1. Health Equity Considerations: HIV Intervention Adaptation for Black Women in Community Corrections.
- Author
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Johnson, Karen A., Hunt, Timothy, Goddard-Eckrich, Dawn, Wu, Elwin, Richards, Stanley, Tibbetts, Rick, Rowe, Jessica C., Maynard, Quentin R., Goodwin, Sharun, Okine, Joana, Wainberg, Milton L., El-Bassel, Nabila, and Gilbert, Louisa
- Subjects
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PREVENTION of sexually transmitted diseases , *HIV prevention , *DIVERSITY & inclusion policies , *AFFINITY groups , *PILOT projects , *HEALTH services accessibility , *SUBSTANCE abuse , *FOCUS groups , *ATTITUDE (Psychology) , *SEXUAL intercourse , *MEDICAL care of prisoners , *SELF-efficacy , *RISK perception , *DESCRIPTIVE statistics , *THEMATIC analysis , *ANAL sex , *AFRICAN Americans , *WOMEN'S health , *UNSAFE sex , *LONGITUDINAL method - Abstract
Objectives: This article describes the process used to adapt the only group-based, computer-assisted, HIV/sexually transmitted infections (STI) prevention intervention designed for drug-using Black women in community corrections using an integrated health equity ADAPT-ITT framework with a peer engagement lens. Methods: Key adaptation partners included cisgender, drug-using Black women in community corrections, and Black, female, community reentry providers slated to deliver the adapted intervention. Focus groups and a study pilot were held. Results: The resulting intervention, Empowering African-American Women on the Road to Health (E-WORTH), features HIV/STI-specific Afrocentric themes of risk and resiliency tailored for and by Black women in the criminal legal system. Evaluation of E-WORTH confirms its cultural resonance. Participants had a 54% lowered odds of testing positive for any STI and reported 38% fewer acts of condomless vaginal or anal intercourse at 12-month follow-up. Conclusions: Findings underscore the need to develop an adaptation model that is explicitly health equity in focus. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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