Schoolwide effects of a multicomponent HIV, STD, and pregnancy prevention program for high school students

被引:65
作者
Basen-Engquist, K
Coyle, KK
Parcel, GS
Kirby, D
Banspach, SW
Carvajal, SC
Baumler, E
机构
[1] Univ Texas, MD Anderson Canc Ctr, Dept Behav Sci, Houston, TX 77030 USA
[2] Univ Texas, Ctr Hlth Promot Res & Dev, Houston, TX 77030 USA
[3] Educ Training & Res ETR Associates, Santa Cruz, CA USA
[4] Ctr Dis Control & Prevent, Div Adolescent & Sch Hlth, Atlanta, GA USA
关键词
D O I
10.1177/109019810102800204
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Few studies have tested schoolwide interventions to reduce sexual risk behavior, and none have demonstrated significant schoolwide effects. This study evaluates the schoolwide effects of Safer Choices, a multicomponent, behavioral theory-based HIV, STD, and pregnancy prevention program, on risk behavior, school climate, and psychosocial variables. Twenty urban high schools were randomized, and cross-sectional samples of classes were surveyed at baseline, the end of intervention (19 months after baseline), and 31 months after baseline. At 19 months, the program had a positive effect on the frequency of sex without a condom At 31 months, students in Safer Choices schools reported having sexual intercourse without a condom with fewer partners. The program positively affected psychosocial variables and school climate for HIV/STD and pregnancy prevention. The program did not influence the prevalence of recent sexual intercourse. Schoolwide changes in condom use demonstrated that a school-based program can reduce the sexual risk behavior of adolescents.
引用
收藏
页码:166 / 185
页数:20
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