Addressing the nexus of risk: Biobehavioral outcomes from a cluster randomized trial of the Women’s Health CoOp Plus in Pretoria, South Africa

Wechsberg, Wendee M.; Bonner, Courtney Peasant; Zule, William A.; van der Horst, Charlie; Ndirangu, Jacqueline; Browne, Felicia A.; Kline, Tracy L.; Howard, Brittni N.; Rodman, Nathaniel F.

doi:10.1016/j.drugalcdep.2018.10.036

Cited by 32HIV, Drug Use, Sexual RiskHIV/AIDS Research and InterventionsSubstance Abuse Treatment and Outcomes

Addressing the nexus of risk: Biobehavioral outcomes from a cluster randomized trial of the Women’s Health CoOp Plus in Pretoria, South Africa

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Wechsberg, Wendee M., Bonner, Courtney Peasant, Zule, William A., van der Horst, Charlie, Ndirangu, Jacqueline, Browne, Felicia A., Kline, Tracy L., Howard, Brittni N. +1 more·2019·Drug and Alcohol Dependence

DOI 10.1016/j.drugalcdep.2018.10.036PMC PMC6415667

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Abstract

Background HIV prevalence has increased among South African women who use alcohol and other drugs (AOD). However, HIV prevention and treatment efforts have not focused on this population. This study presents the efficacy of the Women's Health CoOp Plus (WHC+) in a cluster-randomized trial to reduce AOD use, gender-based violence, and sexual risk and to increase linkage to HIV care among women who use AODs, compared with HIV counseling and testing alone.Methods Black African women (N = 641) were recruited from 14 geographic clusters in Pretoria, South Africa, and underwent either an evidence-based gender-focused HIV prevention intervention that included HIV counseling and testing (WHC+) or HIV counseling and testing alone. Participants were assessed at baseline, 6-months, and 12-months post enrollment.Results At 6-month follow-up, the WHC+ arm (vs. HCT) reported more condom use with a main partner and sexual negotiation, less physical and sexual abuse by a boyfriend, and less frequent heavy drinking (ps < 0.05). At 12-month follow-up, the WHC+ arm reported less emotional abuse (p < 0.05). Among a subsample of women, the WHC+ arm was significantly more likely to have a non-detectable viral load (measured by dried blood spots; p = 0.01).Conclusion The findings demonstrate the WHC+'s efficacy to reduce HIV risk among women who use AODs in South Africa. Substance abuse rehabilitation centers and health centers that serve women may be ideal settings to address issues of gender-based violence and sexual risk as women engage in substance use treatment, HIV testing, or HIV care.

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A women-focused brief intervention demonstrated efficacy in reducing heavy drinking behavior and heavy drinking days in women.
“One study focused on the efficacy of a women-focused brief intervention demonstrated efficacy of the interventions in reducing heavy drinking behavior and heavy drinking days in women [94].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [94]
In the systematic review, 6 studies evaluated brief interventions in South Africa.
“In our systematic review, 6 studies evaluated brief interventions in South Africa [67,79–81,93,94].”
From Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary (2022) · cites this paper as [94]

