Efficacy of Sexually Transmitted Disease/Human Immunodeficiency Virus Sexual Risk–Reduction Intervention for African American Adolescent Females Seeking Sexual Health Services

DiClemente, Ralph J.; Wingood, Gina M.; Rose, Eve; Sales, jessica; Lang, Delia L.; Caliendo, Angela M.; Hardin, James W.; Crosby, Richard A.

doi:10.1001/archpediatrics.2009.205

Cited by 159 publications

(233 citation statements)

References 87 publications

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“…Refusal to Have Sex Self-Efficacy. This was based on a previously validated sevenitem scale (DiClemente et al, 2009;); e.g., How sure are you that you would be able to say no to having sex with someone you have known for a few days or less? (1 = I definitely can't say no to 4 = I definitely can say no).…”

Section: Methodsmentioning

confidence: 99%

“…This was measured using a previously validated eightitem scale (DiClemente et al, 2009;; e.g., I have been worried that if I talked about using condoms with my boyfriend or sex partner he would ignore my request (1 = Never to 5 = Always). The Cronbach alpha for this scale was good at 0.84.…”

Section: Sexual Communicationmentioning

confidence: 99%

“…Gender power and male privilege in sexual relations would theoretically suggest that men hold more power than women during sexual negotiation . Therefore, especially for females having greater self-efficacy in using condoms (Bandura, 1994;Jemmott, Jemmott, Spears, Hewitt, & Crfuz-Collins, 1992), being more confident in one's ability to communicate with an intimate partner about sex DiClemente, Wingood, Crosby, Harrington, & Davies, 2001) having the capacity to refuse sex without condoms (Sionean et al, 2002), and being less fearful about negotiating condom use (DiClemente et al, 2009; are established correlates of unsafe sexual practices.…”

mentioning

confidence: 99%

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A Longitudinal Examination of the Relationship Between Sexual Sensation Seeking and STI-Related Risk Factors Among African American Females

Voisin

Tan

DiClemente

2013

AIDS Education and Prevention

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Sexual sensation seeking has been correlated with STI-related risk factors in numerous cross sectional studies. However, no current studies have examined whether sexual sensation seeking is longitudinally related to a broad spectrum of STI-related factors such as consistent condom use, number of sexual partners, frequency of partner sexual communication, self-efficacy to refuse sex, and fear of condom negotiation. We explored these relationships over a 12-month period among a sample of 715 African American females attending three STI clinics in Georgia that were recruited into a larger randomized clinic intervention study. Utilizing A-CASI technology to assess all self-reported measures and employing general estimation equations while controlling for age, peer norms, school enrollment and employment, major results indicated that higher sexual sensation seeking predicted lower percent of condom use in the last 14 and 60 days, lower consistent condom use and a higher number of lifetime sexual partners. Additionally, higher sexual sensation seeking predicted lower partner sexual communication, diminished self-efficacy to refuse sex, and a higher fear of condom negotiation. Findings suggest that STI/HIV prevention/intervention programs should assess for and target sexual sensation seeking behaviors in such efforts.

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Section: Methodsmentioning

confidence: 99%

Section: Sexual Communicationmentioning

confidence: 99%

mentioning

confidence: 99%

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A Longitudinal Examination of the Relationship Between Sexual Sensation Seeking and STI-Related Risk Factors Among African American Females

Voisin

Tan

DiClemente

2013

AIDS Education and Prevention

Self Cite

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“…Based on social cognitive theory and the theory of gender and power, Horizons is a CDC evidenced-based intervention designed to reduce sexually transmitted diseases (STDs), increase condom use, increase communication with male partners about safer sex and STDs, and increase male partners accessing STD services [34]. The curriculum seeks to foster a sense of cultural and gender pride and emphasize diverse factors contributing to girls' STD/HIV risk, including individual factors (STD/HIV risk-reduction knowledge, perceived peer norms supportive of condom use, and condom use skills), relational factors (persuasive communication techniques to enhance male partner responsibility for condom use), sociocultural factors (encouragement to reduce douching), and structural factors (male partners' access to services).…”

