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Arch Pediatr Adolesc Med. 2006 Aug;160(8):772-7.

A randomized controlled trial testing an HIV prevention intervention for Latino youth.

Author information

  • 1School of Nursing, University of Michigan, Ann Arbor, MI 48109-0482, USA. avillarr@umich.edu

Erratum in

  • Arch Pediatr Adolesc Med. 2006 Nov;160(11):1187.

Abstract

OBJECTIVE:

To test the efficacy of a prevention intervention to reduce sexual risk behavior among Latino adolescents.

DESIGN:

Randomized controlled trial from April 2000 through March 2003, with data collection before and after intervention and at 3, 6, and 12 months.

SETTING:

Northeast Philadelphia schools.

PARTICIPANTS:

Latinos aged 13 through 18 years (249 males and 304 females); 81.6% retained at 12-month follow-up.

INTERVENTIONS:

The HIV and health-promotion control interventions consisted of six 50-minute modules delivered by adult facilitators to small, mixed-gender groups in English or Spanish. Main Outcome Measure Self-reported sexual behavior.

RESULTS:

Analyses using generalized estimation equations over the follow-up period revealed that adolescents in the HIV intervention were less likely to report sexual intercourse (odds ratio, 0.66; 95% confidence interval [CI], 0.46-0.96), multiple partners (odds ratio, 0.53; 95% CI, 0.31-0.90), and days of unprotected intercourse (relative risk, 0.47; 95% CI, 0.26-0.84) and more likely to report using condoms consistently (odds ratio, 1.91; 95% CI, 1.24-2.93). Baseline sexual experience and language use moderated intervention efficacy. Adolescents assigned to the HIV intervention who were sexually inexperienced at baseline reported fewer days of unprotected sex (relative risk, 0.22; 95% CI, 0.08-0.63); Spanish speakers were more likely to have used a condom at last intercourse (odds ratio, 4.73; 95% CI, 1.72-12.97) and had a greater proportion of protected sex (mean difference, 0.35; P<.01) compared with similar adolescents in the health-promotion intervention.

CONCLUSION:

Results provide evidence for the efficacy of HIV intervention in decreasing sexual activity and increasing condom use among Latino adolescents.

PMID:
16894074
[PubMed - indexed for MEDLINE]
PMCID:
PMC3034476
Free PMC Article
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