ArticleBMJ open2013
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.
Article in BMJ open, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00729391 (Women-Focused HIV Prevention in the Western Cape), which is not on this map. Cited by 64 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Women-Focused HIV Prevention in the Western Cape
Who cites it
64 citing papers in PubMed, 5 syntheses or guidelines pooled it, 88 citations in OpenAlex.
- Effectiveness of community mobilisation and group-based interventions for preventing intimate partner violence against women in low- and middle-income countries: A systematic review and meta-analysis.Journal of global health · 2023Pooled it
- Reducing HIV Risk Behaviors Among Black Women Living With and Without HIV/AIDS in the U.S.: A Systematic Review.AIDS and behavior · 2021Pooled it
- Can mental health treatments help prevent or reduce intimate partner violence in low- and middle-income countries? A systematic review.BMC women's health · 2019Pooled it
- Interventions that Address Intimate Partner Violence and HIV Among Women: A Systematic Review.AIDS and behavior · 2018Pooled it
- HIV Risk Reduction Interventions Among Substance-Abusing Reproductive-Age Women: A Systematic Review.AIDS education and prevention : official publication of the International Society for AIDS Education · 2017Pooled it
- Participant experiences with a text message and contingency management intervention for alcohol use during pregnancy and lactation in Cape Town, South Africa.Addiction science & clinical practice · 2025Trial
- A qualitative pilot study exploring the acceptability of a peer provider delivered substance use brief intervention from the perspective of youth in Kenya.Substance abuse treatment, prevention, and policy · 2025Trial
- The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa.International journal of environmental research and public health · 2021Trial
- The effect of mindfulness-based stress reduction on resilience of vulnerable women at drop-in centers in the southeast of Iran.BMC women's health · 2021Trial
- A novel brief treatment for methamphetamine use disorders in South Africa: a randomised feasibility trial.Addiction science & clinical practice · 2021Trial
- Effectiveness of a Health Behavioural Intervention Aimed at Reduction of Risky Sexual Behaviours among Young Men in the KwaZulu-Natal Province, South Africa.International journal of environmental research and public health · 2019Trial
- Addressing the nexus of risk: Biobehavioral outcomes from a cluster randomized trial of the Women's Health CoOp Plus in Pretoria, South Africa.Drug and alcohol dependence · 2019Trial
- The Young Women's Health CoOp in Cape Town, South Africa: Study protocol for a cluster-randomised trial for adolescent women at risk for HIV.BMC public health · 2018Trial
- Changing sex risk behaviors, gender norms, and relationship dynamics among couples in Cape Town, South Africa: Efficacy of an intervention on the dyad.Social science & medicine (1982) · 2018Trial
- Barriers and facilitators to implementing an evidence-based woman-focused intervention in South African health services.BMC health services research · 2017Trial
- The male factor: Outcomes from a cluster randomized field experiment with a couples-based HIV prevention intervention in a South African township.Drug and alcohol dependence · 2016Trial
- Feasibility and initial efficacy of a culturally sensitive women-centered substance use intervention in Georgia: Sex risk outcomes.Substance abuse treatment, prevention, and policy · 2015Trial
- Adapting an evidence-based HIV behavioral intervention for South African couples.Substance abuse treatment, prevention, and policy · 2015Trial
- Experiences of violence and association with decreased drug abstinence among women in Cape Town, South Africa.AIDS and behavior · 2015Trial
- Alcohol and drug use outcomes among vulnerable women living with HIV: results from the Western Cape Women's Health CoOp.AIDS care · 2014Trial
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
Abstract
objectiveTo assess the impact of the Women's Health CoOp (WHC) on drug abstinence among vulnerable women having HIV counselling and testing (HCT).
designRandomised trial conducted with multiple follow-ups.
setting15 communities in Cape Town, South Africa.
participants720 drug-using women aged 18-33, randomised to an intervention (360) or one of two control arms (181 and 179) with 91.9% retained at follow-up.
interventionsThe WHC brief peer-facilitated intervention consisted of four modules (two sessions), 2 h addressing knowledge and skills to reduce drug use, sex risk and violence; and included role-playing and rehearsal, an equal attention nutrition intervention, and an HCT-only control. PRIMARY OUTCOME MEASURES: Biologically confirmed drug abstinence measured at 12-month follow-up, sober at last sex act, condom use with main and casual sex partners, and intimate partner violence.
resultsAt the 12-month endpoint, 26.9% (n=83/309) of the women in the WHC arm were abstinent from drugs, compared with 16.9% (n=27/160) in the Nutrition arm and 20% (n=31/155) in the HCT-only control arm. In the random effects model, this translated to an effect size on the log odds scale with an OR of 1.54 (95% CI 1.07 to 2.22) comparing the WHC arm with the combined control arms. Other 12-month comparison measures between arms were non-significant for sex risk and victimisation outcomes. At 6-month follow-up, women in the WHC arm (65.9%, 197/299) were more likely to be sober at the last sex act (OR1.32 (95% CI 1.02 to 1.84)) than women in the Nutrition arm (54.3%, n=82/152).
conclusionsThis is the first trial among drug-using women in South Africa showing that a brief intervention added to HCT results in greater abstinence from drug use at 12 months and a larger percentage of sexual activity not under the influence of substances. TRIAL REGISTRATION NUMBER: NCT00729391 ClinicalTrials.gov.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.