Project Reach

A provider-delivered dual protection intervention for women using family planning services in New York City

Bibliographic Data

ID19442590
AuthorsTheresa M Exner (0009-0005-7311-6586, a HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute , Columbia University , New York , NY , USA, corresponding author), Joanne E Mantell (0000-0002-0748-5974, a HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute , Columbia University , New York , NY , USA), Hoffman (0000-0002-1870-4853, New York Psychoanalytic Society and Institute), Susie Hoffman (a HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute , Columbia University , New York , NY , USA), Jessica Adams-Skinner (a HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute , Columbia University , New York , NY , USA), Jessica Adams‐Skinner (New York Psychoanalytic Society and Institute), Zena A Stein (a HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute , Columbia University , New York , NY , USA), Zena Stein (New York Psychoanalytic Society and Institute), Cheng-Shiun Leu (a HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute , Columbia University , New York , NY , USA), Cheng‐Shiun Leu (0000-0002-0301-8316, New York Psychoanalytic Society and Institute)
Year2011
Volume23
Issue4
Pages467-475
Publication date2011-04-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2010.516335
PMID21271391
PMCIDPMC3068483
OpenAlexW2042055089
LanguageEN
Citations received2
References cited17

High rates of unintended pregnancies and sexually transmitted infection (STI), including HIV, highlight the importance of promoting dual protection (DP) - i.e., methods that offer concurrent protection against unintended pregnancies and STI - during contraceptive counseling. Using a Phase II quasi-experimental design, this study compared an individualized, clinic-based, nurse-delivered intervention designed to increase DP against standard of care among 101 HIV negative women accessing contraceptive services in medically under-served areas of New York City. Participants were evaluated at baseline, post-counseling, and six months later. Findings indicated that the intervention has possible benefit. At six-month follow-up, there was greater perceived susceptibility to STI and fewer condom-unprotected vaginal sex occasions in the intervention arm. Women in the intervention also had five times the odds of reporting female condom use. Results suggest that this intervention has the potential for a larger population impact and should be more rigorously evaluated in a Phase III trial

Condom · Environmental health · Family medicine · Family planning · Female condom · Odds · Population · Research methodology · Unintended pregnancy · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Nursing · Reproductive Health and Contraception

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