Reducing STD and HIV risk behavior of substance-dependent adolescents: a randomized controlled trial.
A randomized controlled trial assessed 3 interventions designed to increase safer sex behaviors of substance-dependent adolescents. Participants (N = 161) received 12 sessions of either a health information intervention (I only), information plus skills-based safer sex training (I + B), or the same experimental condition plus a risk-sensitization manipulation (I + M + B). The I + B and I + M + B conditions, as compared with the I only condition, (a) produced more favorable attitudes toward condoms; (b) reduced the frequency of unprotected vaginal sex; and (c) increased behavioral skill performance, frequency of condom-protected sex, percentage of intercourse occasions that were condom protected, and number of adolescents who abstained from sex. The intervention that included the risk-sensitization procedure was more resistant to decay. An unexpected finding was that the I + B and I + M + B conditions produced substantial increases in sexual abstinence.
Division of Sexually Transmitted Disease Prevention, National Center for HIV, STD, and Tuberculosis Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. nzs4@cdc.gov
Janet S
JS
St Lawrence
Richard A
RA
Crosby
Ted L
TL
Brasfield
Robert E
RE
O'Bannon
D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology / Q000517:prevention & control*; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D005260:Female; D006679:HIV Seropositivity / Q000453:epidemiology* / Q000635:transmission; D006293:Health Promotion; D006801:Humans; D008297:Male; D012309:Risk-Taking; D012650:Self Disclosure; D012749:Sexually Transmitted Diseases / Q000453:epidemiology* / Q000517:prevention & control*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000534:rehabilitation