Association of Sexual Health Interventions With Sexual Health Outcomes in Black Adolescents

Evans, Reina; Widman, Laura; Green, McKenzie N.; Javidi, Hannah; Hope, Elan C.; Brasileiro, Julia

doi:10.1001/jamapediatrics.2020.0382

Cited by 28 publications

(43 citation statements)

References 85 publications

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“…As is evidenced by our key words, we initially planned to do one metaanalysis on interventions for Latinx and black adolescents but ultimately determined it would produce more meaningful results to understand each population separately. 43 Other studies were located by examining previous reviews and metaanalyses 18,[28][29][30][31][32][44][45][46] and examining the reference lists of all included articles. This initial search produced 3068 different articles.…”

Section: Search Strategymentioning

confidence: 99%

Sexual Health Programs for Latinx Adolescents: A Meta-analysis

et al. 2020

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CONTEXT: Latinx adolescents are at risk for negative sexual health outcomes, and many interventions have been developed to reduce this risk.OBJECTIVE: In this meta-analysis, we synthesized the literature on sexual health interventions for Latinx adolescents and examined intervention effects on 3 behavioral outcomes (abstinence, condom use, number of sex partners) and 3 psychological outcomes (safer sex knowledge, intentions, self-efficacy). Moderators of intervention success were explored.DATA SOURCES: A systematic search of studies published through January 2019 was conducted by using PubMed, PsycINFO, and Cumulative Index to Nursing and Allied Health Literature databases.STUDY SELECTION: All studies included a US-based sample of Latinx adolescents, evaluated sexual health intervention by using an experimental or quasiexperimental design, included a behavioral outcome, and were in English.DATA EXTRACTION: Standardized mean difference (d) and 95% confidence intervals (CIs) were meta-analyzed by using random-effects models. RESULTS: Effect sizes from 12 studies, sampling 4673 adolescents, were synthesized. Sexual health interventions improved abstinence (d = 0.15, 95% CI: 0.02 to 0.28), condom use (d = 0.44, 95% CI: 0.18 to 0.70), number of sex partners (d = 20.19, 95% CI: 20.37 to 20.001), and sexual health knowledge (d = 0.40, 95% CI: 0.10 to 0.70), compared with control conditions. Effects were consistent across a number of demographic and clinical characteristics, although culturally tailored interventions produced greater change in condom use than nontailored interventions.LIMITATIONS: There was variation across studies in measures of sexual behavior, and some elements of individual study quality were unclear.CONCLUSIONS: Sexual health interventions have a small but significant impact on improving safer sexual behavior among Latinx adolescents. Health educators should consider the importance of cultural tailoring to program success.

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Section: Search Strategymentioning

confidence: 99%

Sexual Health Programs for Latinx Adolescents: A Meta-analysis

et al. 2020

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“…Although TINAD was a brief intervention that could be delivered in just a single classroom session, preliminary results from this study are in line with others that suggest even brief programming can impact adolescent health cognitions and behavior [30], and some meta-analyses that show Table 3 Changes from pretest to posttest in prescription opioid misuse knowledge, attitudes, self-efficacy, and intentions The same pattern of results emerged when analyses were run separately among adolescents who reported previous opioid misuse and among adolescents who did not report previous misuse. Knowledge: n = 484; Attitudes: n = 537; Self-efficacy: n = 519; Intentions: n = 555 that health interventions for youth can be effective regardless of their duration [31][32][33]. Since TINAD is wide reaching, acceptable, and shows preliminary efficacy at promoting healthier cognitions regarding opioid misuse, as demonstrated by this study with middle school students and one other study with high school students [12], it seems fruitful to build on and improve the TINAD program so that in the future, we can expect adapted iterations to change adolescent opioid misuse intentions and behavior.…”

