Predictors of responsiveness among early adolescents to a school-based risk reduction intervention over 3 years

AIDS Behav. 2013 Mar;17(3):1096-104. doi: 10.1007/s10461-012-0144-y.

Abstract

This study assesses potential predictive factors for unresponsiveness to the "Focus on Youth in the Caribbean (FOYC)" intervention using longitudinal data from 1,360 Bahamian sixth-grade youth. Results from hierarchical logistic regression analyses indicate that the intervention had a greater impact on knowledge, skills, self-efficacy, and condom use intention among low and medium initial scorers. High initial scores in knowledge, skills, self-efficacy, and intention were predictive of relative unresponsiveness to the intervention. Advanced age and male sex were predictive of unresponsiveness to the intervention for HIV/AIDS knowledge. Female gender was predictive of unresponsiveness to the intervention for self-efficacy. High academic self-evaluation was predictive of unresponsiveness to the intervention for condom use intention. The greatest intervention impact was observed at the 6-month post-intervention follow-up; these intervention-related gains were sustained over the subsequent follow-up periods. Youth with higher risk attributes (lower knowledge, skills and self-efficacy) were more likely to respond to a risk reduction intervention.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Bahamas / epidemiology
  • Child
  • Condoms / statistics & numerical data*
  • Female
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • Health Education / methods
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Male
  • Predictive Value of Tests
  • Risk Reduction Behavior*
  • Safe Sex
  • Schools
  • Self Efficacy*
  • Students
  • Surveys and Questionnaires