HIV risk reduction intervention among traditionally circumcised young men in South Africa: a cluster randomized control trial

SOURCE: Journal of the Association of Nurses in AIDS Care
OUTPUT TYPE: Journal Article
PUBLICATION YEAR: 2011
TITLE AUTHOR(S): K.Peltzer, L.Simbayi, M.Banyini, Q.Kekana
KEYWORDS: CIRCUMCISION, HIV/AIDS, MEN, RISK BEHAVIOUR, SEXUAL BEHAVIOUR
DEPARTMENT: HIV/AIDS, STIs and TB (HAST)
Print: HSRC Library: shelf number 6763

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Abstract

The aim of this study was to test a 180-minute group HIV risk-reduction counseling intervention trial with men undergoing traditional circumcision in South Africa to reduce behavioral disinhibition (false security) as a result of the procedure. A cluster randomized controlled trial design was employed using a sample of 160 men, 80 in the experimental group and 80 in the control group. Comparisons between baseline and 3-month follow-up assessments on key behavioral outcomes were completed. We found that behavioral intentions, risk-reduction skills, and male role norms did not change in the experimental compared to the control condition. However, HIV-related stigma beliefs were significantly reduced in both conditions over time. These findings show that one small-group HIV risk-reduction intervention did not reduce sexual risk behaviors in recently traditionally circumcised men at high risk for behavioral disinhibition.