Effectiveness of a Culturally Tailored HIV and Sexually Transmitted Infection Prevention Intervention for Black Women in Community Supervision Programs

Abstract

Key Points Question Is E-WORTH, a culturally tailored HIV and sexually transmitted infection (STI) prevention intervention, effective in reducing STIs and condomless sex among Black women in community supervision programs (CSPs)? Findings In this randomized clinical trial of 352 women, participants assigned to the E-WORTH condition, compared with those in an HIV testing–only control condition, had 54% lower odds of testing positive for any STI at the 12-month follow-up and reported 38% fewer acts of condomless vaginal or anal intercourse during the 12-month period. Meaning The findings suggest that implementing a culturally tailored HIV/STI intervention designed for Black women in CSPs is feasible and effective and holds promise for reducing the disproportionate burden of HIV/STIs in this population.