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Prevention of HIV-1 infection with early antiretroviral therapy.
Cohen, M. S., Chen, Y. Q., McCauley, M., Gamble, T., Hosseinipour, M. C., Kumarasamy, N., Hakim, J. G., Kumwenda, J., Grinsztejn, B., Pilotto, J. H. S., et al. (2011) · New England Journal of Medicine · doi:10.1056/nejmoa1105243 · Cited by 6,873 · see citing works
Consort 2010 statement: extension to cluster randomised trials
Campbell, M. K., Piaggio, G., Elbourne, D. R., Altman, D. G., & for the CONSORT Group (2012) · BMJ · doi:10.1136/bmj.e5661 · Cited by 3,510 · see citing works
Negative Binomial Regression: Index
Hilbe, J. (2007) · Cambridge University Press eBooks · doi:10.1017/cbo9780511973420 · Cited by 3,253 · see citing works
CONSORT statement: extension to cluster randomised trials
Campbell, M. K., Elbourne, D. R., & Altman, D. G. (2004) · BMJ · doi:10.1136/bmj.328.7441.702 · Cited by 2,557 · see citing works
Negative binomial regression
Hilbe, J. M. (2007) · Cambridge University Press eBooks · doi:10.1017/cbo9780511811852.007 · Cited by 1,998 · see citing works
Gender-based violence, relationship power, and risk of HIV infection in women attending antenatal clinics in South Africa
Dunkle, K., Jewkes, R. K., Brown, H., Gray, G., McIntryre, J. A., & Harlow, S. D. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16098-4 · Cited by 1,321 · see citing works
Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study
Jewkes, R. K., Dunkle, K., Nduna, M., & Shai, N. (2010) · The Lancet · doi:10.1016/s0140-6736(10)60548-x · Cited by 1,215 · see citing works
Social Cognitive Theory and Exercise of Control over HIV Infection
Bandura, A. (1994) · AIDS prevention and mental health · doi:10.1007/978-1-4899-1193-3_3 · Cited by 928 · see citing works
The Joint United Nations Programme on HIV / AIDS (UNAIDS). Project update.
(1999) · PubMed · Cited by 841 · see citing works
The epidemiology of rape and sexual coercion in South Africa: an overview
Jewkes, R., & Abrahams, N. (2002) · Social Science & Medicine · doi:10.1016/s0277-9536(01)00242-8 · Cited by 748 · see citing works
Alcohol Use and Sexual Risks for HIV/AIDS in Sub-Saharan Africa: Systematic Review of Empirical Findings
Kalichman, S. C., Simbayi, L. C., Kaufman, M., Cain, D., & Jooste, S. (2007) · Prevention Science · doi:10.1007/s11121-006-0061-2 · Cited by 582 · see citing works
Preventing AIDS : theories and methods of behavioral interventions
DiClemente, R. J., & Peterson, J. L. (1994) · DigitalGeorgetown (Georgetown University Library) · doi:10.1007/978-1-4899-1193-3 · Cited by 518 · see citing works
Best-Evidence Interventions: Findings From a Systematic Review of HIV Behavioral Interventions for US Populations at High Risk, 2000–2004
Lyles, C. M., Kay, L. S., Crepaz, N., Herbst, J. H., Passin, W. F., Kim, A. S., Rama, S. M., Thadiparthi, S., DeLuca, J. B., & Mullins, M. M. (2006) · American Journal of Public Health · doi:10.2105/ajph.2005.076182 · Cited by 412 · see citing works
HIV-Positive Women Report More Lifetime Partner Violence: Findings From a Voluntary Counseling and Testing Clinic in Dar es Salaam, Tanzania
Maman, S., Mbwambo, J. K., Hogan, N. M., Kilonzo, G. P., Campbell, J. C., Weiss, E., & Sweat, M. D. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.8.1331 · Cited by 406 · see citing works
A systematic review of the impact of alcohol use disorders on HIV treatment outcomes, adherence to antiretroviral therapy and health care utilization
Azar, M. M., Springer, S. A., Meyer, J. P., & Altice, F. L. (2010) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2010.06.014 · Cited by 394 · see citing works
The association between HIV infection and alcohol use: a systematic review and meta-analysis of African studies
Fisher, J. C., Bang, H., & Kapiga, S. H. (2007) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e318067b4fd · Cited by 350 · see citing works
