Two hundred forty-six African American adolescents were randomly assigned to an educational program or an 8-week intervention that combined education with behavior skills training including correct condom use, sexual assertion, refusal, information provision, self-management, problem solving, and risk recognition. Skill-trained participants (a) reduced unprotected intercourse, (b) increased condom-protected intercourse, and (c) displayed increased behavioral skills to a greater extent than participants who received information alone. The patterns of change differed by gender. Risk reduction was maintained 1 year later for skill-trained youths. It was found that 31.1% of youths in the education program who were abstinent at baseline had initiated sexual activity 1 year later, whereas only 11.5% of skills training participants were sexually active. The results indicate that youths who were equipped with information and specific skills lowered their risk to a greater degree, maintained risk reduction changes better, and deferred the onset of sexual activity to a greater extent than youths who received information alone.

Substance-dependent adolescents (N = 34) in a residential drug treatment facility received either a 6-session behavior skills training HIV-risk reduction intervention or standard HIV education. After the intervention, adolescents who received behavior skills training exhibited increased knowledge about HIV-AIDS, more favorable attitudes toward prevention and condom use, more internal locus of control, increased self-efficacy, increased recognition of HIV risk and decreases in high-risk sexual activity. Self-report data were corroborated by records for the treatment of sexually transmitted diseases. The results from this pilot demonstration effort suggest that skills training based on cognitive-behavioral principles may be effective in lowering high-risk adolescents' vulnerability to HIV infection and warrant evaluation in a controlled comparison with a larger sample.

In Study 1, a modified 35-item version, pilot tested with 195 African American adolescents, achieved a Cronbach's alpha of .88. In Study 2, convergent validity was assessed with a sample of 312 African American adolescents. Psychometric properties were evaluated with item analysis, factor analysis, and reliability estimation. The scale was refined to 23 items with a full scale Cronbach's alpha of .80. In Study 3, temporal stability was assessed with 88 African American adolescents. In Study 4, a cross-validation sample of predominantly White adolescents (TV = 52) assessed whether the measure's psychometric properties and factor structure replicated in a more heterogeneous adolescent sample.Adolescents are increasingly recognized as a population segment at risk for HIV infection (Anderson et al., 1990). Although adolescents currently represent less than 1 % of diagnosed AIDS cases, the 8-to 10-year latency between initial HIV infection and the later appearance of AIDS means that many AIDS cases diagnosed among persons who are in their 20s probably reflect HIV infection that was contracted in adolescence (Centers for Disease Control, 1993). In comparison with adolescents 20 years ago, youths today are more sexually active at an earlier age and with a larger number of sex partners (Jurich, Adams, & Schulenberg, 1992). At present, adolescents' risk of contracting HIV through unprotected heterosexual intercourse is rapidly increasing and African American youths are at greater risk because of disproportionately high HIV infection rates among African Americans in the United States, higher rates of sexually transmitted diseases among minority adolescents, and greater concentrations of HIV in inner-city areas (

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African-American adolescents (N = 295) reporting high or low levels of social support completed measures of AIDS knowledge, health locus of control, attitudes toward condoms, self-reported sexual behavior for the preceding 12 months, perceptions of personal HIVrisk, and self-and response-efficacy ratings. Adolescents with less social support were less knowledgeable about AIDS, held more negative attitudes toward condoms, and were lower in selfefficacy than adolescents with higher levels of social support. Adolescents with fewer social supports also were significantly more likely to engage in casual sex, reported more nonmonogomouspartners, morefrequent coercions into unwanted sexual activity, and higher rates of sexually transmitted diseases. African-American males with low social support scores engaged in more frequent unprotected sexual activity with a larger number of sex partners and used condoms less often. The implications of these results for prevention efforts targeting minority adolescents are discussed.