The effectiveness of the reach for health community youth service learning program in reducing early and unprotected sex among urban middle school students

被引:61
作者
O'Donnell, L
Stueve, A
San Doval, A
Duran, R
Haber, D
Atnafou, R
Johnson, N
Grant, U
Murray, H
Juhn, G
Tang, J
Piessens, P
机构
[1] Educ Dev Ctr Inc, Newton, MA 02458 USA
[2] Columbia Univ, Sch Publ Hlth, Div Epidemiol, New York, NY USA
[3] CUNY, Evers Coll, Dept Nursing, New York, NY USA
[4] Univ Massachusetts, Coll Nursing, Amherst, MA 01003 USA
关键词
D O I
10.2105/AJPH.89.2.176
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. This study evaluated the effectiveness of a community youth service (CYS) program in reducing sexual risk behaviors among African American and Latino urban young adolescents. Methods. A total of 1061 students at 2 urban middle schools were surveyed at baseline and 6-month follow-up. Students at one school were randomly assigned by classroom to receive either the Reach for Health CYS program or the Reach for Health classroom curriculum only. Students at the other school served as controls. Results. At follow-up, CYS participants reported significantly less recent sexual activity (P<.05) and scored lower on a sexual activity index than those in the control condition (P<.03). The greatest effect was among eighth graders, who received the most intensive service program (P<.03). The benefit of the curriculum-only intervention appeared greatest among students in special education classes. Conclusions. Well-organized CYS that couples community involvement with classroom health instruction can have a positive impact on the sexual behaviors of young adolescents at risk for HN; sexually transmitted diseases, and unintended pregnancy. This study also suggests the importance of including students in special education classes in health education programs.
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页码:176 / 181
页数:6
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