Substance Abuse, Violence, and HIV in Women: A Literature Review of the Syndemic
Meyer, J. P., Springer, S. A., & Altice, F. L. (2011) · Journal of Women s Health · doi:10.1089/jwh.2010.2328 · Cited by 344 · see citing works
A cluster randomized‐controlled trial to determine the effectiveness of Stepping Stones in preventing HIV infections and promoting safer sexual behaviour amongst youth in the rural Eastern Cape, South Africa: trial design, methods and baseline findings
Jewkes, R. K., Nduna, M., Levin, J. B., Jama, N., Dunkle, K., Khuzwayo, N., Koss, M. P., Puren, A. J., Wood, K., & Duvvury, N. (2006) · Tropical Medicine & International Health · doi:10.1111/j.1365-3156.2005.01530.x · Cited by 326 · see citing works
Worldwide Prevalence of Fetal Alcohol Spectrum Disorders: A Systematic Literature Review Including Meta‐Analysis
Roozen, S., Peters, G.-J., Kok, G., Townend, D. M. R., Nijhuis, J. G., & Curfs, L. (2016) · Alcoholism Clinical and Experimental Research · doi:10.1111/acer.12939 · Cited by 299 · see citing works
Epidemiology of HIV Among Injecting and Non-injecting Drug Users: Current Trends and Implications for Interventions
Strathdee, S. A., & Stockman, J. K. (2010) · Current HIV/AIDS Reports · doi:10.1007/s11904-010-0043-7 · Cited by 241 · see citing works
Substance Use, Sexual Risk, and Violence: HIV Prevention Intervention with Sex Workers in Pretoria
Wechsberg, W. M., Luseno, W. K., Lam, W. K. K., Parry, C. D. H., & Morojele, N. K. (2006) · AIDS and Behavior · doi:10.1007/s10461-005-9036-8 · Cited by 202 · see citing works
Self-citation
Alcohol use in South Africa: findings from the first Demographic and Health Survey (1998).
Parry, C. D. H., Plüddemann, A., Steyn, K., Bradshaw, D., Norman, R. E., & Laubscher, R. (2005) · Journal of Studies on Alcohol · doi:10.15288/jsa.2005.66.91 · Cited by 194 · see citing works
Treatment to Prevent Transmission of HIV‐1
Cohen, M. S., & Gay, C. L. (2010) · Clinical Infectious Diseases · doi:10.1086/651478 · Cited by 177 · see citing works
Levels of Adherence Required for Virologic Suppression Among Newer Antiretroviral Medications
Kobin, A. B., & Sheth, N. U. (2011) · Annals of Pharmacotherapy · doi:10.1345/aph.1p587 · Cited by 167 · see citing works
Efficacy of a Woman-Focused Intervention to Reduce HIV Risk and Increase Self-Sufficiency Among African American Crack Abusers
Wechsberg, W. M., Lam, W. K. K., Zule, W. A., & Bobashev, G. (2004) · American Journal of Public Health · doi:10.2105/ajph.94.7.1165 · Cited by 166 · see citing works
Self-citation
Intimate Partner Violence and HIV Among Drug-Involved Women: Contexts Linking These Two Epidemics—Challenges and Implications for Prevention and Treatment
El‐Bassel, N., Gilbert, L., Witte, S. S., Wu, E., & Chang, M. (2011) · Substance Use & Misuse · doi:10.3109/10826084.2011.523296 · Cited by 151 · see citing works
Violence against substance-abusing South African sex workers: intersection with culture and HIV risk
Wechsberg, W. M., Luseno, W. K., & Lam, W. K. K. (2005) · AIDS Care · doi:10.1080/09540120500120419 · Cited by 145 · see citing works
Self-citation
Intentional Non-Adherence to Medications among HIV Positive Alcohol Drinkers: Prospective Study of Interactive Toxicity Beliefs
Kalichman, S. C., Grebler, T., Amaral, C. M., McNerey, M., White, D., Kalichman, M. O., Cherry, C., & Eaton, L. A. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2231-1 · Cited by 107 · see citing works
HIV Risk Behaviours and their Relationship to Intimate Partner Violence (IPV) Among Men Who Have Multiple Female Sexual Partners in Cape Town, South Africa
Townsend, L., Jewkes, R. K., Mathews, C., Johnston, L. G., Flisher, A. J., Zembe, Y., & Chopra, M. (2010) · AIDS and Behavior · doi:10.1007/s10461-010-9680-5 · Cited by 104 · see citing works
Not Just the Needle
