Outcomes of a peer HIV prevention program with injection drug and crack users: The risk avoidance partnership
MetadataShow full item record
The Risk Avoidance Partnership (RAP) Project conducted in Hartford, Connecticut, tested a program to train active drug injectors and crack cocaine users as "Peer Health Advocates" (PHAs) to deliver a modular HIV, hepatitis, and STI prevention intervention to hard-to-reach drug users in their networks and others in the city. The intervention was designed to diffuse health promotion and risk-reduction interventions by supporting PHAs to model prevention practices and deliver risk- and harm-reduction materials and information. We compared change in behaviors and attitudes between baseline and 6-month follow-up of 112 primarily African-American and Latino PHAs, 223 of their drug-user network contact referrals, and 118 other study recruits (total n = 523). Results indicated significant HIV risk reduction among all study participants, associated with significant health advocacy action conducted by PHAs, and a relationship between exposure to the RAP peer-delivered intervention and risk reduction among all study groups. Findings suggest that active drug users' engagement in peer health advocacy can set in motion a feedback and diffusion process that supports both the continued work of the PHAs and the adoption of harm reduction and mimicking of health advocacy by their peers. Copyright © 2009 Informa Healthcare USA, Inc.
Showing items related by title, author, creator and subject.
Dickson-Gomez, J.; Weeks, M.; Convey, M.; Li, Jianghong (2011)The authors present a model of interactive social psychological and relational feedback processes leading to human immunodeficiency virus (HIV) risk reduction behavior change among active drug users trained as Peer Health ...
A social network approach to demonstrate the diffusion and change process of intervention from peer health advocates to the drug using communityLi, Jianghong; Weeks, M.; Borgatti, S.; Clair, S.; Dickson-Gomez, J. (2012)Project RAP (Risk Avoidance Partnership) trained 112 active drug users to become peer health advocates (PHAs). Six months after baseline survey (N bl = 522), 91.6% of PHAs and 56.6% of community ...
Changing drug users' risk environments: Peer health advocates as multi-level Community Change AgentsWeeks, M.; Convey, M.; Dickson-Gomez, J.; Li, Jianghong; Radda, K.; Martinez, M.; Robles, E. (2009)Peer delivered, social oriented HIV prevention intervention designs are increasingly popular for addressing broader contexts of health risk beyond a focus on individual factors. Such interventions have the potential to ...