Sexual Risk Intervention In Multiethnic Drug And Alcohol Users
Deborah L. Jones, Stephen M. Weiss, Ndashi Chitalu, Olga Villar, Mahendra Kumar, Violet Bwalya and Maureen Mumbi
DOI : 10.3844/ajidsp.2007.169.176
American Journal of Infectious Diseases
Volume 3, Issue 4
An estimated 38.6 million persons globally are living with HIV, of whom over 1.1 million reside in Zambia. Of the 2 million cases in the US, 64% of new cases among women are among African Americans. Alcohol and drug use represents a significant risk factor for HIV transmission among both Zambians and African Americans. In addition, gender dynamics in both the US and Zambia promote transmission. This study examines two interventions targeting HIV risk behavior among HIV positive substance users, women in Miami, USA (the New Opportunities for Women (NOW) Project) and men in Lusaka, Zambia (the Partner Project). The study compares the efficacy of these two culturally tailored sexual behavior interventions provided in group and individual session formats. US and Zambian participants increased sexual barrier use and reduced substance-related sexual risk. Comparatively greater gains were made by higher risk Zambian males than US females in both group and individual conditions. Among lower risk participants, women in the group condition achieved and sustained the greatest comparative risk reductions. Results suggest that cost effective group HIV transmission risk reduction interventions for multiethnic individuals can be successfully implemented among both female and male drug and alcohol users in multinational settings.
© 2007 Deborah L. Jones, Stephen M. Weiss, Ndashi Chitalu, Olga Villar, Mahendra Kumar, Violet Bwalya and Maureen Mumbi. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.