Pretest assessment as a component of safer sex intervention: A pilot study of brief one-session interventions for women partners of male injection drug users in New York City

B. J. Krauss, Lloyd Goldsamt, E. Bula, C. Godfrey, D. S. Yee, M. Palij

Research output: Contribution to journalArticle

Abstract

This pilot study evaluated whether brief safer sex interventions for women partners of male injection drug users significantly influenced perceptions of partner risk, human immunodeficiency virus (HIV) knowledge, correct condom usage, and self-reported consistent safer sex (abstinence or 100% of vaginal-penile intercourse acts protected by male or female condoms). The study also examined the impact of pretest assessment on those variables since pretest assessment may challenge participants' current knowledge, safer sex practices, and partner communication techniques. The study randomly assigned participants to pretest or no pretest assessment. Each group was also assigned randomly to a presentation modality: (1) safer sex pamphlet review only, (2) pamphlet review with demonstration of several safer sex alternatives, or (3) pamphlet review with skills practice to mastery with one safer sex alternative of the woman's choice. For the last two conditions, a 35-minute interactive session covered prevention efficacy of safer sex methods for HIV, sexually transmitted infections, pregnancy, correct use, eroticization, local cost and availability, and partner objections. At 7 weeks postintervention, a higher proportion of women who took pretest assessment reported consistent safer sex (66.7%) compared to those without pretests (55.6%). Assignment to the interactive interventions (skills or demonstration) had little additional impact over pretest assessment for these women. Among women who did not take pretests, the interactive interventions had strong effects; 76.9% reported consistent safer sex versus 33.3% in the pamphlet review group. There were additional specific effects for pretest assessment on HIV knowledge and partner risk perception and for interactive intervention on correct condom usage. Brief interventions appear to have some positive short-term effects. Pretest assessment may be an important component of brief interventions.

Original languageEnglish (US)
Pages (from-to)383-395
Number of pages13
JournalJournal of Urban Health
Volume77
Issue number3
StatePublished - 2000

Fingerprint

Safe Sex
Drug Users
drug
Injections
Pamphlets
Condoms
HIV
Female Condoms
pregnancy
Interpersonal Relations
Sexually Transmitted Diseases
Group
communication
costs
Costs and Cost Analysis
Pregnancy

Keywords

  • Assessment
  • Evaluation
  • Heterosexual Partners of IDUs
  • HIV
  • Intervention
  • Women

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Pretest assessment as a component of safer sex intervention : A pilot study of brief one-session interventions for women partners of male injection drug users in New York City. / Krauss, B. J.; Goldsamt, Lloyd; Bula, E.; Godfrey, C.; Yee, D. S.; Palij, M.

In: Journal of Urban Health, Vol. 77, No. 3, 2000, p. 383-395.

Research output: Contribution to journalArticle

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