Gender-specific HIV and substance abuse prevention strategies for South African men : study protocol for a randomized controlled trial
Date
2018-08-03
Journal Title
Journal ISSN
Volume Title
Publisher
BioMed Central
Abstract
Background: Young men in South Africa face concurrent epidemics of HIV, drug and alcohol abuse, and unemployment.
Standard HIV prevention programs, located in healthcare settings and/or using counseling models, fail to engage
men. Soccer and vocational training are examined as contexts to deliver male-specific, HIV prevention programs.
Methods: Young men (n = 1200) are randomly assigned by neighborhood to one of three conditions: 1) soccer
league (n = 400; eight neighborhoods); 2) soccer league plus vocational training (n = 400; eight neighborhoods);
or 3) a control condition (n = 400; eight neighborhoods). Soccer practices and games occur three times per week
and vocational training is delivered by Silulo Ulutho Technologies and Zenzele Training and Development. At
baseline, 6 months, 12 months, and 24 months, the relative efficacy of these strategies to increase the number of
significant outcomes (NSO) among 15 outcomes which occur (1) or not (0) are summed and compared using
binomial logistic regressions. The summary primary outcome reflects recent HIV testing, substance abuse, employment,
sexual risk, violence, arrests, and mental health status.
Discussion: The failure of men to utilize HIV prevention programs highlights the need for gender-specific intervention
strategies. However, men in groups can provoke and encourage greater risk-taking among themselves. The current
protocol evaluates a male-specific strategy to influence men’s risk for HIV, as well as to improve their ability to contribute
to family income and daily routines. Both interventions are expected to significantly benefit men compared with the
control condition.
Description
CITATION: Rotheram-Borus, M. J., et al. 2018. Gender-specific HIV and substance abuse prevention strategies for South African men : study protocol for a randomized controlled trial. Trials, 19:417, doi:10.1186/s13063-018-2804-3.
The original publication is available at https://trialsjournal.biomedcentral.com
The original publication is available at https://trialsjournal.biomedcentral.com
Keywords
HIV-positive men, HIV infections--Prevention, Drug abuse
Citation
Rotheram-Borus, M. J., et al. 2018. Gender-specific HIV and substance abuse prevention strategies for South African men : study protocol for a randomized controlled trial. Trials, 19:417, doi:10.1186/s13063-018-2804-3