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HIV risk reduction among detained adolescents: a randomized, controlled trial
Angela D Bryan1, Sarah J Schmiege, Michelle R Broaddus
1Department of Psychology, University of New Mexico, Albuquerque, New Mexico 87131, USA. abryan@unm.edu
Pediatrics
|November 11, 2009
Summary
A study found that theory-based interventions helped reduce risky sexual behavior in adolescents involved with the criminal justice system. Combined sexual and alcohol risk reduction (GPI + GMET) showed promising results in improving condom use.
Area of Science:
- Adolescent health
- Public health interventions
- Behavioral science
Background:
- Criminally involved adolescents exhibit high rates of alcohol-related risky sexual behavior.
- Juvenile detention facilities present a critical setting for intervention.
- Existing interventions need to address both sexual and alcohol risk factors.
Purpose of the Study:
- To design, implement, and evaluate a theory-based sexual and alcohol risk-reduction intervention for detained adolescents.
- To assess the effectiveness of combined sexual and alcohol risk reduction versus sexual risk reduction alone and information-only interventions.
- To examine the impact on condom-use behavior, frequency of intercourse while drinking, and alcohol-related problems.
Main Methods:
- A randomized controlled trial involving 484 detained adolescents.
- Three group-based interventions: combined sexual and alcohol risk reduction (GPI + GMET), sexual risk reduction only (GPI), and HIV/STD prevention information only (GINFO).
- Follow-up assessments at 3, 6, 9, and 12 months post-intervention.
Main Results:
- Condom use decreased over time but was mitigated by GPI and GPI + GMET interventions at 3, 6, and 9 months.
- Both active interventions (GPI and GPI + GMET) were more effective than the information-only intervention (GINFO).
- No statistically significant differences were found between the GPI and GPI + GMET interventions, though effects favored GPI + GMET.
Conclusions:
- Integrating alcohol-specific sexual risk content into theory-based interventions is feasible and effective for reducing risky sex in this population.
- Theory-based interventions demonstrate efficacy in addressing risky sexual behavior among at-risk adolescents.
- Future research should focus on enhancing the combined intervention (GPI + GMET) for optimal impact on risky sexual behavior.
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