HIV/AIDS Prevention Interventions in African American Heterosexuals

Abstract

Background: The purpose of this paper was to review the HIV/AIDS interventions conducted among heterosexual African Americans, and suggest ways of enhancing these interventions. Methods: In collecting the materials for this study, a search of CINAHL, ERIC, and MEDLINE databases were carried out for the time period of 2002 to July 2010. The inclusion criteria for the studies were (1) African American adults; (2) limited to heterosexual African American populations; (3) publication in refereed journals in the English language; (4) location of the study in the United States. Results: A total of twelve studies met the inclusion criteria, eight of which took place in a clinical setting. Nine of the interventions were based on behavioral theories and six of those interventions utilized social cognitive theory. The themes used were HIV/AIDS knowledge, risk reduction strategies, behavioral skills, condom use, selfefficacy, and communication about sex and goal setting. The review found that all the interventions were effective, though the effect sizes were generally small. Conclusions: The strengths of the interventions include the use of the following: appropriate sample sizes, post intervention follow-ups, and the use of randomized control trial design. Recommendations for enhancing the effectiveness of HIV/AIDS interventions in African American heterosexuals are presented.