Replicating the Safer Sex Intervention: 9-Month Impact Findings of a Randomized Controlled Trial

Kelsey, Meredith; Walker, Jessica T.; Layzer, Jean I.; Price, Cristofer; Juras, Randall

doi:10.2105/ajph.2016.303372

Cited by 6 publications

(13 citation statements)

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“…It consisted of one initial session lasting 30-50 min and three booster sessions delivered at one, three, and 6 months. A randomized controlled trial comparing intervention groups from 2012 to 2015 described an overall significant increase of condom use at 9 months, as well as behavioural changes for Hispanic youth [33]. The main difference between this intervention and the SIRIAN program is the community dimension of the latter, which increases the access of newcomers and populations vulnerable to healthcare, without replacing it.…”

Section: Discussionmentioning

confidence: 99%

Impact of a community contraceptive counselling intervention on adolescent fertility rates: a quasi-experimental study

et al. 2020

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Background: From 2000 to 2008, in urban areas in Spain, adolescent fertility and abortion rates underwent unprecedented increases, consecutive to intensive immigration from developing countries. To address unmet needs for contraception information and services, a community-based, gender-sensitive and culturally adapted brief counselling intervention (SIRIAN program) was launched in some deprived neighbourhoods with a high proportion of immigrants in Barcelona. Once a randomized controlled trial demonstrated its effectiveness in increasing the use of contraceptives, we aim to examine its population impact on adolescent fertility rates. Methods: Quasi-experimental study with comparison group, using population data from 2005 to 2016. Five neighbourhoods in the lowest tercile of Disposable Household Income were intervened in 2011-13. The comparison group included the three neighbourhoods which were in the same municipal district and in the lowest Disposable Household Income tercile, and displayed the highest adolescent fertility rates. Generalized linear models were fitted to assess absolute adolescent fertility rates and adjusted by immigrant population between pre-intervention (2005-10) and post-intervention periods (2011-16); Difference in Differences and relative pre-post changes analysis were performed. Results: In 2005-10 the intervention group adolescent fertility rate was 27.90 (per 1000 women 15-19) and 21.84 in the comparison group. In 2011-16 intervention areas experienced great declines (adolescent fertility rate change: − 12.30 (− 12.45 to − 12.21); p < 0.001), while comparison neighbourhoods remained unchanged (adolescent fertility rate change: 1.91 (− 2.25 to 6.07); p = 0.368). A reduction of − 10.97 points (− 13.91 to − 8.03); p < 0.001) is associated to the intervention. Conclusion: Adolescent fertility rate significantly declined in the intervention group but remained stable in the comparison group. This quasi-experimental study provide evidence that, in a country with universal health coverage, a community counselling intervention that increases access to contraception, knowledge and sexual health care in hard-to-reach segments of the population can contribute to substantially reduce adolescent fertility rates. Reducing adolescent fertility rates could become a feasible goal in cities with similar conditions.

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Section: Discussionmentioning

confidence: 99%

Impact of a community contraceptive counselling intervention on adolescent fertility rates: a quasi-experimental study

et al. 2020

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“…In an analysis consisting of 60 studies examining the impact of school-based comprehensive sex education, Weed and Ericksen [31] found that CSE was not effective to decrease teen pregnancy as well as STD rates and to increase abstinence and condom use at 12-months post-program [16]. Several studies were identified to have yielded negative effects including higher levels of sexual initiation, oral sex, and reduced contraceptive use [44,45]. On the other hand, some school-based abstinence education programs revealed sustained increases in teen abstinence.…”

Section: Sex Education In the United States Of Americamentioning

confidence: 99%

Development of Contextually-relevant Sexuality Education: Lessons from a Comprehensive Review of Adolescent Sexuality Education Across Cultures

Leung

Shek

Leung

et al. 2019

IJERPH

169

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As reported by the World Health Organization in 2017, there are 2 million+ young people living with HIV worldwide. The World Health Organization also reported that a third of all new HIV infections around the world are estimated to occur among youths (aged 15–25). and teen pregnancy rates are on the rise in many places. These worrying trends suggest that existing sexuality education programs and interventions may be inadequate and/or ineffective. Although the 1994 International Conference on Population and Development’s (ICPD) Programme of Action highlighted the roles of Governments to offer sex education to young people to promote teenage reproductive health, yet inconsistency exists in the related initiatives in the global context. The present article aims to provide a comprehensive literature review of the existing sexuality programs in selected places in both English-speaking (i.e., the United States of America, the United Kingdom) and Chinese-speaking contexts (i.e., Hong Kong, Mainland China, and Taiwan). Based on the review, observations and implications for sexuality education policy and practice, as well as recommendations for future research for youths are outlined.

