{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T21:15:36Z","timestamp":1785446136606,"version":"3.56.0"},"reference-count":63,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>We examined the efficacy of the Females of African American Legacy Empowering Self (FemAALES) intervention in a cohort of 203 publicly insured Black women in Los Angeles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Women who reported recent sex with a male partner who was at increased risk for infection by human immunodeficiency virus (HIV) and sexually transmitted infections (STI) were randomized to the six-session FemAALES intervention or to a single client-centered family planning and STI\/HIV counseling session. Participants were followed at 3 and 9 months post-intervention. To investigate between-group behavioral changes in condomless sex in the prior 90 days and other HIV\/STI risks, we used generalized estimating equations that accounted for repeated observations in individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Most participants (mean age 34\u2009\u00b1\u200911 standard deviation) were low-income and unemployed, despite three-quarters having completed high school or the equivalent. The most common HIV\/STI risk factors among recent male partners were incarceration (58.8%) and concurrent sex with other women (72.2%). At 3 months, the FemAALEs group showed a larger increase in the odds of asking their partner to test (adjusted odds ratio\u2009=\u20092.14; 95% confidence interval [CI], 1.02\u20134.47;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0431) and in sexual health self-efficacy scores (adj\u03b2\u2009=\u20091.82; 95% CI, 0.02\u20133.62;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.0471) compared to the control group, although these changes did not hold at 9 months. Both groups showed statistically significant declines in the frequency of several sexual risk factors between baseline and 9 months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Although we did not find evidence that the FemAALES intervention was more efficacious than the less-intensive control condition in reducing sexual risk behaviors, the overall declines in risk behaviors we observed warrant further research.<\/jats:p>\n                    <jats:p>ClinicalTrials.gov (Identifier: NCT02189876)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2022.0194","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T12:31:56Z","timestamp":1671107516000},"page":"311-322","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Reducing Human Immunodeficiency Virus and Sexually Transmitted Infections Risk in African American Women with At-Risk Male Partners: A Randomized Trial"],"prefix":"10.1177","volume":"32","author":[{"given":"Mariam O.","family":"Adeyeba","sequence":"first","affiliation":[{"name":"Department of Health Promotion, Social and Behavioral Health, College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiana","family":"Montazeri","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Charles R. Drew University of Science and Medicine, Los Angels, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Traci","family":"Bivens-Davis","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Charles R. Drew University of Science and Medicine, Los Angels, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katrina M.","family":"Schrode","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Charles R. Drew University of Science and Medicine, Los Angels, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7486-8393","authenticated-orcid":false,"given":"Nina T.","family":"Harawa","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Charles R. Drew University of Science and Medicine, Los Angels, California, USA."},{"name":"Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine, University of California, Los Angeles, Los Angels, California, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,7]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"CDC. HIV Surveillance Reports. 2020."},{"key":"e_1_3_4_3_2","unstructured":"CDC. HIV Surveillance Report. 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