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February 28, 1996

HIV Sexual Risk—Reduction Interventions for African-American Women

Author Affiliations

Virginia Polytechnic Institute and State University Blacksburg
Georgia State University Atlanta

JAMA. 1996;275(8):593. doi:10.1001/jama.1996.03530320017018

To the Editor.  —Drs DiClemente and Wingood1 are to be congratulated for their efforts in developing and evaluating a human immunodeficiency virus (HIV) sexual risk—reduction intervention for young African-American women. Effective interventions for individuals who are at higher risk because of socioeconomic factors and face numerous barriers for consistent condom use are sorely needed. However, several methodological problems in this study need to be addressed because they influence the study's interpretation and subsequent applications of the research.First, extensive community-based recruitment was done to eventually recruit 128 women for the study. It is unclear how many women were contacted and how many were willing or unwilling to participate at various points in the recruitment process. Thus, the representativeness of the sample is open to question.Second, there was differential dropout by treatment: 9.4% in the social skills intervention, which comprised five 2-hour weekly group sessions; 17.1% in the single