SHOPTAW, S. J., Montgomery, B. E. E., Williams, C. T., El‐Bassel, N., Aramrattana, A., Metsch, L. R., Metzger, D. S., Kuo, I. C., Bastos, F. I., & Strathdee, S. A. (2013) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3182987028 · Cited by 91 · see citing works
A brief intervention for drug use, sexual risk behaviours and violence prevention with vulnerable women in South Africa: a randomised trial of the Women’s Health CoOp
Wechsberg, W. M., Jewkes, R., Novak, S. P., Kline, T., Myers, B., Browne, F. A., Carney, T., Morgan Lopez, A. A., & Parry, C. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002622 · Cited by 88 · see citing works
Self-citation
Violence, Coping, and Consistent Medication Adherence in HIV-Positive Couples
Lopez, E. J., Jones, D. L., Villar-Loubet, O. M., Arheart, K. L., & Weiss, S. M. (2010) · AIDS Education and Prevention · doi:10.1521/aeap.2010.22.1.61 · Cited by 84 · see citing works
When masculinity interferes with women's treatment of HIV infection: a qualitative study about adherence to antiretroviral therapy in Zimbabwe
Skovdal, M., Campbell, C., Nyamukapa, C., & Gregson, S. (2011) · Journal of the International AIDS Society · doi:10.1186/1758-2652-14-29 · Cited by 84 · see citing works
Alcohol and Adherence to Antiretroviral Medications: Interactive Toxicity Beliefs Among People Living With HIV
Kalichman, S. C., Amaral, C. M., White, D., Swetsze, C., Kalichman, M. O., Cherry, C., & Eaton, L. A. (2012) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/j.jana.2011.11.005 · Cited by 68 · see citing works
Gender-based violence and HIV sexual risk behavior: Alcohol use and mental health problems as mediators among women in drinking venues, Cape Town
Pitpitan, E. V., Kalichman, S. C., Eaton, L. A., Sikkema, K. J., Watt, M. H., & Skinner, D. G. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.06.020 · Cited by 66 · see citing works
Substance use, gender inequity, violence and sexual risk among couples in Cape Town
Wechsberg, W. M., MYERS, B. J., Reed, E., Carney, T., Emanuel, A., & Browne, F. A. (2013) · Culture Health & Sexuality · doi:10.1080/13691058.2013.815366 · Cited by 61 · see citing works
Self-citation
Preliminary Findings of an Adapted Evidence-Based Woman-Focused HIV Intervention on Condom Use and Negotiation Among At-Risk Women in Pretoria, South Africa
Wechsberg, W. M., Luseno, W. K., Kline, T., Browne, F. A., & Zule, W. A. (2010) · Journal of Prevention & Intervention in the Community · doi:10.1080/10852351003640799 · Cited by 60 · see citing works
Self-citation
Co-occurring Psychosocial Problems and HIV Risk Among Women Attending Drinking Venues in a South African Township: A Syndemic Approach
Pitpitan, E. V., Kalichman, S. C., Eaton, L. A., Cain, D. N., Sikkema, K. J., Watt, M. H., Skinner, D. G., & Pieterse, D. (2012) · Annals of Behavioral Medicine · doi:10.1007/s12160-012-9420-3 · Cited by 58 · see citing works
Effectiveness of an Adapted Evidence-Based Woman-Focused Intervention for Sex Workers and Non-Sex Workers: The Women's Health CoOp in South Africa
Wechsberg, W. M., Zule, W. A., Luseno, W. K., Kline, T., Browne, F. A., Novak, S. P., & Ellerson, R. M. (2011) · Journal of Drug Issues · doi:10.1177/002204261104100205 · Cited by 55 · see citing works
Self-citation
HIV treatment as prevention: The key to an AIDS-free generation
Hull, M., & Montaner, J. S. G. (2013) · Journal of Food and Drug Analysis · doi:10.1016/j.jfda.2013.09.043 · Cited by 47 · see citing works
Alcohol-antiretroviral therapy interactive toxicity beliefs and daily medication adherence and alcohol use among people living with HIV
Pellowski, J. A., Kalichman, S. C., Kalichman, M. O., & Cherry, C. (2016) · AIDS Care · doi:10.1080/09540121.2016.1154134 · Cited by 47 · see citing works
The Relationship of Alcohol and Other Drug Use Typologies to Sex Risk Behaviors among Vulnerable Women in Cape Town, South Africa
Wechsberg, W. M. (2012) · Journal of AIDS & Clinical Research · doi:10.4172/2155-6113.s1-015 · Cited by 42 · see citing works
Self-citation
