Work

Safety-related moderators of a parent-based HIV prevention intervention in South Africa.

Year: 2014

Type: article

Abstract: Our study examined factors influencing the effectiveness of a parent-based HIV prevention intervention implemented in Cape Town, South Africa. Caregiver-youth dyads (N = 99) were randomized into intervention or control conditions and assessed longitudinally. The intervention improved a parenting skill associated with youth sexual risk, parent-child communication about sex and HIV. Analyses revealed that over time, intervention participants (female caregivers) who experienced recent intimate partner violence (IPV) or unsafe neighborhoods discussed fewer sex topics with their adolescent children than caregivers in safer neighborhoods or who did not report IPV. Participants with low or moderate decision-making power in their intimate relationships discussed more topics over time only if they received the intervention. The effectiveness of our intervention was challenged by female caregivers' experience with IPV and unsafe neighborhoods, highlighting the importance of safety-related contextual factors when implementing behavioral interventions for women and young people in high-risk environments. Moderation effects did not occur for youth-reported communication outcomes. Implications for cross-cultural adaptations of parent-based HIV prevention interventions are discussed.

Source: Journal of Family Psychology

DOI: 10.1037/fam0000033

Authors: Nicholas Tarantino, Nada Goodrum, Lisa P. Armistead, Sarah L. Cook, Donald Skinner, Yoesrie Toefy

Institution: Stellenbosch University

Language: English

Topic: Adolescent Sexual and Reproductive Health

Subfield: General Health Professions

Field: Health Professions

Domain: Health Sciences

SDGs: Good health and well-being, Gender equality, Peace, justice, and strong institutions

Open Access status: green

Funder: Eunice Kennedy Shriver National Institute of Child Health and Human Development