Evaluation of the Be the Exception Sixth-Grade Program in Rural Communities to Delay the Onset of Sexual Behavior.

Abstract:

OBJECTIVES: To investigate the impact of Be the Exception, a newly developed program to delay onset of sexual behaviors, in a White, rural population. METHODS: A cluster randomized controlled trial in northwestern Indiana (14 schools, 1776 students, 2011-2015) compared an intervention (5 group sessions and multimedia assembly) with a no-intervention group; both continued usual standard health education. Multilevel mixed-effects logistic regressions with 1455 students measured long-term outcomes 12 months after baseline questionnaire. RESULTS: Intervention group students reported ever having had sexual intercourse and sexual intercourse in past 3 months significantly less often than did the comparison group (1.91% vs 6.29% and 1.09% vs 4.26%, respectively). No statistical differences were observed for reported sexual intercourse in past 3 months with risky behavior (1.23% vs 2.24%), without condom use (1.04% vs 1.73%), or without birth control (1.00% vs 1.53%). Cumulatively, intervention group students significantly more often reported no activity, holding hands, hugging and kissing and less often reported touching above and below the waist, other sex, or sexual intercourse. CONCLUSIONS: Be the Exception is effective in delaying the onset of sexual behavior among rural middle school students.

journal_name

Am J Public Health

authors

Piotrowski ZH,Hedeker D

doi

10.2105/AJPH.2016.303438

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

S132-S139

issue

S1

eissn

0090-0036

issn

1541-0048

journal_volume

106

pub_type

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