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Reducing Risky Sex among Rural African American Cocaine Users: A Controlled Trial.

Katharine E Stewart, Patricia B Wright, Brooke E E Montgomery

    Journal of Health Care for the Poor and Underserved
    |February 28, 2017
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    Summary
    This summary is machine-generated.

    This study shows an adapted risk reduction program improved condom use skills and sexual negotiation for rural African American cocaine users. The intervention enhanced skills, contributing to safer sexual practices in this high-risk population.

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    Area of Science:

    • Public Health
    • Behavioral Science
    • Infectious Disease Epidemiology

    Background:

    • Rural African American cocaine users face disproportionately high rates of sexually transmitted infections (STIs) and HIV.
    • Effective risk reduction strategies are crucial for this vulnerable population.

    Purpose of the Study:

    • To evaluate an adapted evidence-based risk reduction program for rural African American cocaine users.
    • To assess the program's impact on sexual risk behaviors, condom use, and negotiation skills.

    Main Methods:

    • A NIDA-funded trial involving 251 African American cocaine users in rural Arkansas (2009-2011).
    • Comparison of an adapted risk reduction program against an active control condition.
    • Outcomes measured included condom use skills, self-efficacy, sexual negotiation skills, peer norms, and self-reported risk behaviors.

    Main Results:

    • The intervention group showed greater improvements in condom use skills and sexual negotiation effectiveness.
    • Both groups reported reductions in trading sex and increased use of specific negotiation skills.
    • Improvements in condom use self-efficacy were observed in both intervention and control groups.

    Conclusions:

    • The adapted risk reduction program demonstrates efficacy in enhancing sexual risk reduction skills among rural African American cocaine users.
    • Findings highlight the importance of tailored, evidence-based interventions for high-risk populations to mitigate STI/HIV transmission.
    • Further research should explore long-term behavioral impacts and broader implementation strategies.