title: Evaluation of an HIV/STD sexual risk-reduction intervention for pregnant African American adolescents attending a prenatal clinic in an urban public hospital: preliminary evidence of efficacy.
abstract: OBJECTIVE
  To evaluate an intervention to reduce HIV/STD-associated behaviors and enhance psychosocial mediators for pregnant African-American adolescents.
  
  
  METHODS
  A randomized controlled trial. Participants completed baseline and follow-up assessments.
  
  
  METHODS
  An urban public hospital in the Southeastern U.S.
  
  
  METHODS
  Pregnant African-American adolescents (N=170), 14-20 years of age, attending a prenatal clinic.
  
  
  METHODS
  Intervention participants received two 4-hr group sessions enhancing self-concept and self-worth, HIV/STD prevention skills, and safer sex practices. Participants in the comparison condition received a 2-hr session on healthy nutrition.
  
  
  METHODS
  Consistent condom use.
  
  
  RESULTS
  Intervention participants reported greater condom use at last intercourse (adjusted odds ratio=3.9, P=0.05) and consistent condom use (AOR=7.9, P=0.05), higher sexual communication frequency, enhanced ethnic pride, higher self-efficacy to refuse risky sex, and were less likely to fear abandonment as a result of negotiating safer sex.
  
  
  CONCLUSIONS
  Interventions for pregnant African-American adolescents can enhance condom use and psychosocial mediators.
authors: Rollins School of Public Health at Emory University, Atlanta, Georgia 30322, USA.
authors: R J
authors: RJ
authors: DiClemente
authors: G M
authors: GM
authors: Wingood
authors: E
authors: E
authors: Rose
authors: J M
authors: JM
authors: Sales
authors: R A
authors: RA
authors: Crosby
mesh_terms: D000293:Adolescent; D001741:Black or African American; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000208:ethnology / Q000517:prevention & control*; D006293:Health Promotion; D006801:Humans; D017008:Negotiating; D010353:Patient Education as Topic; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D040242:Risk Reduction Behavior; D021841:Safe Sex; D012649:Self Concept; D012749:Sexually Transmitted Diseases / Q000208:ethnology / Q000517:prevention & control*; D014505:Urban Population; D055815:Young Adult