Social and structural HIV prevention in alcohol-serving establishments: review of international interventions across populations.
Kalichman, S. C. (2010) · Europe PMC (PubMed Central) · Cited by 41 · see citing works
Alcohol use and its association with HIV risk behaviors among a cohort of patients attending HIV clinical care in Tanzania, Kenya, and Namibia
Medley, A., Seth, P., Pathak, S., Howard, A. A., DeLuca, N., Matiko, E., Mwinyi, A., Katuta, F., Sheriff, M., Makyao, N., et al. (2014) · AIDS Care · doi:10.1080/09540121.2014.911809 · Cited by 41 · see citing works
Gender differences in barriers to alcohol and other drug treatment in Cape Town, South Africa
MYERS, B. J., Louw, J., & Pasche, S. C. (2011) · African Journal of Psychiatry · doi:10.4314/ajpsy.v14i2.7 · Cited by 39 · see citing works
HIV Risks Associated with Patronizing Alcohol Serving Establishments in South African Townships, Cape Town
Cain, D. N., Pare, V., Kalichman, S. C., Harel, O., Mthembu, J., Carey, M. P., Carey, K. B., Mehlomakulu, V., Simbayi, L. C., & Mwaba, K. (2012) · Prevention Science · doi:10.1007/s11121-012-0290-5 · Cited by 31 · see citing works
Health Services Utilization Among South African Women Living with HIV and Reporting Sexual and Substance-Use Risk Behaviors
Luseno, W. K., Wechsberg, W. M., Kline, T., & Ellerson, R. M. (2010) · AIDS Patient Care and STDs · doi:10.1089/apc.2009.0213 · Cited by 31 · see citing works
Self-citation
Adapting the Evidence-Based Women’s CoOp Intervention to Prevent Human Immunodeficiency Virus Infection in North Carolina and International Settings
Wechsberg, W. M., Browne, F. A., Ellerson, R. M., & Zule, W. A. (2010) · North Carolina Medical Journal · doi:10.18043/ncm.71.5.477 · Cited by 29 · see citing works
Self-citation
Barriers and facilitators to implementing an evidence-based woman-focused intervention in South African health services
Howard, B. N., Van Dorn, R., Myers, B. J., Zule, W. A., Browne, F. A., Carney, T., & Wechsberg, W. M. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2669-2 · Cited by 27 · see citing works
Self-citation
Seek, test, treat: substance-using women in the HIV treatment cascade in South Africa
Wechsberg, W. M., van der Horst, C., Ndirangu, J., Doherty, I. A., Kline, T., Browne, F. A., Belus, J. M., Nance, R. M., & Zule, W. A. (2017) · Addiction Science & Clinical Practice · doi:10.1186/s13722-017-0077-x · Cited by 22 · see citing works
Self-citation
Drug Use and HIV Risk Behaviour in Three Urban South African Communities
Peltzer, K., Simbayi, L. C., Kalichman, S. C., Jooste, S., Cloete, A., & Mbelle, N. (2009) · Journal of Social Sciences · doi:10.1080/09718923.2009.11892675 · Cited by 20 · see citing works
Sub-optimal adherence to combination anti-retroviral therapy and its associated factors according to self-report, clinician-recorded and pharmacy-refill assessment methods among HIV-infected adults in Addis Ababa
Mekuria, L. A., Prins, J. M., Worku, A., Sprangers, M. A. G., & Nieuwkerk, P. T. (2016) · AIDS Care · doi:10.1080/09540121.2016.1234681 · Cited by 20 · see citing works
An implementation science protocol of the Women’s Health CoOp in healthcare settings in Cape Town, South Africa: A stepped-wedge design
Wechsberg, W. M., Ndirangu, J., Speizer, I. S., Zule, W. A., Gumula, W., Bonner, C. P., Browne, F. A., & Dunlap, L. J. (2017) · BMC Women s Health · doi:10.1186/s12905-017-0433-8 · Cited by 20 · see citing works
Self-citation
HIV Prevention Among Women Who Use Substances And Report Sex Work: Risk Groups Identified Among South African Women
Wechsberg, W. M., Bonner, C. P., Kline, T., Zule, W. A., Ndirangu, J., Browne, F. A., Gabel, C., & van der Horst, C. (2017) · AIDS and Behavior · doi:10.1007/s10461-017-1889-0 · Cited by 5 · see citing works
Self-citation
Alcohol Use and Abuse among Female High School Learners: A Qualitative Approach
Hlomani, T. J. (2013) · Cited by 1 · see citing works

