HIV Prevention Intervention for African American Adolescent Girls
An Evidence-Based Practice
Description
This sexual health intervention targeted African American adolescent girls aged 14-18 with a history of vaginal intercourse within the last six months. A four-hour interactive HIV prevention intervention was delivered over four consecutive Saturdays to a group of 10-12 females meeting the eligibility criteria.
The intervention was led by a trained African American female health educator and two African American female peer educators. It emphasized ethnic and gender pride, and provided information on HIV, healthy communication, condom use skills, and healthy relationships.
The intervention was led by a trained African American female health educator and two African American female peer educators. It emphasized ethnic and gender pride, and provided information on HIV, healthy communication, condom use skills, and healthy relationships.
Goal / Mission
The intervention aimed to reduce sexual risk behaviors, sexually transmitted diseases (STDs), and pregnancy, and enhance mediators of HIV-preventive behaviors.
Results / Accomplishments
Compared to adolescent of similar demographic characteristics receiving a nutrition and exercise intervention, participants in the HIV prevention intervention reported using condoms more consistently in the 30 days preceding the 12- month assessment (p=0.02) and over the entire 12-month period (adjusted OR, 2.01; 95% CI, 1.28-3.17; p=0.003).
Using generalized estimating equation analyses over the 12-month follow-up, adolescents in the intervention were more likely to use a condom at last intercourse (p<0.001), less likely to have a new vaginal sex partner in the past 30 days (p=0.01), and more likely to apply condoms to sex partners (p=0.003) and had better condom application skills (p<0.001), a higher percentage of condom-protected sex acts (p<0.001), and fewer unprotected vaginal sex acts (p=0.001).
Using generalized estimating equation analyses over the 12-month follow-up, adolescents in the intervention were more likely to use a condom at last intercourse (p<0.001), less likely to have a new vaginal sex partner in the past 30 days (p=0.01), and more likely to apply condoms to sex partners (p=0.003) and had better condom application skills (p<0.001), a higher percentage of condom-protected sex acts (p<0.001), and fewer unprotected vaginal sex acts (p=0.001).
About this Promising Practice
Organization(s)
University of Alabama- Birmingham
Primary Contact
Ralph J. DiClemente, PhD
Rollins School of Public Health
Department of Behavioral Sciences and Health Education
1518 Clifton Rd NE, Room 554
Atlanta, GA 30322
rdiclem@sph.emory.edu
https://www.sph.emory.edu/faculty/profile/#!RDICLE...
Rollins School of Public Health
Department of Behavioral Sciences and Health Education
1518 Clifton Rd NE, Room 554
Atlanta, GA 30322
rdiclem@sph.emory.edu
https://www.sph.emory.edu/faculty/profile/#!RDICLE...
Topics
Health / Adolescent Health
Health / Family Planning
Health / Family Planning
Organization(s)
University of Alabama- Birmingham
Source
Journal of the American Medical Association
Date of publication
Jul 2004
Date of implementation
Sep 1995
For more details
Target Audience
Teens, Women
Additional Audience
African American