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A Web-Based HIV/STD Prevention Intervention for Divorced or Separated Older Women
Patricia Flynn Weitzman1, Yi Zhou1, Laura Kogelman2
1Environment and Health Group, Cambridge, Massachusetts.
A web-based intervention effectively increased safe sex intentions and self-efficacy for sexual discussions among divorced women over 50. This approach addresses rising sexually transmitted disease (STD) and human immunodeficiency virus (HIV) risks in this demographic.
Area of Science:
- Public Health
- Gerontology
- Behavioral Science
Background:
- Sexually transmitted diseases (STDs) are increasingly prevalent among older adults.
- A rise in divorce rates after age 50 contributes to this trend.
- Older divorced and separated women represent a demographic at heightened risk for STDs/HIV.
Purpose of the Study:
- To evaluate the efficacy of a web-based intervention.
- To reduce human immunodeficiency virus (HIV) and STD risks.
- Targeting divorced and separated women aged 50 years and older.
Main Methods:
- A 60-day randomized pre-post control group study.
- Two hundred nineteen divorced or separated women aged 50+ participated.
- Recruitment utilized health agencies and online advertisements across multiple US cities.
Main Results:
- The intervention group showed a greater intention to practice safe sex (p = .03).
- This effect was significant for women experiencing high stress.
- Sexual risk behavior scores decreased, and self-efficacy for sexual discussion increased in the intervention group.
Conclusions:
- Web-based interventions are a promising strategy for HIV/STD risk reduction in older women.
- Integrating prevention information with relevant topics like divorce can improve engagement.
- This approach can address awareness gaps regarding heightened risk in at-risk older populations.
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