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Document 2809
DOCN M94A2809
TI The WHEEL Project: assessing a community-based model for preventing
HIV/AIDS among women.
DT 9412
AU Wild J; Young P; Rosenshine N; Klein H; NOVA Research, Bethesda, MD.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):22 (abstract no. 062D). Unique
Identifier : AIDSLINE ICA10/94369766
AB OBJECTIVES: This presentation will offer a description of the assessment
and evaluation methods and a statistical portrait of the 2,794 women
recruited for the WHEEL (Women Helping to Empower and Enhance Lives)
Project and analysis of follow-up data on 1,953. The WHEEL Project
focused on the HIV/AIDS-related risk behaviors of female sexual partners
of injection drug users (IDUs) across cultures at five sites: Boston,
MA; Juarez, MX: Los Angeles, CA; San Diego, CA; and San Juan, PR.
METHODS: The project compared the effectiveness of group and individual
interventions and documented the implementation of a women-focused
model. Women were interviewed at baseline and 6 months later on
demographic information, history of physical and sexual abuse, drug use
patterns, sexual behavior, and perceptions about their sexual partners.
Individual interventions featured needs assessment, risk assessment, and
HIV antibody test counseling. Group interventions offered women a choice
of relevant peer education format topics. RESULTS: Of WHEEL Project
respondents, 76.6% were in their 20s or 30s; 89.9% of the women were
Hispanic or Black; 50% reported completing high school. About 50%
reported using alcohol and about 30% reported using one or more illegal
drugs in the 30 days prior to interview. 40% reported having an IDU
sexual partner in the 30 days prior to interview and 75.9% reported no
use of condoms in the last 30 days. Nearly one-sixth of all women
reported being victims of abuse during childhood, adolescence and
adulthood. Significant findings included: decrease in total number of
days women reported using drugs of all kinds; an increase in HIV/AIDS
knowledge; an increase in protected sexual behavior; and an increase in
comfort discussing condom use with sexual partners. DISCUSSION AND
CONCLUSIONS: The portrait of this population of at-risk women enables
researchers to understand some of the factors relevant to women's
HIV/AIDS risk behaviors. Research assessment procedures and results are
relevant to service providers seeking to design appropriate
interventions for women-focused initiatives.
DE Adult California Condoms/UTILIZATION Demography Educational Status
Ethnic Groups Female Health Education/*METHODS Human HIV
Infections/*PREVENTION & CONTROL/TRANSMISSION Male Mexico Puerto Rico
Risk-Taking Sex Behavior Substance Abuse, Intravenous/COMPLICATIONS
MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).