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      Using information, motivational enhancement, and skills training to reduce the risk of HIV infection for low-income urban women: a second randomized clinical trial.

      Health Psychology
      AIDS Serodiagnosis, Adolescent, Adult, Condoms, Counseling, Female, HIV Infections, prevention & control, Health Knowledge, Attitudes, Practice, Humans, Intervention Studies, Middle Aged, Motivation, Poverty, Risk-Taking, Urban Population, Women's Health

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          Abstract

          This randomized clinical trial evaluated an HIV-risk reduction (HIV-RR) intervention based on the information-motivation-behavioral skills model. At baseline, 102 women (M age = 29 years; 88% African American) completed a survey regarding HIV-related knowledge, risk perceptions, behavioral intentions, and risk behavior. Participants were then assigned to either the HIV-RR intervention or a health-promotion control group. Postintervention and follow-up data indicated that women in the HIV-RR program enhanced their knowledge and strengthened their risk reduction intentions relative to controls. Moreover, HIV-RR women who expressed "imperfect" intentions also increased their condom use, talked more with partners about condom use and HIV testing, and were more likely to have refused unprotected sex.

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