Health Equity Considerations: HIV Intervention Adaptation for Black Women in Community Corrections

Objectives: This article describes the process used to adapt the only group-based, computer-assisted, HIV/sexually transmitted infections (STI) prevention intervention designed for drug-using Black women in community corrections using an integrated health equity ADAPT-ITT framework with a peer engag...

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Published in:Research on social work practice 2023-03, Vol.33 (3), p.271-281
Main Authors: Johnson, Karen A., Hunt, Timothy, Goddard-Eckrich, Dawn, Wu, Elwin, Richards, Stanley, Tibbetts, Rick, Rowe, Jessica C., Maynard, Quentin R., Goodwin, Sharun, Okine, Joana, Wainberg, Milton L., El-Bassel, Nabila, Gilbert, Louisa
Format: Article
Language:English
Subjects:
Adaptation
African Americans
Afrocentrism
Anal intercourse
Black people
Cisgender
Community
Drug abuse
Drugs
Fairness
Health disparities
HIV
Human immunodeficiency virus
Intervention
Legal system
Prevention programs
Reentry
Resilience
Sexual intercourse
Sexually transmitted diseases
STD
Women
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Summary:Objectives: This article describes the process used to adapt the only group-based, computer-assisted, HIV/sexually transmitted infections (STI) prevention intervention designed for drug-using Black women in community corrections using an integrated health equity ADAPT-ITT framework with a peer engagement lens. Methods: Key adaptation partners included cisgender, drug-using Black women in community corrections, and Black, female, community reentry providers slated to deliver the adapted intervention. Focus groups and a study pilot were held. Results: The resulting intervention, Empowering African-American Women on the Road to Health (E-WORTH), features HIV/STI-specific Afrocentric themes of risk and resiliency tailored for and by Black women in the criminal legal system. Evaluation of E-WORTH confirms its cultural resonance. Participants had a 54% lowered odds of testing positive for any STI and reported 38% fewer acts of condomless vaginal or anal intercourse at 12-month follow-up. Conclusions: Findings underscore the need to develop an adaptation model that is explicitly health equity in focus.
ISSN:1049-7315
1552-7581
DOI:10.1177/10497315221132523