Risk reduction strategies used by urban adolescent girls in an HIV prevention trial.

Abstract:

UNLABELLED:Adolescent girls throughout the globe are particularly vulnerable to HIV infection. In the U.S., sexually-active, adolescent girls in urban settings are at elevated risk for HIV. The purpose of this study was to describe a theoreticallydriven, HIV prevention intervention tailored for adolescent girls and evaluate its effectiveness in reducing sexually-risky behaviors. Sexually-active urban adolescent girls (n=738) recruited in a mid-size, northeastern U.S. city were recruited for a randomized controlled trial and participated in a theory-based, sexual risk reduction intervention or a structurallyequivalent health promotion control group. Preferred sexual risk-reduction strategies were collected using ACASI at baseline, then at 3, 6 and 12-months post-intervention. The manualized interventions included four small group sessions and two booster sessions all of which included information, motivational and behavioral skill constructs. Facilitators were trained in motivational interviewing and incorporated this technique throughout the sessions. Relative to girls in the control group, girls receiving the sexual risk-reduction intervention were more likely to increase the number of sexual-risk reduction strategies at post-intervention; however, girls in the control group also increased the number of strategies used though not at the same rate. Theory-based, HIV interventions tailored to adolescent girls can help increase sexual riskreduction behaviors and provide girls with a menu of options to employ. Due to the manualized structure of this randomized controlled trial, the intervention could be modified to meet the needs of adolescent girls throughout the world. TRIAL REGISTRATION:This study is registered at ClinicalTrials.gov (NCT 00161343).

journal_name

Curr HIV Res

journal_title

Current HIV research

authors

Morrison-Beedy D,Crean HF,Passmore D,Carey MP

doi

10.2174/1570162x12666140129110129

subject

Has Abstract

pub_date

2013-10-01 00:00:00

pages

559-69

issue

7

eissn

1570-162X

issn

1873-4251

pii

CHRE-EPUB-58872

journal_volume

11

pub_type

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