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HIV/STD Risk Reduction Interventions for African American and Latino Adolescent Girls

An Evidence-Based Practice

Description

This HIV/STD prevention intervention was designed to be culturally and developmentally appropriate for inner-city African American and Latino teen girls. The program occurred in an adolescent medicine clinic and included three treatment groups: an information-based intervention, a skill-based intervention, and a health-promotion control intervention. The information-based HIV/STD intervention provided information to reduce sexual risk. The skill-based HIV/STD intervention provided information and taught skills necessary to practice and negotiate condom use through activities and role playing. The health-promotion control intervention discussed health issues unrelated to sexual activity. Each intervention involved 250 minutes of group discussions, videotapes, games, and experiential exercises.

Goal / Mission

The goal of this intervention was to reduce self-reported unprotected sexual intercourse among African American and Latino adolescent girls.

Impact

Skill-based HIV/STD interventions can improve condom-use and reduce sexual risk behaviors, along with STD rates, among African American and Latino teen girls in clinical settings.

Results / Accomplishments

The information-based intervention and the health-promotion control elicited no statistically significant behavior changes. Skills-based intervention participants reported utilizing condoms more often at the 12-month follow-up than information-based intervention participants (p=0.03) and health-promotion participants (p=0.002). At the 12-month follow-up, skills-intervention participants reduced their sexual risk by reporting fewer sexual partners compared to health-promotion control participants (p=0.04) and were more likely to test negative for an STD than health-promotion control participants (p=0.05).

About this Promising Practice

Organization(s)
University of Pennsylvania
Primary Contact
John B. Jemmott III, PhD
University of Pennsylvania
Annenberg School for Communication
Center for Health Behavior and Communication Research
3535 Market St, Suite 520
Philadelphia, PA 19104-3309
(215) 898-7041
jjemmott@asc.upenn.edu
https://www.asc.upenn.edu/people/faculty/john-b-je...
Topics
Health / Adolescent Health
Health / Family Planning
Organization(s)
University of Pennsylvania
Source
Archives of Pediatrics and Adolescent Medicine
Date of publication
2005
Geographic Type
Urban
Location
Philadelphia
For more details
http://www.ncbi.nlm.nih.gov/pubmed/15867118
Target Audience
Teens, Women, Racial/Ethnic Minorities

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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