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Postponing sexual intercourse among urban junior high school students-a randomized controlled evaluation
S J Aarons1, R R Jenkins, T R Raine
1Department of Obstetrics and Gynecology, Howard University College of Medicine, Washington, DC 20060, USA.
Summary
A school-based program helped delay sexual activity in urban junior high girls, increasing virginity and self-efficacy. Boys showed improved knowledge of birth control but no change in sexual intent.
Area of Science:
- Public Health
- Adolescent Health
- Reproductive Health Education
Background:
- Adolescent sexual activity is a significant public health concern.
- School-based interventions are a key strategy for promoting sexual health among youth.
- Understanding gender-specific needs is crucial for effective sexual health programs.
Purpose of the Study:
- To evaluate a school-based intervention aimed at delaying sexual intercourse among urban junior high students.
- To assess the impact of the intervention on sexual behavior, attitudes, and knowledge.
Main Methods:
- Randomized controlled trial involving six Washington, D.C. junior high schools.
- Intervention included reproductive health classes and the Postponing Sexual Involvement Curriculum.
- Surveys assessed virginity, sexual intent, self-efficacy, and knowledge at multiple time points.
Main Results:
- Intervention-group females reported higher virginity, self-efficacy to refuse sex, and intention to avoid sexual involvement.
- Significantly more intervention females knew about adolescent reproductive health and confidentiality rights.
- Males in the intervention group showed increased knowledge of birth control efficacy, but no changes in virginity or sexual intent were observed.
Conclusions:
- The school-based intervention demonstrated effectiveness in delaying sexual activity and improving sexual health knowledge among adolescent females.
- Gender differences in outcomes highlight the need for tailored, gender-specific interventions.
- Future programs should address the distinct social and cognitive needs of both male and female students.
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