Flagged first, then by citations

Research works printed but not linked: 3

Joint United Nations Programme on HIV/AIDS, 2017b UNAIDS Data 2017 http://www.unaids.org/en/resources/documents/2017/2017_data_book. 12349391
Ndirangu J, Wechsberg WM, Zule W, Kine T, Doherty I, van der Hosrt C, 2014 Methods for increasing access and ARV retention among sex workers and drug using women in Pretoria, South Africa: Structural and individual determinants, Satellite Session of the International AIDS Conference. Melbourne, Australia http://pag.aids2014.org/PAGMaterial/PPT/5429_10978/final.pptx
van Heerden B, Cockrell A, Keightley R (Ed.), 1999 Boberg’s Law of Persons and the Family

Sorted by citations

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Intertwined epidemics: progress, gaps, and opportunities to address intimate partner violence and HIV among key populations of women
El-Bassel, N., Mukherjee, T. I., Stoicescu, C., Starbird, L. E., Stockman, J. K., Frye, V., & Gilbert, L. (2022) · The Lancet HIV · doi:10.1016/s2352-3018(21)00325-8 · Cited by 64 · see citing works
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Asuquo, S. E., Tahlil, K. M., Muessig, K. E., Conserve, D. F., Igbokwe, M. A., Chima, K. P., Nwanunu, E. C., Elijah, L. P., Day, S., Rosenberg, N. E., et al. (2021) · Journal of the International AIDS Society · doi:10.1002/jia2.25666 · Cited by 54 · see citing works
Closing the treatment gap for alcohol use disorders in low- and middle-income countries
Nadkarni, A., Gandhi, Y., Bhatia, U., & Velleman, R. (2023) · Cambridge Prisms: Global Mental Health · doi:10.1017/gmh.2022.57 · Cited by 46 · see citing works
Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary
Staton, C. A., Vissoci, J. R. N., El-Gabri, D., Adewumi, K., Concepcion, T., Elliott, S. A., Evans, D. R., Galson, S. W., Pate, C. T., Reynolds, L. M., et al. (2022) · PLOS Medicine · doi:10.1371/journal.pmed.1003961 · Cited by 41 · see citing works
A Systematic Review of Gender-Based Violence Prevention and Response Interventions for HIV Key Populations: Female Sex Workers, Men Who Have Sex With Men, and People Who Inject Drugs
Decker, M. R., Lyons, C. E., Guan, K., Mosenge, V., Fouda, G., Levitt, D., Abelson, A., Turpin, G., Njindam, I. M., Kurani, S. S., et al. (2022) · Trauma Violence & Abuse · doi:10.1177/15248380211029405 · Cited by 38 · see citing works
Intersections of Sex Work, Mental Ill-Health, IPV and Other Violence Experienced by Female Sex Workers: Findings from a Cross-Sectional Community-Centric National Study in South Africa
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Self-citation
References
(2020) · Emerald Group Publishing Limited eBooks · doi:10.1108/978-1-83982-882-920200042 · Cited by 1 · see citing works
Best Practices to Prevent and Respond to Sexual Violence: Evidence review and programme considerations
Kirk, K., Mathur, S., & Pulerwitz, J. (2023) · doi:10.31899/sbsr2023.1055
Mujer, Adicción y Violencia de Género
Encinas, A. A. (2023) · MLS Psychology Research · doi:10.33000/mlspr.v6i2.1276
Multilevel strategies to end HIV for young couples in Cape Town: Study protocol for a cluster randomized trial
Wechsberg, W. M., Carney, T., Browne, F. A., van der Drift, I. M., Kline, T., Nyblade, L. C., Ndirangu, J., Orrell, C., Bonner, C. P., & Caron, E. (2024) · PLoS ONE · doi:10.1371/journal.pone.0305056
Self-citation
‘Those sessions open[ed] our eyes and our minds’: participant acceptability and satisfaction with a gender-focused HIV and substance use risk-reduction intervention on alcohol use, HIV treatment, and sexual behaviour among women in South Africa
Ndirangu, J., Gichane, M. W., Browne, F. A., Bonner, C. P., Zule, W. A., Cox, E. N., Howard, B. N., Kline, T., & Wechsberg, W. M. (2025) · Health Education Research · doi:10.1093/her/cyaf011
Self-citation