Section: Discussionmentioning

confidence: 99%

Preliminary Evaluation of a Prescription Opioid Misuse Prevention Program Among Rural Middle School Students

et al. 2020

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Adolescent opioid misuse, addiction, and overdose have emerged as national health crises. Nearly 17% of high school students have misused prescription opioids. The purpose of this study was to evaluate the reach and acceptability of a widelyused prescription opioid misuse prevention program, This Is (Not) About Drugs© (TINAD), and its preliminary efficacy at improving opioid misuse knowledge, opioid misuse attitudes, self-efficacy to avoid opioid misuse, and intentions to misuse opioids. Participants were 576 7th grade students (M age = 11.8; 51% boys; 39% Hispanic, 31% White, 20% Black) from a rural county in the southeastern U.S. All participants received the TINAD program and completed pretest and immediate posttest assessments. The program was school-based and implemented in collaboration with school teachers and administrators. Over 91% of all eligible students in the school district participated in the TINAD program. Most participants found the program acceptable-over 83% of students liked the program. Approximately 9% of participants reported prior misuse of prescription opioids. After participating in TINAD, students self-reported higher knowledge and self-efficacy as well as safer attitudes. However, there was no change in intentions to misuse opioids in the future. Effects of the program were consistent across gender, socioeconomic status, race/ethnicity, and previous opioid misuse. TINAD is acceptable and shows promise for improving opioid-related cognitions. However, more rigorous experimental and longitudinal research is needed to understand whether TINAD reduces opioid misuse over time. Given the limited research on adolescent opioid misuse prevention, this study lays the ground work for future randomized control trials.

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“…There remain several groups of young people that experience additional vulnerabilities that place them at higher risk of poor sexual health, and it is likely that these individuals require a tailored approach that targets their specific needs. One such example is that of black American adolescents, with a recent meta-analysis finding that such sexual health interventions targeting this population successfully improved sexual health knowledge, attitudes and behaviour [14]. The authors concluded that there is a need for wide-scale dissemination of these programs to address racial disparities in sexual health across the US.…”

Section: Introductionmentioning

confidence: 99%

Improving the Sexual Health of Young People (under 25) in High-Risk Populations: A Systematic Review of Behavioural and Psychosocial Interventions

Brown

Monaco

O’Donoghue

et al. 2021

IJERPH

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Background: Ensuring young people experience good sexual health is a key public health concern, yet some vulnerable groups of young people remain at higher risk of poor sexual health. These individuals require additional support to achieve good sexual health but the best way to provide this remains needs to be better understood. Methods: We searched for randomised controlled trials of behavioural and psychosocial interventions aimed at promoting sexual health in high-risk young populations. Outcomes of interest were indicators of sexual health (e.g., condom use, attitudes to contraception, knowledge of risk). Participants were under 25 years old and in one of the following high-risk groups: alcohol and other drug use; ethnic minority; homeless; justice-involved; LGBTQI+; mental ill-health; or out-of-home care. Results: Twenty-eight papers from 26 trials met our inclusion criteria, with all but one conducted in North America. Condom use was the most frequently reported outcome measure along with knowledge and attitudes towards sexual health but considerable differences in measures used made comparisons across studies difficult. Change in knowledge and attitudes did not consistently result in long-term change in behaviours. Conclusions: There remains a dearth of research undertaken outside of North America across all high-risk groups of young people. Future interventions should address sexual health more broadly than just the absence of negative biological outcomes, with LGBTQI+, homeless and mental ill-health populations targeted for such work. An international consensus on outcome measures would support the research field going forward, making future meta-analyses possible.

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Association of Sexual Health Interventions With Sexual Health Outcomes in Black Adolescents

Cited by 28 publications

References 85 publications

Sexual Health Programs for Latinx Adolescents: A Meta-analysis

Sexual Health Programs for Latinx Adolescents: A Meta-analysis

Preliminary Evaluation of a Prescription Opioid Misuse Prevention Program Among Rural Middle School Students

Improving the Sexual Health of Young People (under 25) in High-Risk Populations: A Systematic Review of Behavioural and Psychosocial Interventions

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