Few interventions have
targeted perceived stress as a co-occurring construct central to substance use
and subsequent HIV/AIDS risk reduction among African American urban young
adults.
The Color It Real Program was a seven session, weekly administered age-specific and culturally-tailored intervention designed to provide substance abuse and HIV education and reduce perceived stress among African Americans ages 18 to 24 in Atlanta, GA. Effectiveness was assessed through a quasi-experimental study design that consisted of intervention (n = 122) and comparison (n = 70) groups completing a pre- and post-intervention survey.
A series of Analysis of Variance (ANOVA) tests were used to assess pre- to post-intervention changes between study groups. For intervention participants, perceived stress levels were significantly reduced by the end of the intervention (t(70) = 2.38, p = 0.020), condom use at last sexual encounter significantly increased (F = 4.43, p = 0.0360), intervention participants were significantly less likely to drink five or more alcoholic drinks in one sitting (F = 5.10, p = 0.0245), and to use clean needles when injecting the drug (F = 36.99, p = 0.0001).
This study is among the first of its kind to incorporate stress management as an integral approach to HIV/SA prevention. The program has implications for the design of other community-based, holistic approaches to addressing substance use and risky behaviors for young adults.
The Color It Real Program was a seven session, weekly administered age-specific and culturally-tailored intervention designed to provide substance abuse and HIV education and reduce perceived stress among African Americans ages 18 to 24 in Atlanta, GA. Effectiveness was assessed through a quasi-experimental study design that consisted of intervention (n = 122) and comparison (n = 70) groups completing a pre- and post-intervention survey.
A series of Analysis of Variance (ANOVA) tests were used to assess pre- to post-intervention changes between study groups. For intervention participants, perceived stress levels were significantly reduced by the end of the intervention (t(70) = 2.38, p = 0.020), condom use at last sexual encounter significantly increased (F = 4.43, p = 0.0360), intervention participants were significantly less likely to drink five or more alcoholic drinks in one sitting (F = 5.10, p = 0.0245), and to use clean needles when injecting the drug (F = 36.99, p = 0.0001).
This study is among the first of its kind to incorporate stress management as an integral approach to HIV/SA prevention. The program has implications for the design of other community-based, holistic approaches to addressing substance use and risky behaviors for young adults.
Below: Perceived Stress Scale Composite Score for Intervention and Comparison Group
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By:
1Department of Community Health and
Preventive Medicine, Morehouse School of Medicine Prevention Research Center,
720 Westview Drive SW, Atlanta, GA 30310, USA;
2Wholistic Stress Control Institute,
Incorporated, 2545 Benjamin E Mays Drive, Atlanta, GA 30311, USA;(J.T.);(S.L.);(K.W.);(L.M.-N.)
3McKing Consulting Corporation, 2900
Chamblee Tucker Road, Building 10, Suite 100, Atlanta, GA 30341, USA;
*Correspondence: Email: ude.msm@renllezt; Tel.: +1-404-756-8833; Fax:
+1-404-752-1707
Int J Environ Res Public Health. 2016 Jan; 13(1): 51. Published online 2015 Dec 22. doi: 10.3390/ijerph13010051
More at: https://twitter.com/hiv insight
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