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.
Efficacy of the Young Women's CoOp
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., ... 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. https://doi.org/10.1080/1067828X.2016.1260511