Longitudinal associations between HIV risk reduction and out-of-school time program participation.
Autor: | Tiffany JS; Bronfenbrenner Center for Translational Research, Cornell University, Ithaca, NY 14853, USA. jst5@cornell.edu, Exner-Cortens D, Eckenrode J |
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Jazyk: | angličtina |
Zdroj: | The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2013 Jun; Vol. 52 (6), pp. 795-7. Date of Electronic Publication: 2013 Apr 03. |
DOI: | 10.1016/j.jadohealth.2013.01.011 |
Abstrakt: | Purpose: The study aimed to determine the longitudinal associations between several variables assessing positive youth development and HIV risk-reduction practices. Methods: Participants were 329 youth enrolled in out-of-school time programs in New York City. Longitudinal data were collected in three waves during 2008-2009 (baseline, 6-month follow-up, and 12-month follow-up). Because of the nested nature of the data, multivariate analyses were performed using multilevel models. Results: At baseline, HIV risk reduction was associated with female gender, greater individual-level program participation, and greater school connectedness. Over time, HIV risk reduction was associated with program-level participation: Individuals in groups with program-level participation scores 1 standard deviation below the average showed significant declines in risk reduction practices over the 1-year study period compared with individuals in more participatory programs. Conclusions: This study provides support for the out-of-school environment as an important context for sustaining HIV risk reduction and positive health promotion practices. (Copyright © 2013 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.) |
Databáze: | MEDLINE |
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