Background: Adolescent girls in the United States and around the world are at a heightened risk for sexually transmitted diseases (STDs), including human immu nodeficiency virus (HIV). Objective: To determine the effi...Background: Adolescent girls in the United States and around the world are at a heightened risk for sexually transmitted diseases (STDs), including human immu nodeficiency virus (HIV). Objective: To determine the efficacy of a skill-based HIV/STD risk-reduction intervention in reducing self-reported unprotected sex ual intercourse among African American and Latino adolescent girls. Design: Rand omized controlled trial with 3-, 6-, and 12-month follow-ups. Setting and Pa rticipants: Sexually experienced African American and Latino adolescent girls re cruited from the adolescent medicine clinic of a children’s hospital serving a low-income inner-city community (N = 682, mean age, 15.5 years); 88.6%were re tained at the 12-month follow-up. Interventions: Three 250-minute interventio ns based on cognitive-behavioral theories and elicitation research: an informat ion-based HIV/STD intervention provided information necessary to practice safer sex; a skillbased HIV/STD intervention provided information and taught skills n ecessary to practice safer sex; or a health-promotion control intervention conc erned with health issues unrelated to sexual behavior. Main Outcome Measures: Pr imary outcome measure was self-reported frequency of unprotected sexual interco urse; secondary outcomes included the frequency of sexual intercoursewhile intox icated, the number of sexual partners, biologically confirmed STDs, and theoreti cal mediator variables, including the intention to use condoms, beliefs about us ing condoms, and condom-use knowledge. Results: No differences between the info rmation intervention and the health control intervention were statistically sign ificant. Skills-intervention participants (mean [SE], 2.27 [0.81]) reported les s unprotected sexual intercourse at the 12-month follow-up than did informatio n-intervention participants (mean [SE], 4.04 [0.80]; P = .03), or health contro l-intervention participants (mean [SE], 5.05 [0.81]; P = .002). At the 12-mont h follow-up, skills-intervention participants (mean [SE], 0.91 [0.05]) reporte d fewer sexual partners (P = .04) compared with health control-intervention par ticipants (mean [SE], 1.04 [0.05]) and were less likely to test positive for STD (mean [SE], 10.5%[2.9%])-than were health control-intervention participants (mean [SE], 18.2%[2.8%]; P = .05). No differences in the frequency of unprote cted sexual intercourse, the number of partners, or the rate of STD were observe d at the 3-or 6-month follow-up between skill-intervention participants and information-intervention or health control-intervention participants. Conclusi on: Skillbased HIV/STD interventions can reduce sexual risk behaviors and STD ra te among African American and Latino adolescent girls in clinic settings.展开更多
Objective: To examine college-aged students’ sexual risk taking behavior and their knowledge level. Design: descriptive design participants. Setting: A convenience sample of college-aged students between the ages of ...Objective: To examine college-aged students’ sexual risk taking behavior and their knowledge level. Design: descriptive design participants. Setting: A convenience sample of college-aged students between the ages of 17 - 25. Results: Seven hundred and seventy students responded to the survey. Findings revealed that 33% had sexual intercourse with two to five individuals, and 15.5% between eleven and twenty sexual partners. 50.9% had unprotected vaginal intercourse not using condoms and of those 45.8% either do not insist on condom use or only use them occasionally. 22.1% do not insist on using condoms for sexual intercourse and 24.7% responded that they sometimes insist on condom use. 47.2% are not worried about getting AIDS. 41.3% are not concerned with genital lesions. 42.4% would rate themselves as not being very knowledgeable about sexually transmitted infections. 12.4% of the females had unintended pregnancies and overall 74.9% would not feel comfortable discussing their sexual activity with their mothers. 58.1% use alcohol prior to or during sexual intercourse.展开更多
文摘Background: Adolescent girls in the United States and around the world are at a heightened risk for sexually transmitted diseases (STDs), including human immu nodeficiency virus (HIV). Objective: To determine the efficacy of a skill-based HIV/STD risk-reduction intervention in reducing self-reported unprotected sex ual intercourse among African American and Latino adolescent girls. Design: Rand omized controlled trial with 3-, 6-, and 12-month follow-ups. Setting and Pa rticipants: Sexually experienced African American and Latino adolescent girls re cruited from the adolescent medicine clinic of a children’s hospital serving a low-income inner-city community (N = 682, mean age, 15.5 years); 88.6%were re tained at the 12-month follow-up. Interventions: Three 250-minute interventio ns based on cognitive-behavioral theories and elicitation research: an informat ion-based HIV/STD intervention provided information necessary to practice safer sex; a skillbased HIV/STD intervention provided information and taught skills n ecessary to practice safer sex; or a health-promotion control intervention conc erned with health issues unrelated to sexual behavior. Main Outcome Measures: Pr imary outcome measure was self-reported frequency of unprotected sexual interco urse; secondary outcomes included the frequency of sexual intercoursewhile intox icated, the number of sexual partners, biologically confirmed STDs, and theoreti cal mediator variables, including the intention to use condoms, beliefs about us ing condoms, and condom-use knowledge. Results: No differences between the info rmation intervention and the health control intervention were statistically sign ificant. Skills-intervention participants (mean [SE], 2.27 [0.81]) reported les s unprotected sexual intercourse at the 12-month follow-up than did informatio n-intervention participants (mean [SE], 4.04 [0.80]; P = .03), or health contro l-intervention participants (mean [SE], 5.05 [0.81]; P = .002). At the 12-mont h follow-up, skills-intervention participants (mean [SE], 0.91 [0.05]) reporte d fewer sexual partners (P = .04) compared with health control-intervention par ticipants (mean [SE], 1.04 [0.05]) and were less likely to test positive for STD (mean [SE], 10.5%[2.9%])-than were health control-intervention participants (mean [SE], 18.2%[2.8%]; P = .05). No differences in the frequency of unprote cted sexual intercourse, the number of partners, or the rate of STD were observe d at the 3-or 6-month follow-up between skill-intervention participants and information-intervention or health control-intervention participants. Conclusi on: Skillbased HIV/STD interventions can reduce sexual risk behaviors and STD ra te among African American and Latino adolescent girls in clinic settings.
文摘Objective: To examine college-aged students’ sexual risk taking behavior and their knowledge level. Design: descriptive design participants. Setting: A convenience sample of college-aged students between the ages of 17 - 25. Results: Seven hundred and seventy students responded to the survey. Findings revealed that 33% had sexual intercourse with two to five individuals, and 15.5% between eleven and twenty sexual partners. 50.9% had unprotected vaginal intercourse not using condoms and of those 45.8% either do not insist on condom use or only use them occasionally. 22.1% do not insist on using condoms for sexual intercourse and 24.7% responded that they sometimes insist on condom use. 47.2% are not worried about getting AIDS. 41.3% are not concerned with genital lesions. 42.4% would rate themselves as not being very knowledgeable about sexually transmitted infections. 12.4% of the females had unintended pregnancies and overall 74.9% would not feel comfortable discussing their sexual activity with their mothers. 58.1% use alcohol prior to or during sexual intercourse.
