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The Effect of a Youth-Centered Sexual Risk Event History Calendar (SREHC) Assessment on Sexual Risk Attitudes,
Summary
A youth-centered Sexual Risk Event History Calendar (SREHC) assessment improved condom use intentions more than the Guidelines for Adolescent Preventive Services (GAPS) assessment in young people. This approach is vital for assessing sexual risk behaviors.
Area of Science:
- Public Health
- Adolescent Health
- Behavioral Science
Background:
- Sexual risk behaviors among youth are a significant public health concern.
- Effective assessment tools are crucial for intervention and prevention strategies.
- Existing methods may not fully capture the nuances of adolescent sexual health.
Purpose of the Study:
- To compare the effectiveness of the youth-centered Sexual Risk Event History Calendar (SREHC) with the Guidelines for Adolescent Preventive Services (GAPS) assessment.
- To evaluate the impact of these assessments on adolescent sexual risk attitudes, intentions, and behaviors.
- To determine if a youth-centered approach enhances engagement and outcomes in sexual health assessments.
Main Methods:
- A randomized control trial guided by the Interaction Model of Client Health Behavior.
- 181 youth (15-25 years) and nine providers participated.
- Participants were randomized to receive either SREHC or GAPS assessment during a healthcare visit and completed surveys at multiple time points (baseline, postintervention, 3, 6, 12 months).
Main Results:
- Youth utilizing the SREHC reported significantly stronger intentions to use condoms compared to those using the GAPS assessment.
- Age and race were identified as significant predictors of sexual experience among participants.
- The SREHC demonstrated a positive impact on sexual risk intentions.
Conclusions:
- A youth-centered, systematic assessment like the SREHC is important for evaluating sexual risk behaviors.
- This approach may lead to improved outcomes in adolescent sexual health.
- Healthcare providers should consider utilizing youth-centered tools for more effective sexual risk assessments.
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