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HIV risk reduction among detained adolescents: a randomized, controlled trial. Pediatrics 2009 Dec;124(6):e1180-8

Date

11/11/2009

Pubmed ID

19901006

Pubmed Central ID

PMC9017687

DOI

10.1542/peds.2009-0679

Scopus ID

2-s2.0-71949089625   69 Citations

Abstract

OBJECTIVES: Criminally involved adolescents engage in high levels of alcohol-related risky sex. A theory-based sexual and alcohol risk-reduction intervention was designed, implemented, and evaluated in juvenile detention facilities.

PARTICIPANTS AND METHODS: In a randomized, controlled trial, 484 detained adolescents received 1 of 3 group-based interventions: combined sexual and alcohol risk reduction (group psychosocial intervention [GPI] + group motivational enhancement therapy [GMET]); sexual risk reduction only (GPI); or HIV/sexually transmitted disease prevention information only (group information-only intervention [GINFO]). Follow-up data were obtained 3, 6, 9, and 12 months after the intervention. Behavioral outcomes were condom-use behavior, frequency of intercourse while drinking, and alcohol-related problems.

RESULTS: Condom-use behavior measured as frequency of condom use during sex (ranging from never to always) decreased over time, although the GPI and GPI + GMET interventions mitigated this tendency at the 3-, 6-, and 9-month follow-up assessments. Although both active interventions were significantly more successful than the GINFO condition and the pattern of effects favored the GPI + GMET, there were no statistically significant differences between the GPI and GPI + GMET interventions.

CONCLUSIONS: Findings support the feasibility of integrating alcohol-specific sexual risk content into a theory-based sexual risk-reduction intervention and provide additional evidence that theory-based interventions are effective at reducing risky sex in this population. There was limited evidence of intervention effects on alcohol-use outcomes. Future research should focus on strengthening the GPI + GMET to most effectively target risky sexual behavior among at-risk adolescents.

Author List

Bryan AD, Schmiege SJ, Broaddus MR

Author

Michelle R. Broaddus PhD Associate Professor in the Psychiatry department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Alcoholic Intoxication
Colorado
Condoms
Female
HIV Infections
Health Education
Health Knowledge, Attitudes, Practice
Humans
Juvenile Delinquency
Longitudinal Studies
Male
Motivation
Pregnancy
Pregnancy in Adolescence
Prisoners
Psychotherapy, Group
Risk Reduction Behavior
Sex Education
Sexual Behavior
Sexually Transmitted Diseases
Unsafe Sex