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A culturally and sex specific behavioural intervention reduced sexually transmitted diseases in minority women

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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 …

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  • Source of funding: National Institute of Allergy and Infectious Diseases.

  • For correspondence: Dr R N Shain, Department of Obstetrics and Gynecology, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, TX 78284-7836, USA. Fax +1 210 567 4963.