, Braaten LS, Maisto SA, et al. Using information, motivational enhancement, and skills training to reduce risk of HIV infection for low-income urban women: a second randomized clinical trial. Health Psychol. 2000;19(1):3–11.PubMedCrossRef
40.
go back to reference Weir BW, O’brien K, Bard RS, et al. Reducing HIV and partner violence risk among women with criminal justice system involvement: a randomized controlled trial of 2 motivational interviewing-based interventions. AIDS Behav. 2009;13(3):509–22.PubMedCrossRefPubMedCentral Weir BW, O’brien K, Bard RS, et al. Reducing HIV and partner violence risk among women with criminal justice system involvement: a randomized controlled trial of 2 motivational interviewing-based interventions. AIDS Behav. 2009;13(3):509–22.PubMedCrossRefPubMedCentral
41.
go back to reference Galbraith JS, Herbst JH, Whittier DK, et al. Taxonomy for strengthening the identification of core elements for evidence-based behavioral interventions for HIV/AIDS prevention. Health Educ Res. 2011;26(5):872–85.PubMedCrossRef Galbraith JS, Herbst JH, Whittier DK, et al. Taxonomy for strengthening the identification of core elements for evidence-based behavioral interventions for HIV/AIDS prevention. Health Educ Res. 2011;26(5):872–85.PubMedCrossRef
Metadata
Title
Effectiveness of HIV Prevention for Women: What Is Working?
Authors
María Dolores Gil-Llario
Rafael Ballester-Arnal
Cristina Giménez-García
Pedro Salmerón-Sánchez
Publication date
01-10-2014
Publisher
Springer US
Published in
AIDS and Behavior / Issue 10/2014
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-014-0703-5

Other articles of this Issue 10/2014

AIDS and Behavior 10/2014 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.