The Prevention News Update, a digital newsletter from the National
Prevention Information Network and the Center for Disease Control (CDC),
featured CUSSW's Social Intervention Group's (SIG) recent findings in
its June 3rd edition. SIG's article, "The Efficacy of a
Relationship-Based HIV/STD Prevention Program for Heterosexual Couples,"
was highlighted. Previously published in The American Journal of Public
Health, the article detailed SIG's success at decreasing risk behaviors
using breakthrough techniques aimed at heterosexual couples.
Despite the current intervention methods available, the rate of
heterosexually transmitted HIV infection in the United States has not
declined, particularly among African-American and Latina women. This
fact was a catalyst for the SIG study, entitled Project Connect. At the
heart of Project Connect was the notion that couple-oriented prevention
models will be most powerful if they are sensitive to the context of
relationship dynamics and couple communication patterns. The goal was to
empower the women in these relationships to initiate and sustain condom
use with their long-term intimate partners.
Using women and their intimate partners recruited from hospital
outpatient clinics in Bronx, New York, Project Connect measured the
effectiveness of six installments of HIV/STD relationship-based
interventions. Did the intervention sessions play a role in increasing
a couple's condom use, decreasing STD transmission and reducing the
number of sexual partners? The study found that couple-oriented
intervention, using suggestions tailored to the realities of a couple's
communication dynamics, made a difference. Whether the woman attended
the six intervention sessions alone or with her partner, the rate of
unprotected sex dropped, and by extension so did the couple's overall
risk of HIV/STD infection.
Project Connect's findings lay important groundwork. The results make a
persuasive argument for widespread implementation of relationship-based
HIV/STD interventions in primary care settings for couples at an
elevated risk for HIV/STD transmission. The study supports the idea that not only
is this relationship-based approach feasible but effective and stands to
have far-reaching public health implications.