Randomized controlled trial to investigate impact of site-based safer sex programmes in Kingston, Jamaica: trial design, methods and baseline findings

To describe the design, methods and baseline findings of a multi-level prevention intervention to increase consistent condom use among persons at public social sites in Kingston, Jamaica, who have new or concurrent sexual partnerships. A two-arm randomized controlled trial (RCT) of 147 sites where p...

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Bibliographic Details
Published in:	Tropical medicine & international health Vol. 13; no. 6; pp. 801 - 813
Main Authors:	Weir, S.S, Figueroa, J.P, Byfield, L, Hall, A, Cummings, S, Suchindran, C
Format:	Journal Article
Language:	English
Published:	Oxford, UK Oxford, UK : Blackwell Publishing Ltd 01-06-2008 Blackwell Publishing Ltd Blackwell Science
Subjects:	Adolescent Adult Biological and medical sciences Clinical outcomes Clinical trials comportamiento sexual comportement sexuel Condoms Condoms - utilization Disease prevention Disease transmission ensayo controlado aleatorizado essais contrôlés randomisés Female General aspects Health behavior Health Promotion - methods HIV Infections - epidemiology HIV Infections - prevention & control HIV Infections - transmission human immunodeficiency virus Human viral diseases Humans Immunodeficiencies Immunodeficiencies. Immunoglobulinopathies Immunopathology Incidence Infectious diseases Jamaica Jamaica - epidemiology Jamaïque Male Medical sciences Mene Middle Aged prevención prevention Program Evaluation prévention randomized controlled trial Research Design Safe Sex Sexual Behavior sexual behaviour Sexually transmitted diseases STD VIH Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Jamaica Central America America West Indies Kingston Jamaica ASW, Greater Antilles, Jamaica, Kingston ASW, Greater Antilles, Jamaica Immunopathology Methodology Sexual behavior Sex sexual behaviour Retroviridae AIDS Immune deficiency Lentivirus randomized controlled trial Infection Virus Prevention Goal Randomization Viral disease Clinical trial Tropical medicine Safety Human immunodeficiency virus Jamaica
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Summary:	To describe the design, methods and baseline findings of a multi-level prevention intervention to increase consistent condom use among persons at public social sites in Kingston, Jamaica, who have new or concurrent sexual partnerships. A two-arm randomized controlled trial (RCT) of 147 sites where persons meet new sex partners. Sites were identified by community informants as places where people meet new sexual partners, which include bars, street locations, bus stops, malls and others. Sites were sorted into 50 clusters based on geographic proximity and type of site and randomized to receive a multi-level site-based intervention or not. Intervention components include on-site HIV testing, condom promotion and peer education. Effectiveness of the intervention will be measured by comparing the proportion of persons with new or multiple partners in the past year who report recent inconsistent condom use at intervention vs. control sites. Baseline surveys were conducted at 66 intervention (711 men, 845 women) and 65 control sites (654 men, 738 women). Characteristics of intervention and control sites as well as the characteristics of patrons at these sites were similar. The outcome variable was balanced with approximately 30% of men and 25% of women at intervention and control sites reporting a new partner or more than one partner in the past year and recent inconsistent condom use. The baseline findings confirm that the population is an appropriate target group for HIV prevention and that randomization will provide the means to estimate programme effectiveness.
Bibliography:	http://dx.doi.org/10.1111/j.1365-3156.2008.02057.x ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-News-1 ObjectType-Feature-3
ISSN:	1360-2276 1365-3156
DOI:	10.1111/j.1365-3156.2008.02057.x