Skills training for pregnancy and AIDS prevention in Anglo and Latino youth

Purpose: This study tested social skills training (SST), didactic training (DT), and no training (NT) on adolescents' social skills for resisting peer pressure to engage in acquired immunodeficiency syndrome (AIDS) and pregnancy risk behavior. Methods: A total of 307 Latino and Angle youth ages 13-18 years were assigned at random to receive 18 h of SST, 18 h of DT, or NT. Results: Significantly (p < 0.05) greater increases in assertiveness followed SST compared to DT or NT for three trained skills: condom negotiation, asking a friend about their sex/drug history, and discussing a friend's risk of AIDS. Untrained negotiation skills (e.g., purchasing a condom) did not increase significantly. SST did not result in increased assertiveness for refusal skills. DT increased knowledge of AIDS significantly more than SST; both DT and SST increased knowledge significantly more than NT. Conclusions: Social skills training can increase assertiveness for certain negotiation skills that may decrease risk of AIDS for Latino, Angle, and male and female adolescents. Both DT and SST can increase knowledge of AIDS prevention. Differences between experimental groups were supported by differences between trained and untrained skills within the SST condition, adding to discriminant validity. (C) Society for Adolescent Medicine, 1998.