HIV/STD Risk Reduction Interventions for African American and Latino Adolescent Girls at an Adolescent Medicine Clinic

Jemmott, John B.; Jemmott, Loretta Sweet; Braverman, Paula K.; Fong, Geoffrey T.

doi:10.1001/archpedi.159.5.440

Cited by 227 publications

(265 citation statements)

References 41 publications

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“…The overall findings highlight the value of culturally grounded HIV prevention programs for Mexican American youth that are created in collaboration with community members and address ecological factors affecting adolescent sexual behaviors (Jemmott et al, 2005;Lesser, Koniak-Griffen, Gonzalez-Figueroa, Huang, & Cumberland, 2007;Pantin et al, 2004). Results are also consistent with the psychosocial and psycho-educational factors that are integral to successful progression through the three stages of the ARRM (Catania et al, 1990).…”

Section: Discussionsupporting

confidence: 62%

“…That is, although participants might have perceived themselves to be at risk for HIV and developed a conscious commitment to preventing infection, they did not change their behavioral practices (e.g., employ sexual assertiveness skills) because they were not currently sexually active. These results coupled with the occurrence of group differences in condom use at the 2-month follow-up and not at immediate posttest, also support the need to evaluate intervention effects for longer periods of time (e.g., 12-month follow-up), as other prevention trials have observed delayed intervention effects (Jemmott et al, 2005;Lauby, Smith, Stark, Person, & Adams, 2000;Sales, Smith, Curran, & Kochevar, 2006). Longer follow-up periods also provide more opportunities for participants to implement safer sex practices with existing and new sexual partners (St. Lawrence, Wilson, Eldridge, Brasfield, & O'Bannon, 2001).…”

Section: Discussionmentioning

confidence: 76%

“…Recent randomized controlled trials investigated the ability of one session clinic-based interventions to reduce the risk of HIV/STIs among African American and Latina female adolescents (Jemmott, Jemmott, Braverman, & Fong, 2005;Roye, Silverman, & Krauss, 2007). However, these interventions may have limited utility for Mexican and Mexican American female adolescents who may be reluctant to seek services at a health care facility if they fear that their personal or family members' citizenship status may be questioned by clinic staff.…”

mentioning

confidence: 99%

See 2 more Smart Citations

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

Harper¹,

Bangi²,

Sánchez³

et al. 2009

AIDS Education and Prevention

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This article describes a quasi-experimental evaluation of a community-based, culturally and ecologically tailored HIV prevention intervention for Mexican American female adolescents grounded in the AIDS risk reduction model. A total of 378 Mexican American female adolescents (mean age = 15.2) participated in either the nine-session SHERO's (a female-gendered version of the word hero) intervention or a single session information-only HIV prevention intervention. Assessment data were collected at pretest, posttest, and 2-month follow up. Significant improvements across all time points were revealed on measures of self-esteem, condom attitudes, beliefs regarding a woman's control of her sexuality, beliefs regarding sexual assault, perceived peer norms, and HIV/AIDS and STI knowledge. At posttest SHERO's participants were more likely to carry condoms and to report abstaining from vaginal sex in the previous 2 months; and at 2-month follow up they reported using condoms more often in the preceding 2 months and planned on using them more frequently in the coming 2 months. Findings support the development of community-based adolescent HIV prevention interventions that address culturally specific ecological factors.Sexually transmitted infections (STIs), including HIV, continue to threaten the health of Latinas in the United States. Rates for chlamydia were three times higher and rates for primary and secondary syphilis were nearly two times higher among Latina females than Whites (Centers for Disease Control and Prevention [CDC], 2007). In 2006, Latinas made up 11% of the U.S. female population but accounted for 15% of females living with HIV/

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Section: Discussionsupporting

confidence: 62%

Section: Discussionmentioning

confidence: 76%

mentioning

confidence: 99%

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A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

Harper¹,

Bangi²,

Sánchez³

et al. 2009

AIDS Education and Prevention

View full text Add to dashboard Cite

show abstract

“…Consequently researchers should be aware of the selection bias [31] that may be operating in these types of studies, and intervention strategies designed to target the extremely hard-to-reach populations should be designed. Such strategies could include a more intensive approach such as the fullday sessions used by other researchers [32]. Despite the inherent selection bias in these types of studies, the examined population that is being followed still represents a high-risk population deserving of interventions and assessment.…”

Section: Discussionmentioning

confidence: 99%

Safer choices 2: Rationale, design issues, and baseline results in evaluating school-based health promotion for alternative school students

Tortolero

Markham

Addy

et al. 2008

Contemporary Clinical Trials

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Background-Students attending 'alternative' high schools form relatively small, highly mobile high-risk populations, presenting challenges for the design and implementation of HIV-, other STI-, and pregnancy-prevention interventions. This paper describes the rationale, study design, and baseline results for the Safer Choices 2 program.Study Design-Modified group-randomized intervention trial with crossover of schools but not of students. The study cohort was defined a priori as those who completed the baseline measures and were still enrolled at the time of first follow-up.Design Results-Of 940 students initially enrolled in the study, 711 (76%) formed the study cohort. There were significant demographic differences between those included and those excluded from the study cohort in sex, age, sexual experience, experience with pregnancy, drug use, and some psychosocial measures. There were no significant differences between the intervention and control groups within the study cohort. The only significant difference between those students excluded from the intervention group and those excluded from the control group was reported age at first intercourse.Baseline Data Results-Students (n = 940) enrolled were predominately African-American (29.7%) and Hispanic (61.3%); 57.3% were female; 66% had ever had sex; and reported drug use in the previous 30 days ran from 4.3% (cocaine) to 26.9% (marijuana). Of the 627 sexually experienced, 41.8% reported their age at first intercourse as 13 years or younger; 28.5% reported ever being or having gotten someone pregnant; 74% reported sex in the past 3 months. Of the 464 sexually active in the last 3 months, 55.4% reported unprotected intercourse and 31.3% reported using drugs beforehand. Conclusion-The cross-over design will provide a rigorous test of the intervention; however, loss to follow-up of this population can result in some selection bias. Students attending dropout prevention and recovery schools are at high risk for HIV, STIs, and pregnancy, and are in need of interventions.

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“…31 However, a skills-based intervention implemented by African American educators in a mixed cohort with both African American and Latino adolescents was more successful than the didactic control, with no significant difference in impact on STI rates or sexual risk behavior between the two racial groups. 32 Several studies have attempted to adopt the above insights using digital or other media to develop economical interventions for adolescents with mixed results. One intervention for primarily African American young adolescents was implemented in the offices of private practice pediatricians.…”

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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HIV/STD Risk Reduction Interventions for African American and Latino Adolescent Girls at an Adolescent Medicine Clinic

Abstract: Skill-based HIV/STD interventions can reduce sexual risk behaviors and STD rate among African American and Latino adolescent girls in clinic settings.

Cited by 227 publications

References 41 publications

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

A Quasi-Experimental Evaluation of a Community-Based HIV Prevention Intervention for Mexican American Female Adolescents: The Shero's Program

Safer choices 2: Rationale, design issues, and baseline results in evaluating school-based health promotion for alternative school students

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

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