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Section: Resultsmentioning

confidence: 99%

“…Of the 40 studies, 14 were NRSIs,25–38 11 were RCTs39–49 and 15 were cRCTs 50–64. Some 29 studies targeted adolescents26 27 29 30 32 35–37 40–42 44–48 50–53 55 57–64 and 11 targeted adolescents and young adults 25 28 31 33 34 38 39 43 49 54 56. Of all the studies, 32 targeted both genders25–35 37 40–42 44 46 47 50–62 64 and 8 included females only 36 38 39 43 45 48 49 63.…”

Section: Resultsmentioning

confidence: 99%

“…Some 29 studies targeted adolescents26 27 29 30 32 35–37 40–42 44–48 50–53 55 57–64 and 11 targeted adolescents and young adults 25 28 31 33 34 38 39 43 49 54 56. Of all the studies, 32 targeted both genders25–35 37 40–42 44 46 47 50–62 64 and 8 included females only 36 38 39 43 45 48 49 63. Of the 32 studies targeting both genders, 13 provided segregated data for females 27 28 33 34 37 41 53 54 56–58 60 64.…”

Section: Resultsmentioning

confidence: 99%

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Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis

Lassi,

Rahim,

Stavropoulos

et al. 2024

BMJ Sex Reprod Health

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IntroductionThe evidence on adolescent empowerment, which involves access to personal and material resources for reproductive autonomy and economic equity, is limited. This systematic review assesses the use of contraceptives in empowering and strengthening the agency and vice versa among adolescents and young women.MethodsWe ran the searches in six electronic databases: Cochrane Database of Systematic Reviews (CDSR) and the Cochrane Central Register of Controlled Trials (CENTRAL), The Campbell Library, MEDLINE (PubMed), EMBASE, Cumulated Index to Nursing and Allied Health Literature (CINAHL) and Web of Science. The methodological quality of studies was assessed using ROBINS-I and ROB-II tools as appropriate. Meta-analysis was performed using Review Manager 5.4.ResultsForty studies that assessed the impact of empowerment on contraceptive use were included. Of these, 14 were non-randomised studies for intervention (NRSIs), and the remaining 26 were randomised controlled trials (RCTs). The results from RCTs show a significant effect of the sexual and reproductive health empowerment in increasing ever use of contraception (RR 1.22; 95% CI 1.02, 1.45; n=9; I²=77%; GRADE: Very Low), and insignificant effect on unprotected sex (RR 0.97; 95% CI 0.74, 1.26; n=5; I²=86%; GRADE: Very Low) and adolescent pregnancy (RR 1.07; 95% CI 0.61, 1.87; n=3; I²=36%; GRADE: Very Low). None of the studies assessed impact of contraceptive use on empowerment.ConclusionsEmpowerment of adolescents and young women certainly improves contraceptive use in the immediate or short-term period. However, more robust studies with low risk of bias, longer-term outcomes, and impact of contraceptive use on empowerment and agency-strengthening are required. To increase contraceptive use uptake, tailored policies and delivery platforms are necessary for youth in low- and middle-income countries.

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Replicating the Safer Sex Intervention: 9-Month Impact Findings of a Randomized Controlled Trial

Abstract: SSI produced meaningful changes in sexual behavior and sexual risk and successfully addressed some potential antecedents of sexual risk behavior.

Cited by 6 publications

References 3 publications

Impact of a community contraceptive counselling intervention on adolescent fertility rates: a quasi-experimental study

Impact of a community contraceptive counselling intervention on adolescent fertility rates: a quasi-experimental study

Development of Contextually-relevant Sexuality Education: Lessons from a Comprehensive Review of Adolescent Sexuality Education Across Cultures

Use of contraceptives, empowerment and agency of adolescent girls and young women: a systematic review and meta-analysis

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