Effects of a brief, theory-based STD-prevention program for female college students

Jaworski, Beth C.; Carey, Michael P.

doi:10.1016/s1054-139x(01)00271-3

Cited by 66 publications

(93 citation statements)

References 34 publications

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“…Participants in both the primary group and secondary intervention groups demonstrated improvements in STD knowledge without a restricted range. The overall level of improvement in STD knowledge was similar to a previous study (Jaworski and Carey, 2001). …”

Section: Discussionsupporting

confidence: 87%

“…The STD-KQ has excellent internal consistency (r = .86), which compares favorably to other HIV-specific, single STD and multiple STD questionnaires (e.g., Brown, 2000;Carey, Morrison-Beedy, et al, 1997;Jaworski and Carey, 2001). The STD-KQ was also stable over a brief (2-week) retest period (r = .88).…”

Section: Discussionmentioning

confidence: 80%

“…Those who had been assigned to Group A first watched a 30-minute educational videotape that was based on a previously evaluated STD-risk reduction program (Jaworski and Carey, 2001). This program was broadened to include information relevant to both male and female college students and updated to reflect the current state of the science.…”

Section: Methodsmentioning

confidence: 99%

“…Among American college students, the decreasing age of sexual debut (Sawyer and Smith, 1996), the rise in number of sexual partners and non-monogamous relationships (Jaworski and Carey, 2001), and the low and inconsistent use of condoms (Bryan, Aiken, and West, 1999) contribute to the STD epidemic. As part of the Healthy People 2010 Initiative, the U.S. government has targeted the reduction of STDs (U.S. Department of Health and Human Services, 2000).…”

Section: Introductionmentioning

confidence: 99%

“…Although knowledge about HIV appears to have increased over the years, knowledge about the larger category of STDs remains low (Jaworski and Carey, 2001;Yacobi et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

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Development and Psychometric Evaluation of a Self-administered Questionnaire to Measure Knowledge of Sexually Transmitted Diseases

2006

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This research developed and evaluated a brief but comprehensive measure of knowledge about sexually transmitted diseases (STDs) for use in research and applied settings. Questionnaire construction involved a review of empirical precedents as well as qualitative work with STD experts (n = 6) and the target population (n = 40). Eighty-five items were piloted (n = 50) and tested (n = 391) with college students. Item-and test-level analyses identified items that were eliminated to shorten the questionnaire. Factor analyses revealed a two-factor model of STD knowledge, including a Cause/Cure factor and a General Knowledge factor. Six supplemental items were added to the final questionnaire for their public health value and resulted in the 27-item STD-Knowledge Questionnaire (STD-KQ). The STD-KQ demonstrated internal consistency (α = .86) and test-retest reliability (r = . 88) over a brief period. Evidence for the validity of the STD-KQ was obtained through a comparison with a validated HIV knowledge questionnaire (Carey and Schroder, 2002); treatment outcome sensitivity was obtained in response to an educational program. Use of the STD-KQ will enable researchers and health educators to identify knowledge deficits, measure knowledge for theory testing, evaluate risk reduction programs, and assess treatment response in research and applied settings.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 80%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Although knowledge about HIV appears to have increased over the years, knowledge about the larger category of STDs remains low (Jaworski and Carey, 2001;Yacobi et al, 1999).…”

Section: Introductionmentioning

confidence: 99%

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Development and Psychometric Evaluation of a Self-administered Questionnaire to Measure Knowledge of Sexually Transmitted Diseases

2006

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Interventions for encouraging sexual behaviours intended to prevent cervical cancer

Shepherd

Frampton

Harris

2011

Cochrane Database of Systematic Reviews

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Background Human papillomavirus (HPV) is the key risk factor for cervical cancer. Continuing high rates of HPV and other sexually transmitted infections (STIs) in young people demonstrate the need for effective behavioural interventions. Objectives To assess the effectiveness of behavioural interventions for young women to encourage safer sexual behaviours to prevent transmission of STIs (including HPV) and cervical cancer. Search methods Systematic literature searches were performed on the following databases: Cochrane Central Register of Controlled Trials (CENTRAL Issue 4, 2009) Cochrane Gynaecological Cancer Review Group (CGCRG) Specialised Register, MEDLINE, EMBASE, CINAHL, PsychINFO, Social Science Citation Index and Trials Register of Promoting Health Interventions (TRoPHI) up to the end of 2009. All references were screened for inclusion against selection criteria. Selection criteria Randomised controlled trials (RCTs) of behavioural interventions for young women up to the age of 25 years that included, amongst other things, information provision about the transmission and prevention of STIs. Trials had to measure behavioural outcomes (e.g. condom use) and/or biological outcomes (e.g. incidence of STIs, cervical cancer). Data collection and analysis A narrative synthesis was conducted. Meta-analysis was not considered appropriate due to heterogeneity between the interventions and trial populations. Main results A total of 5271 references were screened and of these 23 RCTs met the inclusion criteria. Most were conducted in the USA and in health-care clinics (e.g. family planning). The majority of interventions provided information about STIs and taught safer sex skills (e.g. communication), occasionally supplemented with provision of resources (e.g. free sexual health services). They were heterogeneous in duration, contact time, provider, behavioural aims and outcomes. A variety of STIs were addressed including HIV and chlamydia. None of the trials explicitly mentioned HPV or cervical cancer prevention. Statistically significant effects for behavioural outcomes (e.g. increasing condom use) were common, though not universal and varied according to the type of outcome. There were no statistically significant effects of abstaining from or reducing sexual activity. There were few statistically significant effects on biological (STI) outcomes. Considerable uncertainty exists in the risk of bias due to incomplete or ambiguous reporting. Authors’ conclusions Behavioural interventions for young women which aim to promote sexual behaviours protective of STI transmission can be effective, primarily at encouraging condom use. Future evaluations should include a greater focus on HPV and its link to cervical cancer, with long-term follow-up to assess impact on behaviour change, rates of HPV infection and progression to cervical cancer. Studies should use an RCT design where possible with integral process evaluation and cost-effectiveness analysis where appropriate. Given the predominance of USA studies in t...

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Eating Attitudes and Behaviors Among Female College Students

Morris

Parra

Stender

2011

J of College Counseling

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The authors assessed the influences of several risk factors-self-esteem, history of unwanted sexual contact (USC), depression, and sorority membership-on eating-related and weight-related attitudes and behaviors. Findings provide support for the roles of self-esteem, depression, and USC on restricting attitudes. According to the authors' model, these independent variables predicted restricting attitudes that then predicted restricting behaviors. Implications for preventive interventions and the study's limitations are discussed.

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Effects of a brief, theory-based STD-prevention program for female college students

Abstract: These results provide partial support for the hypothesis that an IMB model-based intervention leads to reductions in sexual risk behavior and suggest directions for future research.

Cited by 66 publications

References 34 publications

Development and Psychometric Evaluation of a Self-administered Questionnaire to Measure Knowledge of Sexually Transmitted Diseases

Development and Psychometric Evaluation of a Self-administered Questionnaire to Measure Knowledge of Sexually Transmitted Diseases

Interventions for encouraging sexual behaviours intended to prevent cervical cancer

Eating Attitudes and Behaviors Among Female College Students

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