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Published in: Trials 1/2018

Open Access 01-12-2018 | Study protocol

Gender-specific HIV and substance abuse prevention strategies for South African men: study protocol for a randomized controlled trial

Authors: Mary Jane Rotheram-Borus, Mark Tomlinson, Andile Mayekiso, Jason Bantjes, Danielle M. Harris, Jacqueline Stewart, Robert E. Weiss

Published in: Trials | Issue 1/2018

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Abstract

Background

Young men in South Africa face concurrent epidemics of HIV, drug and alcohol abuse, and unemployment. Standard HIV prevention programs, located in healthcare settings and/or using counseling models, fail to engage men. Soccer and vocational training are examined as contexts to deliver male-specific, HIV prevention programs.

Methods

Young men (n = 1200) are randomly assigned by neighborhood to one of three conditions: 1) soccer league (n = 400; eight neighborhoods); 2) soccer league plus vocational training (n = 400; eight neighborhoods); or 3) a control condition (n = 400; eight neighborhoods). Soccer practices and games occur three times per week and vocational training is delivered by Silulo Ulutho Technologies and Zenzele Training and Development. At baseline, 6 months, 12 months, and 24 months, the relative efficacy of these strategies to increase the number of significant outcomes (NSO) among 15 outcomes which occur (1) or not (0) are summed and compared using binomial logistic regressions. The summary primary outcome reflects recent HIV testing, substance abuse, employment, sexual risk, violence, arrests, and mental health status.

Discussion

The failure of men to utilize HIV prevention programs highlights the need for gender-specific intervention strategies. However, men in groups can provoke and encourage greater risk-taking among themselves. The current protocol evaluates a male-specific strategy to influence men’s risk for HIV, as well as to improve their ability to contribute to family income and daily routines. Both interventions are expected to significantly benefit men compared with the control condition.

Trial registration

ClinicalTrials.gov registration, NCT02358226. Registered 24 November 2014.

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Metadata
Title
Gender-specific HIV and substance abuse prevention strategies for South African men: study protocol for a randomized controlled trial
Authors
Mary Jane Rotheram-Borus
Mark Tomlinson
Andile Mayekiso
Jason Bantjes
Danielle M. Harris
Jacqueline Stewart
Robert E. Weiss
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Trials / Issue 1/2018
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-018-2804-3

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