Communal Effectance - AIDS Prevention

An Evidence-Based Practice


The Communal Effectance - AIDS Prevention (CE-AP) program is a sexual behavior intervention for low-income, single women attending urban clinics. The intervention emphasizes the idea that sexual behavior affects women individually as well as those around them. The program uses role playing, discussions, interactive videos, and rehearsals to teach women negotiation skills to protect themselves from HIV infection. Participants learn general HIV and AIDS prevention information, the role of drugs and alcohol in risky behavior, and how to properly use condoms. Women also learn how to refuse unwanted sexual propositions and how to negotiate safe sex with partners.

Goal / Mission

The goal of the CE-AP intervention is to reduce behaviors that put women at risk for sexually transmitted disease (STD) and HIV transmission.

Results / Accomplishments

In a study including 935 women, those who received the CE-AP intervention reported significantly fewer episodes of unprotected vaginal or anal sex at a 6-month follow-up than women in a standard care group (p < 0.001). Among women with a prior STD, those in the CE-AP intervention group were significantly less likely to test positive for an STD at the follow-up than women in a general health promotion group (p < 0.005).

About this Promising Practice

Primary Contact
Dr. Stevan E. Hobfoll
Department of Behavioral Sciences
Rush Medical College
1653 West Congress Parkway
Chicago, IL 60612
(312) 942-5932
Health / Immunizations & Infectious Diseases
Health / Women's Health
Rush Medical College Department of Behavioral Sciences
Centers for Disease Control and Prevention
Date of publication
Date of implementation
Geographic Type
For more details
Target Audience
Adults, Women