Evaluating a Future-Oriented Positive Youth Development Intervention to Reduce Sexual Risk Among Highly Mobile Youth: Results and Challenges.

Autor: Drake PJ; ETR Associates, Scotts Valley, California. Electronic address: Pam.Drake@etr.org., Potter SC; ETR Associates, Scotts Valley, California., Clark LF; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, California., Desai M; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Los Angeles, California., LaSalle-Castro F; Division of Adolescent and Young Adult Medicine, Children's Hospital Los Angeles, Los Angeles, California., Masters T; ETR Associates, Scotts Valley, California., Ayyaluru S; ETR Associates, Scotts Valley, California.
Jazyk: angličtina
Zdroj: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2024 Jul; Vol. 75 (1), pp. 173-179. Date of Electronic Publication: 2024 May 13.
DOI: 10.1016/j.jadohealth.2024.03.003
Abstrakt: Purpose: Youth experiencing or at risk of experiencing homelessness need tailored prevention programming to prevent unplanned pregnancy and sexually transmitted infections. This study evaluated the efficacy of a small-group, future-oriented positive youth development (PYD) intervention to reduce sexual risk behaviors.
Method: Youth aged 14-19 (n = 483) experiencing or at risk of experiencing homelessness were recruited at youth-serving agencies and in alternative schools. Each cohort enrolled was randomized either to a 10-session, 5-week group future-oriented intervention to support them in adopting health-promoting behaviors such as using contraception, including condom use (n = 244) or to a no-treatment condition where they received usual services/schooling (n = 239). We assessed at baseline and 3-month and 9-month follow-up (1) vaginal intercourse without consistent contraception use, (2) vaginal and anal intercourse without consistent condom use, and (3) sexual risk behaviors, including current (last 3 months) effective contraception use by females who did not report current use at baseline.
Results: There was no significant difference between treatment and control conditions for most outcomes. However, among females not currently using contraception at baseline, 34% in the treatment condition compared to 12.9% in the control condition reported using contraception in the 3 months before the 9-month survey, a statistically significant difference.
Discussion: This sexual risk reduction intervention, grounded in PYD theory and tailored to address the needs of marginalized groups of youth, demonstrated efficacy at increasing contraceptive uptake among females. The need for PYD interventions that can be delivered in a variety of nontraditional school and service settings are discussed.
(Copyright © 2024 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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