Randomized Controlled Trial of a Safer Sex Intervention for High-Risk Adolescent Girls
| Autor: | Lydia A. Shrier, Rose Ancheta, Elizabeth Goodman, Michelle R. Lyden, Victoria Chiou, S. Jean Emans |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Safe Sex
Sexually transmitted disease Sexual partner Health Knowledge Attitudes Practice Self-Assessment medicine.medical_specialty Adolescent Sexual Behavior Psychology Adolescent Population Sexually Transmitted Diseases Sex Education law.invention Condoms Risk-Taking Condom Randomized controlled trial Recurrence Risk Factors law Surveys and Questionnaires Intervention (counseling) Pelvic inflammatory disease medicine Humans education Gynecology education.field_of_study business.industry Case-control study Videotape Recording virus diseases Adolescent Behavior Family medicine Pediatrics Perinatology and Child Health Female business Follow-Up Studies Program Evaluation |
| Zdroj: | Archives of Pediatrics & Adolescent Medicine. 155:73 |
| ISSN: | 1072-4710 |
| DOI: | 10.1001/archpedi.155.1.73 |
| Popis: | Objective To determine the effect of an individualized safer sex intervention on condom use and recurrent sexually transmitted disease (STD) among female adolescents diagnosed as having an STD. Design Randomized controlled trial. Setting Urban children's hospital adolescent clinic and inpatient service. Participants One hundred twenty-three adolescents with cervicitis or pelvic inflammatory disease. Intervention Participants completed a questionnaire and then were randomized to receive standard STD education or to watch a videotape and have an individualized intervention session. Follow-up questionnaires were completed at 1, 3, 6, and 12 months. Intervention participants met with an educator at 1, 3, and 6 months to discuss interim sexual history and review the intervention. Main Outcome Measures Change in self-reported condom use and recurrence of STD. Other self-reported behaviors, sexual risk knowledge, attitudes toward condoms, and condom use negotiation skills were also assessed. Results At 1 month, compared with control participants, intervention participants had increased sexual risk knowledge and more positive attitudes toward condoms and tended to use condoms more with a nonmain partner. At 6 months, fewer intervention participants than controls had sex with a nonmain sexual partner in the previous 6 months. At 12 months, intervention participants were less likely to have a current main partner and had a lower rate of recurrent STD than controls, but these differences were not significant. Conclusions This individualized safer sex intervention may improve condom use and decrease the number of partners among adolescent girls who have had an STD. Studies with larger samples are needed to determine definitive intervention effects on recurrent STD in this high-risk population. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|