Sexually Transmitted Diseases

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Sexually Transmitted Diseases:

Do Participant Characteristics Influence the Effectiveness of Behavioral Interventions? Promoting Condom Use to Women

Legardy, Jennifer K. MPH*; Macaluso, Maurizio MD, DrPH*; Artz, Lynn MD, MPH†; Brill, Ilene MPH†

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Objectives: This study assessed whether participant baseline characteristics modified the effects of a skill-based intervention promoting condom use.

Study: The randomized, controlled trial enrolled 427 women from a sexually transmitted disease clinic in Birmingham, Alabama. The main outcome measures: consistent (100%) and problem-free (correct, no breakage or slippage) condom use were verified by sexual diary self-report and contraceptive product counts.

Results: The enhanced intervention group had a 60% higher consistent condom use rate compared to the basic group (risk ratio [RR], 1.6; 95% confidence interval [CI], 1.4–1.8). There was no statistically significant difference between groups in relationship to problem-free, consistent use (RR, 1.0; 95% CI, 0.9–1.1). A binomial regression analysis identified the following factors as significant modifiers of intervention effectiveness on consistent condom use: intention to use condoms next time, early-age sexual debut, marital status combined with place of intercourse, and substance use before sex.

Conclusions: The results suggest that participant baseline characteristics can be modifiers of intervention effectiveness.

© Copyright 2005 American Sexually Transmitted Diseases Association


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