AIDS and Behavior

, Volume 14, Issue 3, pp 567–579 | Cite as

A Mixed Methods Evaluation of the Effect of the Protect and Respect Intervention on the Condom Use and Disclosure Practices of Women Living with HIV/AIDS

  • Michelle TetiEmail author
  • Lisa Bowleg
  • Russell Cole
  • Linda Lloyd
  • Susan Rubinstein
  • Susan Spencer
  • Erika Aaron
  • Ann Ricksecker
  • Zekarias Berhane
  • Marla Gold
Original Paper


This mixed methods study evaluated the efficacy of an intervention to increase HIV status disclosure and condom use among 184 women living with HIV/AIDS (WLH/A). Participants were recruited from an HIV clinic and randomly assigned to: (1) a comparison group, who received brief messages from their health care providers (HCPs), or; (2) an intervention group, who received messages from HCPs, a group-level intervention, and peer-led support groups. Participants completed risk surveys at baseline, 6-, 12-, and 18-months. Quantitative analyses using hierarchical generalized linear models within a repeated measures framework indicated that intervention participants had significantly higher odds of reporting condom use with sexual partners in months 6 and 18. Grounded Theory-based qualitative analyses suggested that the opportunity to discuss the social context of their lives in addition to HIV/AIDS, including continued stigma and fear related to disclosure, are also essential components of a prevention strategy for WLH/A.


HIV prevention Sexual risk reduction Women living with HIV/AIDS Prevention with positives 



The authors give special thanks to their supportive collaborators at HRSA, EPPEC, the Partnership Comprehensive Care Practice, and the School of Public Health at Drexel University. We are especially grateful to all of the women who participated in Protect and Respect. This research was supported by grant number 03048 from the Health Resources and Services Administration (HRSA) special projects of national significance (SPNS) program. This publication’s content is solely the responsibility of the authors and do not represent the official view of HRSA or the SPNS program.


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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Michelle Teti
    • 1
    Email author
  • Lisa Bowleg
    • 2
  • Russell Cole
    • 3
  • Linda Lloyd
    • 4
  • Susan Rubinstein
    • 2
  • Susan Spencer
    • 5
  • Erika Aaron
    • 6
  • Ann Ricksecker
    • 5
  • Zekarias Berhane
    • 7
  • Marla Gold
    • 1
  1. 1.Drexel University School of Public HealthPhiladelphiaUSA
  2. 2.Department of Community Health and PreventionDrexel University School of Public HealthPhiladelphiaUSA
  3. 3.Department of EducationUniversity of PennsylvaniaPhiladelphiaUSA
  4. 4.University of Texas School of Public HealthHoustonUSA
  5. 5.Pennsylvania/MidAtlantic AIDS Education and Training CenterPhiladelphiaUSA
  6. 6.Drexel College of MedicinePhiladelphiaUSA
  7. 7.Department of Epidemiology and BiostatisticsDrexel University School of Public HealthPhiladelphiaUSA

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