A culturally and sex specific behavioural intervention reduced sexually transmitted diseases in minority women
Question Can a culturally and sex specific small group, cognitive behavioural intervention prevent sexually transmitted diseases (STDs) in high risk African-American and Mexican-American women?
Randomised, unblinded, controlled trial with follow up at 6 and 12 months.
Public health clinics in San Antonio, Texas, USA.
617 English speaking, Mexican-American and African-American women, who had a non-viral STD (chlamydial infection, gonorrhoea, syphilis, or trichomonal infection). 6 and 12 month follow up rates were 82% and 89%, respectively.
After stratification by race and ethnicity, 313 women were allocated to the behavioural intervention, which consisted of 3 weekly small group sessions, each lasting 3–4 hours. Groups comprised 5–6 women and a trained woman facilitator, all of whom were of the same race or ethnicity. 1 session addressed the recognition of risk (eg, minorities are disproportionately affected by STDs and awareness of personal risk), the second addressed commitment to change (eg, information on prevention …