title: Developmental implications of HIV prevention during adolescence: Examination of the long-term impact of HIV prevention interventions delivered in randomized controlled trials in grade six and in grade 10.
abstract: Dramatic changes occur in abstract reasoning, physical maturation, familial relationships and risk exposure during adolescence. It is probable that delivery of behavioral interventions addressing decision-making during the pre-adolescent period and later in adolescence would result in different impacts. We evaluated the intervention effects of an HIV prevention program (Bahamian Focus on Older Youth, BFOOY) administered to grade 10 Bahamian youth and parents to target HIV protective and risk behaviors. We also examined the effects of prior exposure to a similar intervention (Focus on Youth in the Caribbean, FOYC) four years earlier. At six months post-intervention, receipt of BFOOY by youth unexposed to FOYC increased HIV knowledge and condom-use skills. Differences based on BFOOY exposure were not present among FOYC-exposed youth, whose knowledge and condom-use skills were already higher than those of unexposed youth. Youth receiving both interventions displayed a carryover effect from FOYC, demonstrating the highest scores six months post-intervention.
authors.affiliation: Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University, Detroit MI.
authors.forename: Veronica
authors.initials: V
authors.lastname: Dinaj-Koci
authors.affiliation: Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University, Detroit MI.
authors.forename: Xinguang
authors.initials: X
authors.lastname: Chen
authors.affiliation: The Bahamas Ministries of Health and Education, Nassau, The Bahamas.
authors.forename: Lynette
authors.initials: L
authors.lastname: Deveaux
authors.affiliation: The Bahamas Ministries of Health and Education, Nassau, The Bahamas.
authors.forename: Sonya
authors.initials: S
authors.lastname: Lunn
authors.affiliation: Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University, Detroit MI.
authors.forename: Xiaoming
authors.initials: X
authors.lastname: Li
authors.affiliation: Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University, Detroit MI.
authors.forename: Bo
authors.initials: B
authors.lastname: Wang
authors.affiliation: The Bahamas Ministries of Health and Education, Nassau, The Bahamas.
authors.forename: Nanika
authors.initials: N
authors.lastname: Braithwaite
authors.affiliation: Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University, Detroit MI.
authors.forename: Sharon
authors.initials: S
authors.lastname: Marshall
authors.affiliation: The Bahamas Ministries of Health and Education, Nassau, The Bahamas.
authors.forename: Perry
authors.initials: P
authors.lastname: Gomez
authors.affiliation: Pediatric Prevention Research Center, Department of Pediatrics, Wayne State University, Detroit MI.
authors.forename: Bonita
authors.initials: B
authors.lastname: Stanton
keywords: Adolescents; HIV prevention; Intervention