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Is HIV/sexually transmitted disease prevention counseling
effective among vulnerable populations? A subbset analysis based on data
collected for a randomized controlled trial evaluating counseling efficacy
(Project RESPECT).
Sexually Transmitted Disease 2004;31(8):469-474.
Bolu OO, Lindsey C, Kamb
ML, Kent C, Zenilman J, Douglas JM, Malotte CK, Rogers J, Peterman TA for the
Project RESPECT Study Group.
Abstract
OBJECTIVE: The objective of this study was to evaluate counseling efficacy
among high-risk groups. STUDY: We conducted a subset analysis of data collected
from July 1993 through September 1996 during a randomized, controlled trial
(Project RESPECT). Participants (n = 4328) from 5 public U.S. sexually transmitted
disease (STD) clinics were assigned to enhanced counseling, brief counseling,
or educational messages. For 9 subgroups (sex, age, city, education, prior
HIV test, STD at enrollment, race/ethnicity, injection drug use, exchanging
sex for money/drugs), we compared STD outcomes for those assigned either
type of counseling with STD outcomes for those assigned educational messages.
RESULTS: After 12 months, all subgroups assigned counseling (brief or enhanced)
had fewer STDs than those assigned educational messages. STD incidence was
similar for most subgroups assigned enhanced or brief counseling. All subgroups
had an appreciable number of STDs prevented per 100 persons counseled, especially
adolescents (9.4 per 100) and persons with STD at enrollment (8.4 per 100).
CONCLUSIONS: HIV/STD prevention counseling (brief or enhanced counseling)
resulted in fewer STDs than educational messages for all subgroups of STD
clinic clients, including high-risk groups such as adolescents and persons
with STDs at enrollment.