Evid Based Nurs 2:121 doi:10.1136/ebn.2.4.121
  • Treatment

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 …

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