Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School Through High School.
To address global questions regarding the timing of HIV-prevention efforts targeting youth and the possible additional benefits of parental participation, researchers from the USA and The Bahamas conducted two sequential longitudinal, randomized trials of an evidence-based intervention spanning the adolescent years. The first trial involved 1360 grade-6 students and their parents with three years of follow-up and the second 2564 grade-10 students and their parents with two years of follow-up. Through grade-12, involvement in the combined child and parent-child HIV-risk reduction interventions resulted in increased consistent condom-use, abstinence/protected sex, condom-use skills and parent-child communication about sex. Receipt of the grade-6 HIV-prevention intervention conferred lasting benefits regarding condom-use skills and self-efficacy. Youth who had not received the grade-six intervention experienced significantly greater improvement over baseline as a result of the grade-10 intervention. The HIV-risk reduction intervention delivered in either or both grade-6 and grade-10 conferred sustained benefits; receipt of both interventions appears to confer additional benefits.
Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University, Detroit, MI, USA.
Bonita
B
Stanton
Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University, Detroit, MI, USA. ar0687@wayne.edu.|IBio (Behavioral Health), 6135 Woodward, Detroit, MI, 48202, USA. ar0687@wayne.edu.
Veronica
V
Dinaj-Koci
Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University, Detroit, MI, USA.|IBio (Behavioral Health), 6135 Woodward, Detroit, MI, 48202, USA.
Bo
B
Wang
Ministries of Health and of Education, Nassau, New Providence, The Bahamas.
Lynette
L
Deveaux
Ministries of Health and of Education, Nassau, New Providence, The Bahamas.
Sonja
S
Lunn
Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University, Detroit, MI, USA.
Xiaoming
X
Li
Ministries of Health and of Education, Nassau, New Providence, The Bahamas.
Glenda
G
Rolle
Ministries of Health and of Education, Nassau, New Providence, The Bahamas.
Nanika
N
Brathwaite
Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University, Detroit, MI, USA.
Sharon
S
Marshall
Ministries of Health and of Education, Nassau, New Providence, The Bahamas.
Perez
P
Gomez
D000293:Adolescent; D000294:Adolescent Behavior; D001444:Bahamas / Q000453:epidemiology; D002648:Child; D003142:Communication; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000453:epidemiology / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D010290:Parents / Q000193:education / Q000523:psychology; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D021841:Safe Sex; D012574:Schools; D020377:Self Efficacy; D013334:Students; D013997:Time Factors; D014481:United States / Q000453:epidemiology
Adolescents; Behavioral intervention; Condom-use; HIV prevention intervention; Longitudinal data