| Titre : | Abstinence and safer sex HIV risk-reduction interventions for African American adolescents a randomized controlled trial. (1998) |
| Auteurs : | Jbiii JEMMOTT ; G.T. FONG ; L.S. JEMMOTT |
| Type de document : | Article |
| Dans : | JAMA - Journal of the american medical association (vol. 279, n° 19, 1998) |
| Pagination : | 1529-1536 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Abstinence ; VIH ; Rétrovirus ; Virus ; Comportement ; Prévention santé ; Evaluation ; Efficacité ; Adolescent ; Homme ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST IR0xPxsx. Diffusion soumise à autorisation]. Context. - African American adolescents are at high risk of contracting sexually transmitted infection with human immunodeficiency virus (HIV), but which behavioral interventions to reduce risk are most effective and who should conduct them is not known. Objective. - To evaluate the effects of abstinence and safer-sex HIV risk-reduction interventions on young inner-city African American adolescents'HIV sexual risk behaviors when implemented by adult facilitators as compared with peer cofacilitators. Design. - Randomized controlled trial with 3-6-and 12-month follow-up. Setting. - Three middle schools serving low-income African American communities in Philadelphia, Pa. Participants. - A total of 659 African American adolescents recruited for a Saturday program. Interventions. - Based on cognitive-behavioral theories and elicitation research, interventions involved 8 1-hour modules implemented by adult facilitators or peer cofacilitators. Abstinence intervention stressed delaying sexual intercourse or reducing its frequency ; safer-sex intervention stressed condom use ; control intervention concerned health issues unrelated to sexual behavior. Main Outcome Measures. - Self-reported sexual intercourse, condom use, and unprotected sexual intercourse. Results. - Mean age of the enrollees was 11.8 years ; 53% were female and 92.6% were still enrolled at 12 months. (...) |
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