Interventions to Reduce Sexual Risk Behaviors Among Youth in Alternative Schools: A Randomized Controlled Trial
Interventions to Reduce Sexual Risk Behaviors Among Youth in Alternative Schools: A Randomized Controlled Trial
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DOI：
10.1016/j.jadohealth.2012.12.012
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发表时间：
2013-07-01
影响因子：
7.6
通讯作者：
Lepore, Gina M.
中科院分区：
文献类型：
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作者：
Coyle, Karin K.;Glassman, Jill R.;Lepore, Gina M.
目的：本文介绍了一项随机对照试验的结果，评估了短期和长期的影响，以技能为基础的艾滋病毒/性传播感染/预防怀孕的课程，服务学习，和combination.Methods：该研究采用了四臂实验设计，涉及47间教室（765青年）从延续高中。教室被随机分配到四个条件之一：（1）艾滋病毒/性传播感染/怀孕预防课程;（2）服务学习;（3）艾滋病毒/性传播感染/怀孕预防课程加服务学习;或（4）注意力控制课程。学生在18个月内完成了3项调查。多层次分析被用来调整在同一个教室和学校的学生之间的相关性，重复measurement.Results：参与者的相关性为53%的男性（平均年龄：16.2岁）。大多数年轻人是西班牙裔/拉丁裔或非洲裔美国人（分别为37.9%和22.3%）。在HIV/STI/妊娠预防课程条件下的学生在调查前3个月内不使用避孕套进行阴道性交的可能性较小[比值比（OR）= .58，p = .04];这些影响在最终随访时减弱。该方案还大大减少了学生接触危险情况的机会。这些变化并不显着的服务学习或相结合的干预条件相对control.Conclusion：这项研究是为数不多的艾滋病毒/性传播感染和妊娠预防计划在继续设置的控制研究之一，并建议课程是有效的，在短期内改变选定的危险行为。(C)2013年青少年健康和医学协会。All rights reserved.
Purpose: This paper presents results from a randomized controlled trial that assessed the short- and longer-term impact of a skills-based HIV/STI/pregnancy prevention curriculum, service learning, and the combination.Methods: The study featured a four-arm experimental design involving 47 classrooms (765 youth) from continuation high schools. Classrooms were randomly assigned to one of four conditions: (1) HIV/STI/pregnancy prevention curriculum only; (2) service learning only; (3) HIV/STI/pregnancy prevention curriculum plus service learning; or (4) an attention control curriculum. Students completed 3 surveys over 18 months. Multi-level analysis was used to adjust for the correlation among students within the same classroom and school, and the correlation of repeated measurements.Results: Participants were 53% male (mean age: 16.2 years). The majority of youth reported being Hispanic/Latino or African-American (37.9% and 22.3%, respectively). Students in the HIV/STI/pregnancy prevention curriculum condition were less likely to have vaginal intercourse without a condom in the 3 months prior to the survey [odds ratio (OR) = .58, p = .04]; these effects diminished by final follow-up. The program also significantly reduced students' exposure to risky situations. These changes were not significant in the service learning only or combined intervention conditions relative to control.Conclusion: This study is one of a few controlled studies of HIV/STI and pregnancy prevention programs in continuation settings, and suggests the curriculum was effective in changing selected risk behaviors in the short term. (C) 2013 Society for Adolescent Health and Medicine. All rights reserved.