A decade in review: Building on the experiences of past adolescent STI/HIV interventions to optimise future prevention efforts

Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, 1520 Clifton Road, NE, Rm 132, Atlanta, GA 30322, USA.
Sexually Transmitted Infections (Impact Factor: 3.4). 01/2007; 82(6):431-6. DOI: 10.1136/sti.2005.018002
Source: PubMed

ABSTRACT The major purpose of this article is to systematically review and synthesise empirical findings from selected adolescent STI/HIV interventions conducted in the United States between 1994 and 2004. Specifically, the most current adolescent STI risk reduction interventions conducted in diverse venues, such as in the community, schools, clinics, and specialised adolescent centres (that is, detention homes and drug programmes) were examined for reported efficacy, and were assessed for programmatic and methodological strengths and weaknesses. Next, a subset of programmatic characteristics was identified that were associated with the efficacy of STI risk reduction programmes both within a particular venue, as well as across all venues. Finally, we discuss the research and practice implications of these findings for optimising future evidence based STI risk reduction programmes for adolescents in the United States.

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Available from: Robin Milhausen, Feb 10, 2014
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    • "School-based interventions for reducing STI-related risk behaviors have been implemented for youth in general (Sales et al. 2006). However, their implementation among youth with juvenile justice involvement have been rare. "
    Journal of Child and Family Studies 01/2014; · 1.42 Impact Factor
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    • "Several efficacious STI/HIV prevention programs exist for a variety of populations, including African-American adolescent girls [9] [46]. Despite the demonstrated efficacy of interventions to reduce STI/HIV-associated sexual risk behaviors, not every individual exposed to such a program will positively change their sexual risk behaviors (i.e., increase condom use) following participation in an STI/HIV riskreduction intervention. "
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    ABSTRACT: To enhance future STI/HIV prevention efforts, this study examined factors associated with adolescents' failure to improve their condom use behaviors after participating in an STI/HIV prevention intervention. African-American adolescent females (N = 205; M age = 17.9) in an STI/HIV prevention intervention trial completed ACASI interviews and provided self-collected vaginal swabs to assess two prevalent STIs at baseline and 6 months after intervention. Analyses compared those who increased condom use after intervention (change group) to those whose condom use did not increase (nonchange group). 43.4% did not increase their condom use after the intervention and were more likely to have an STI at followup (χ(2) = 4.64, P = .03). In a multivariate logistic regression model, the nonchange group was more likely to have (a) higher sensation seeking (AOR = .91, P = .023), (b) a boyfriend (AOR = .32, P = .046), and/or (c) a physical abuse history (AOR = .56, P = .057). There were also differences in the extent to which psychosocial mediators changed between the two groups. Findings highlight the need to tailor STI/HIV interventions to adolescents with a greater degree of sensation seeking and address key relationship characteristics and trauma histories to bolster intervention efficacy.
    AIDS research and treatment 05/2012; 2012:231417. DOI:10.1155/2012/231417
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    • "Younger adolescents reported significantly less partner communication, lower sex refusal self-efficacy, lower condom use self-efficacy, and less STD knowledge than older adolescents. Although these factors have been identified in the empirical literatures as important for STD/HIV prevention among adolescents, and are included in many STD/HIV prevention programs for adolescent African- American females (Sales et al., 2006), our findings suggest that younger adolescents are especially lacking in these critical domains. Younger adolescents may require more extensive and intensive training in communication and condom use skills to become proficient in using these skills and in order to feel capable of discussing sexual topics, including condom use, with partners and, ultimately , correctly using condoms with their male sex partners . "
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    ABSTRACT: To explore age differences in factors associated with positive sexually transmitted diseases (STD) status among a sample of African-American adolescent females. Data were collected via ACASI from 701 African-American adolescent females (14-20 years) seeking services at reproductive health clinics. Adolescents provided self-collected vaginal swabs assayed using NAAT to assess the prevalence of three STDs. Younger adolescents (14-17 years) had significantly higher rates of STDs than older adolescents (18-20 years), but older adolescents had significantly higher levels of STD-associated risk behavior. In controlled analysis, having a casual sex partner was the only variable significantly associated with a positive STD test for younger adolescents, and prior history of STD and higher impulsivity were significantly associated with testing STD positive among older adolescents. These findings suggest that developmentally tailored STD/HIV prevention interventions are needed for younger and older subgroups of adolescent females to help reduce their risk of infection.
    Journal of Pediatric Psychology 09/2011; 37(1):33-42. DOI:10.1093/jpepsy/jsr076 · 2.91 Impact Factor
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