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Evaluation of an HIV Prevention Intervention for African Americans and Hispanics: Findings from the VOICES/VOCES Community-Based Organization Behavioral Outcomes Project

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Abstract

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.

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Acknowledgments

We thank the efforts of the staff at each funded agency for their support and assistance in conducting this outcome monitoring project. We thank Qian An, Linda Andes, Felicia Hardnett, Venkat Mannam, Susan Moss, and Stephen Tregear for their assistance and consultation related to the data analysis. We thank Bryce Smith, Marla Vaughan, and Joanna Wooster for their contributions to the project and protocol. Finally, we thank Marla Vaughan for reviewing an earlier draft of this manuscript.

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Authors and Affiliations

  1. Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, MS-E59, Atlanta, GA, 30333, USA

    Holly H. Fisher, A. Patel-Larson, K. Green & G. Uhl

  2. Ginn Group Inc., Atlanta, GA, USA

    E. Shapatava

  3. MANILA Consulting Group, Inc., McLean, VA, USA

    E. J. Kalayil, A. Moore, W. Williams & B. Chen

Authors
  1. Holly H. Fisher
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  2. A. Patel-Larson
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  3. K. Green
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  4. E. Shapatava
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  5. G. Uhl
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  6. E. J. Kalayil
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  7. A. Moore
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  8. W. Williams
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  9. B. Chen
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Corresponding author

Correspondence to Holly H. Fisher.

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The findings and conclusions in this report are those of the authors and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Fisher, H.H., Patel-Larson, A., Green, K. et al. Evaluation of an HIV Prevention Intervention for African Americans and Hispanics: Findings from the VOICES/VOCES Community-Based Organization Behavioral Outcomes Project. AIDS Behav 15, 1691–1706 (2011). https://doi.org/10.1007/s10461-011-9961-7

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  • DOI: https://doi.org/10.1007/s10461-011-9961-7

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