Illegal Drug Markets: From Research to Prevention Policy
Pearson, G. (2001) · International Journal of Drug Policy · doi:10.1016/s0955-3959(01)00091-3 · Cited by 92 · see citing works
A brief intervention for drug use, sexual risk behaviours and violence prevention with vulnerable women in South Africa: a randomised trial of the Women’s Health CoOp
Wechsberg, W. M., Jewkes, R., Novak, S. P., Kline, T., Myers, B., Browne, F. A., Carney, T., Morgan Lopez, A. A., & Parry, C. (2013) · BMJ Open · doi:10.1136/bmjopen-2013-002622 · Cited by 88 · see citing works
Self-citation
Alcohol and drug use outcomes among vulnerable women living with HIV: results from the Western Cape Women's Health CoOp
Zule, W., Myers, B., Carney, T., Novak, S. P., McCormick, K., & Wechsberg, W. M. (2014) · AIDS Care · doi:10.1080/09540121.2014.933769 · Cited by 25 · see citing works
Self-citation
Alcohol, cannabis, and methamphetamine use and other risk behaviours among Black and Coloured South African women: A small randomized trial in the Western Cape
Wechsberg, W. M., Luseno, W. K., Karg, R. S., Young, S. K., Rodman, N. F., MYERS, B. J., & Parry, C. D. H. (2008) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2007.11.018 · Cited by 98 · see citing works
Self-citation
The male factor: Outcomes from a cluster randomized field experiment with a couples-based HIV prevention intervention in a South African township
Wechsberg, W. M., Zule, W. A., El‐Bassel, N., Doherty, I. A., Minnis, A. M., Novak, S. P., MYERS, B. J., & Carney, T. (2016) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2016.02.017 · Cited by 43 · see citing works
Self-citation

Authors: Wechsberg, W. M., Bonner, C. P., Zule, W. A., van der Horst, C., Ndirangu, J., Browne, F. A., Kline, T. L., Howard, B. N., & Rodman, N. F.
Affiliations: University of North Carolina at Chapel Hill (US)
RTI International (US)
Corresponding author: Wechsberg, Wendee M.
ORCID: Wechsberg, Wendee M.
Bonner, Courtney Peasant
Zule, William A.
Ndirangu, Jacqueline
Browne, Felicia A.
Kline, Tracy L.
Howard, Brittni N.
Venue: Drug and Alcohol Dependence
Publisher: Elsevier BV
Published: 2019-02
Volume: 195
Pages: 16-26
ISSN: 0376-8716 (ISSN-L)
DOI: 10.1016/j.drugalcdep.2018.10.036
PMC: PMC6415667
OpenAlex: W2902900472
Cited by: 32
References: 55
Citations by year: 2025: 3 · 2024: 6 · 2023: 4 · 2022: 8 · 2021: 6 · 2020: 4 · 2019: 1
FWCI: 2.15
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Drug and Alcohol Dependence (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health
National Institute on Drug Abuse (R01DA032061)
University of North Carolina at Chapel Hill Center for AIDS Research (P30 AI50410)
Topics: Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords: HIV prevention, alcohol and other drug use, gender-based violence, sexual risk, condom use, sexual negotiation, HIV counseling and testing, linkage to HIV care, addiction treatment, South Africa, HIV viral suppression, dried blood spots
MeSH terms: Adult, Counseling, Female, Humans, Mass Screening, Sexual Behavior, Sex Offenses, South Africa, Violence, HIV Infections, Cluster Analysis, Women's Health, Substance-Related Disorders, Safe Sex, Black People, Young Adult, Self Report

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Addressing the nexus of risk: Biobehavioral outcomes from a cluster randomized trial of the Women’s Health CoOp Plus in Pretoria, South Africa

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