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.
St Lawrence
Janet S
JS
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
Crosby
Richard A
RA
Brasfield
Ted L
TL
O'Bannon
Robert E
RE
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