Section: The Horizons Interventionmentioning

confidence: 99%

Health Coaches: An Innovative and Effective Approach for Identifying and Addressing the Health Needs of Justice Involved Youth

Dembo¹,

Rj²,

Brown³

et al. 2016

J Community Med Health Educ

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We present the background, formulation, and implementation of an innovative health service at the front end of the juvenile justice system serving the serious, growing public health needs of justice involved youth-who bear a high burden of STD/HIV and other health problems. Involving multi-agency collaboration, the Health Coach Service seeks to address the youth health needs through health risk assessment and biological testing-with indicated followup testing, prevention, and neighborhood based treatment services. Through continuous monitoring of the Health Coach Service, we will be equipped to assess its feasibility, efficacy, and its real-world effectiveness and utility as a health-risk detection, prevention, and treatment paradigm.

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“…27 This intervention was implemented by both African American health professionals and peer educators, and involved discussions about African American womanhood in addition to condom use and social skills instruction. Using the same core framework, this intervention was successfully expanded to include STI treatment vouchers for male sexual partners, telephone reminders to reinforce safe sex behaviors in female African American adolescents, 28 and offered to pregnant African American adolescents attending prenatal clinics. 29 Several studies examined the unique effects of interventions among Latino adolescents, and while the importance of skills training in this subpopulation has been confirmed, the importance of culturally-specific instruction appears to vary.…”

Section: Adolescentsmentioning

confidence: 99%

HIV Prevention Interventions to Reduce Racial Disparities in the United States: A Systematic Review

et al. 2012

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Racial and ethnic minorities are disproportionately affected by HIV/AIDS in the United States despite advances in prevention methodologies. The goal of this study was to systematically review the past 30 years of HIV prevention interventions addressing racial disparities. We conducted electronic searches of Medline, PsycINFO, CINAHL, and Cochrane Review of Clinical Trials databases, supplemented by manual searches and expert review. Studies published before June 5, 2011 were eligible. Prevention interventions that included over 50 % racial/ethnic minority participants or sub-analysis by race/ethnicity, measured condom use only or condom use plus incident sexually transmitted infections or HIV as outcomes, and were affiliated with a health clinic were included in the review. We stratified the included articles by target population and intervention modality. Reviewers independently and systematically extracted all studies using the Downs and Black checklist for quality assessment; authors cross-checked 20 % of extractions. Seventy-six studies were included in the final analysis. The mean DB score was 22.44 – high compared to previously published means. Most of the studies were randomized controlled trials (87 %) and included a majority of African-American participants (83 %). No interventions were designed specifically to reduce disparities in HIV acquisition between populations. Additionally, few interventions targeted men who have sex with men or utilized HIV as a primary outcome. Interventions that combined skills training and cultural or interactive engagement of participants were superior to those depending on didactic messaging. The scope of this review was limited by the exclusion of non-clinic based interventions and intermediate risk endpoints. Interactive, skills-based sessions may be effective in preventing HIV acquisition in racial and ethnic minorities, but further research into interventions tailored to specific sub-populations, such as men who have sex with men, is warranted.

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Efficacy of Sexually Transmitted Disease/Human Immunodeficiency Virus Sexual Risk–Reduction Intervention for African American Adolescent Females Seeking Sexual Health Services

Abstract: To evaluate the efficacy of an intervention to reduce incident sexually transmitted disease (STD) and enhance STD/human immunodeficiency virus (HIV)preventive behaviors and psychosocial mediators. Design: A randomized controlled trial of an HIV prevention program.

Cited by 159 publications

References 87 publications

A Longitudinal Examination of the Relationship Between Sexual Sensation Seeking and STI-Related Risk Factors Among African American Females

A Longitudinal Examination of the Relationship Between Sexual Sensation Seeking and STI-Related Risk Factors Among African American Females

Health Coaches: An Innovative and Effective Approach for Identifying and Addressing the Health Needs of Justice Involved Youth

HIV Prevention Interventions to Reduce Racial Disparities in the United States: A Systematic Review

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