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Gender-specific HIV and substance abuse prevention strategies for South African men: study protocol for a randomized controlled trial

Overview of attention for article published in Trials, August 2018
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Title
Gender-specific HIV and substance abuse prevention strategies for South African men: study protocol for a randomized controlled trial
Published in
Trials, August 2018
DOI 10.1186/s13063-018-2804-3
Pubmed ID
Authors

Mary Jane Rotheram-Borus, Mark Tomlinson, Andile Mayekiso, Jason Bantjes, Danielle M. Harris, Jacqueline Stewart, Robert E. Weiss

Abstract

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. 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. 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. ClinicalTrials.gov registration, NCT02358226 . Registered 24 November 2014.

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Geographical breakdown

Country Count As %
Unknown 235 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 40 17%
Student > Ph. D. Student 26 11%
Researcher 14 6%
Student > Bachelor 12 5%
Lecturer 8 3%
Other 34 14%
Unknown 101 43%
Readers by discipline Count As %
Nursing and Health Professions 30 13%
Psychology 27 11%
Medicine and Dentistry 22 9%
Social Sciences 19 8%
Sports and Recreations 6 3%
Other 26 11%
Unknown 105 45%