Gender-specific HIV and substance abuse prevention strategies for South African men: study protocol for a randomized controlled trial.

Journal: Trials

Volume: 19

Issue: 1

Year of Publication: 2019

Affiliated Institutions:  Department of Psychiatry & Biobehavioral Sciences, Semel Institute, University of California Los Angeles, Wilshire Blvd., Suite , Los Angeles, California, , USA. CCHPublications@mednet.ucla.edu. Department of Psychology, Stellenbosch University, Private Bag X Matieland, Stellenbosch, , South Africa. Department of Psychiatry & Biobehavioral Sciences, Semel Institute, University of California Los Angeles, Wilshire Blvd., Suite , Los Angeles, California, , USA. Department of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, -, USA.

Abstract summary 

Young men in South Africa face concurrent epidemics of HIV, drug and alcohol abuse, and unemployment. Standard HIV prevention programs, located in healthcare settings and/or using counseling models, fail to engage men. Soccer and vocational training are examined as contexts to deliver male-specific, HIV prevention programs.Young men (n = 1200) are randomly assigned by neighborhood to one of three conditions: 1) soccer league (n = 400; eight neighborhoods); 2) soccer league plus vocational training (n = 400; eight neighborhoods); or 3) a control condition (n = 400; eight neighborhoods). Soccer practices and games occur three times per week and vocational training is delivered by Silulo Ulutho Technologies and Zenzele Training and Development. At baseline, 6 months, 12 months, and 24 months, the relative efficacy of these strategies to increase the number of significant outcomes (NSO) among 15 outcomes which occur (1) or not (0) are summed and compared using binomial logistic regressions. The summary primary outcome reflects recent HIV testing, substance abuse, employment, sexual risk, violence, arrests, and mental health status.The failure of men to utilize HIV prevention programs highlights the need for gender-specific intervention strategies. However, men in groups can provoke and encourage greater risk-taking among themselves. The current protocol evaluates a male-specific strategy to influence men's risk for HIV, as well as to improve their ability to contribute to family income and daily routines. Both interventions are expected to significantly benefit men compared with the control condition.ClinicalTrials.gov registration, NCT02358226 . Registered 24 November 2014.

Authors & Co-authors:  Rotheram-Borus Mary Jane MJ Tomlinson Mark M Mayekiso Andile A Bantjes Jason J Harris Danielle M DM Stewart Jacqueline J Weiss Robert E RE

Study Outcome 

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Statistics
Citations :  DREAMS - Working together for an AIDS-free future for girls and women. 2017. http://www.dreamspartnership.org/. Accessed 28 June 2017.
Authors :  7
Identifiers
Doi : 417
SSN : 1745-6215
Study Population
Men
Mesh Terms
Adolescent
Other Terms
Alcohol abuse;Drug abuse;Gender-specific interventions;HIV prevention for men;HIV prevention strategies;HIV testing;Men’s HIV risk;Soccer;Social determinants of HIV
Study Design
Randomized Control Trial,Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
South Africa
Publication Country
England