Color It Real: A Program to Increase Condom Use and Reduce Substance Abuse and Perceived Stress

Int J Environ Res Public Health. 2015 Dec 22;13(1):ijerph13010051. doi: 10.3390/ijerph13010051.

Abstract

Few interventions have targeted perceived stress as a co-occurring construct central to substance use and subsequent HIV/AIDS risk reduction among African American urban young adults. The Color It Real Program was a seven session, weekly administered age-specific and culturally-tailored intervention designed to provide substance abuse and HIV education and reduce perceived stress among African Americans ages 18 to 24 in Atlanta, GA. Effectiveness was assessed through a quasi-experimental study design that consisted of intervention (n = 122) and comparison (n = 70) groups completing a pre- and post-intervention survey. A series of Analysis of Variance (ANOVA) tests were used to assess pre- to post-intervention changes between study groups. For intervention participants, perceived stress levels were significantly reduced by the end of the intervention (t(70) = 2.38, p = 0.020), condom use at last sexual encounter significantly increased (F = 4.43, p = 0.0360), intervention participants were significantly less likely to drink five or more alcoholic drinks in one sitting (F = 5.10, p = 0.0245), and to use clean needles when injecting the drug (F = 36.99, p = 0.0001). This study is among the first of its kind to incorporate stress management as an integral approach to HIV/SA prevention. The program has implications for the design of other community-based, holistic approaches to addressing substance use and risky behaviors for young adults.

Keywords: African Americans; HIV prevention; stress; substance abuse; young adults.

Publication types

  • Clinical Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • African Americans*
  • Condoms / statistics & numerical data*
  • Female
  • Georgia
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • Health Surveys
  • Humans
  • Male
  • Perception
  • Preventive Health Services / methods*
  • Stress, Psychological / complications
  • Stress, Psychological / ethnology
  • Stress, Psychological / therapy*
  • Substance-Related Disorders / ethnology
  • Substance-Related Disorders / prevention & control*
  • Substance-Related Disorders / psychology
  • Young Adult