Evaluation of an HIV/STD Sexual Risk-Reduction Intervention for Pregnant African American Adolescents Attending a Prenatal Clinic in an Urban Public Hospital

Preliminary Evidence of Efficacy

Ralph DiClemente, G. M. Wingood, E. Rose, J. M. Sales, R. A. Crosby

Research output: Contribution to journalArticle

Abstract

Study Objective: To evaluate an intervention to reduce HIV/STD-associated behaviors and enhance psychosocial mediators for pregnant African-American adolescents. Design: A randomized controlled trial. Participants completed baseline and follow-up assessments. Setting: An urban public hospital in the Southeastern U.S. Participants: Pregnant African-American adolescents (N = 170), 14-20 years of age, attending a prenatal clinic. Intervention: Intervention participants received two 4-hr group sessions enhancing self-concept and self-worth, HIV/STD prevention skills, and safer sex practices. Participants in the comparison condition received a 2-hr session on healthy nutrition. Main Outcome Measures: Consistent condom use. Results: Intervention participants reported greater condom use at last intercourse (adjusted odds ratio = 3.9, P = 0.05) and consistent condom use (AOR = 7.9, P = 0.05), higher sexual communication frequency, enhanced ethnic pride, higher self-efficacy to refuse risky sex, and were less likely to fear abandonment as a result of negotiating safer sex. Conclusions: Interventions for pregnant African-American adolescents can enhance condom use and psychosocial mediators.

Original languageEnglish (US)
Pages (from-to)32-38
Number of pages7
JournalJournal of Pediatric and Adolescent Gynecology
Volume23
Issue number1
DOIs
StatePublished - Feb 1 2010

Fingerprint

Public Hospitals
Urban Hospitals
Condoms
Risk Reduction Behavior
Sexually Transmitted Diseases
African Americans
HIV
Safe Sex
Negotiating
Self Efficacy
Self Concept
Fear
Randomized Controlled Trials
Odds Ratio
Communication
Outcome Assessment (Health Care)

Keywords

  • Adolescent
  • African-American
  • HIV/STD prevention intervention
  • Pregnant

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

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abstract = "Study Objective: To evaluate an intervention to reduce HIV/STD-associated behaviors and enhance psychosocial mediators for pregnant African-American adolescents. Design: A randomized controlled trial. Participants completed baseline and follow-up assessments. Setting: An urban public hospital in the Southeastern U.S. Participants: Pregnant African-American adolescents (N = 170), 14-20 years of age, attending a prenatal clinic. Intervention: Intervention participants received two 4-hr group sessions enhancing self-concept and self-worth, HIV/STD prevention skills, and safer sex practices. Participants in the comparison condition received a 2-hr session on healthy nutrition. Main Outcome Measures: Consistent condom use. Results: Intervention participants reported greater condom use at last intercourse (adjusted odds ratio = 3.9, P = 0.05) and consistent condom use (AOR = 7.9, P = 0.05), higher sexual communication frequency, enhanced ethnic pride, higher self-efficacy to refuse risky sex, and were less likely to fear abandonment as a result of negotiating safer sex. Conclusions: Interventions for pregnant African-American adolescents can enhance condom use and psychosocial mediators.",
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