Evaluation of an HIV Prevention Intervention for African Americans and Hispanics: Findings from the VOICES/VOCES Community-Based Organization Behavioral Outcomes Project
- First Online:
There is limited knowledge about whether the delivery of evidence-based, HIV prevention interventions in ‘real world’ settings will produce outcomes similar to efficacy trial outcomes. In this study, we describe longitudinal changes in sexual risk outcomes among African American and Hispanic participants in the Video Opportunities for Innovative Condom Education and Safer Sex (VOICES/VOCES) program at four CDC-funded agencies. VOICES/VOCES was delivered to 922 high-risk individuals in a variety of community settings such as substance abuse treatment centers, housing complex centers, private residences, shelters, clinics, and colleges. Significant risk reductions were consistently observed at 30- and 120-days post-intervention for all outcome measures (e.g., unprotected sex, self-reported STD infection). Risk reductions were strongest for African American participants, although Hispanic participants also reported reducing their risky behaviors. These results suggest that, over a decade after the first diffusion of VOICES/VOCES across the U.S. by CDC, this intervention remains an effective tool for reducing HIV risk behaviors among high-risk African American and Hispanic individuals.
KeywordsHIV sexual risk behaviors HIV risk reduction interventions VOICES/VOCES African Americans Hispanics HIV/AIDS
- 2.Centers for Disease Control and Prevention. Epidemiologic notes and reports: acquired immunodeficiency syndrome (AIDS) among Blacks and Hispanics-United States. MMWR Morb Mortal Wkly Rep. 1986;35(42):655–8, 663–6.Google Scholar
- 4.Centers for Disease Control and Prevention. Sexually transmitted disease surveillance, 2008. Atlanta: Centers for Disease Control and Prevention, US Dept. of Health and Human Services; November 2009.Google Scholar
- 5.Centers for Disease Control and Prevention. HIV surveillance report, 2009, vol 21. http://www.cdc.gov/hiv/topics/surveillance/resources/reports/. Published February 2011. Accessed 30 March 2011.
- 6.U.S. Census Bureau. Overview of race and Hispanic origin: Census 2000 brief. Available at: http://www.census.gov/prod/2001pubs/c2kbr01-1.pdf. Accessed 4 August 2010.
- 7.Centers for Disease Control and Prevention. Subpopulation estimates from the HIV incidence surveillance system—United States, 2006. MMWR Morb Mortal Wkly Rep. 2008;57:985–9.Google Scholar
- 9.Centers for Disease Control and Prevention. HIV prevention through early detection and treatment of other sexually transmitted diseases—United States. MMWR Morb Mortal Wkly Rep. 1998;47:1–24.Google Scholar
- 17.Centers for Disease Control and Prevention. CDC’s HIV/AIDS prevention strategy. Available at: http://www.cdc.gov/hiv/aboutDHAP.htm#strategy. Accessed 27 July 2010.
- 18.Centers for Disease Control and Prevention. HIV/AIDS prevention research synthesis project. Available at: http://www.cdc.gov/hiv/topics/research/prs/index.htm. Accessed 27 July 2010.
- 19.Center on AIDS and Community Health. Diffusion of Effective Behavioral Interventions (DEBI) Web site. Available at: http://effectiveinterventions.org. Accessed 17 April 2010.
- 20.Neumann MS, Harshbarger C, Bankston A, Patel-Larson A. Video Opportunities for Innovative Condom Education and Safer Sex (VOICES/VOCES). Presentation at Centers for Disease Control and Prevention, Atlanta, GA, 19 August 2009.Google Scholar
- 22.Kalichman SC, Hudd K, Diberto G. Operational fidelity to an evidence-based HIV prevention intervention for people living with HIV/AIDS. J Prim Prev. 2010, Jun 27 [Epub ahead of print].Google Scholar
- 26.Shadish WR, Cook TD, Campbell DT. Experimental and quasi-experimental designs for generalized causal inference. Boston: Houghton-Mifflin; 2002.Google Scholar
- 27.Smith BD, Kalayil EJ, Patel-Larson A, Uhl G, Vaughan, M, Stratford D. Retaining clients in an outcome monitoring project: HIV prevention efforts in community settings; 2010. Unpublished manuscript.Google Scholar
- 32.Heitgerd JL, Kalayil E, Patel-Larson A, et al. Evaluating an HIV prevention intervention for HIV-positive persons: outcome monitoring of Healthy Relationships by seven community-based organizations. AIDS Behav. 2011 [Epub ahead of print].Google Scholar