Empowering Our People
Syndemic Moderators and Effects of a Culturally Adapted, Evidence-Based Intervention for Sexual Risk Reduction among Native Americans with Binge Substance Use
Bibliographic Data
| ID | 15465622 |
|---|---|
| Authors | Christopher G Kemp (0000-0003-1231-1546, Johns Hopkins University, corresponding author), Rachel Chambers (0000-0002-2121-6674, Johns Hopkins University), Francene Larzelere (Johns Hopkins University), Angelita Lee (Johns Hopkins University), Laura Pinal (Johns Hopkins University), Anna Slimp (Johns Hopkins University), Lauren Tingey (0000-0001-6377-5151, Johns Hopkins University) |
| Year | 2022 |
| Volume | 19 |
| Issue | 7 |
| Pages | 4283-4283 |
| Publication date | 2022-04-03 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19074283 |
| PMID | 35409964 |
| OpenAlex | W4223501459 |
| Language | EN |
| References cited | 28 |
Native American (NA) communities are disproportionately affected by the intersecting, synergistic epidemics of sexually transmitted infections (STIs) and substance use. Targeted approaches to addressing these syndemics are critical given the relative scarcity of mental health and behavioral specialists in NA communities. We conducted a series of moderation analyses using data from a randomized controlled trial of the EMPWR (Educate, Motivate, Protect, Wellness, Respect) intervention for reducing sexual risk behaviors, culturally adapted for NA adults with recent binge substance use living on rural reservations. We considered several potential moderators and substance use and sexual risk outcomes at 6- and 12-months post-baseline. Three hundred and one people participated in the study. Age, marital status, educational attainment, employment, and depressive symptoms were differentially associated with intervention effects. EMPWR could be strengthened with the incorporation of additional skills-building related to condom use negotiation with casual partners. For individuals with lower educational attainment or without employment, additional supports and approaches to intervention may be needed. Importantly, this study did not identify intersecting sexual risk and substance use behaviors as moderators of EMPWR effectiveness, suggesting that NA adults with varying levels of risk behavior may be equally likely to benefit from this intervention
Binge drinking · Educational attainment · Environmental health · Intervention (counseling · Mental health · Moderation · Poison control · Psychiatry · Public health · Randomized controlled trial · Suicide prevention · Syndemic · Adolescent Sexual and Reproductive Health · Clinical Psychology · Indigenous Health, Education, and Rights · Medicine · Psychology · Sex work and related issues · Social Psychology · Gerontology
Substance Use and Sexual Risk
Are negative affective states associated with HIV sexual risk behaviors? A meta-analytic review.
Mental Health Services for Native Americans in the 21st Century United States.
Efficacy of Risk-Reduction Counseling to Prevent Human Immunodeficiency Virus and Sexually Transmitted Diseases
Longitudinal data analysis using generalized linear models
The Brief Symptom Inventory
Controlling the False Discovery Rate
Testing the efficacy of a brief sexual risk reduction intervention among high-risk American Indian adults
Depression Moderates Treatment Efficacy of an HIV Secondary-Prevention Intervention for HIV-Positive Late Middle-Age and Older Adults
American Indian Health Policy
Reconceptualizing Native Women's Health
Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa
Use of Traditional Health Practices Among Native Americans in a Primary Care Setting
Historical Trauma Among Indigenous Peoples of the Americas
Sexual risk behaviors and the legacy of colonial violence among Northern plains American Indian youth
Multiple Imputation for Missing Data
| Citation velocity | historical |
|---|---|
| Highly cited | No |