An HIV risk-reduction intervention for substance-using African-American female adolescents in the South
Wechsberg, W. M., Browne, F. A., Zule, W. A., Novak, S. P., Doherty, I. A., Kline, T. L., Carry, M. G., Raiford, J. L., & Herbst, J. H. (2017). Efficacy of the Young Women's CoOp: An HIV risk-reduction intervention for substance-using African-American female adolescents in the South. Journal of Child & Adolescent Substance Abuse, 26(3), 205-218. Advance online publication. https://doi.org/10.1080/1067828X.2016.1260511
HIV/sexually transmitted infection (STI) risk-reduction interventions are needed to address the complex risk behaviors among African-American female adolescents in disadvantaged communities in North Carolina. In a two-group randomized trial, we reached 237 sexually active, substance-using African-American female adolescents, to test a risk-reduction intervention, the Young Women's CoOp (YWC), relative to a nutrition control. In efficacy analyses adjusting for baseline condom use, at three-month follow-up participants in the YWC were significantly less likely to report sex without a condom at last sex relative to control. There were mixed findings for within-group differences over follow-up, underscoring the challenges for intervening with substance-using female youths.