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Reducing HIV Sexual Risk Behaviors Among Runaway Adolescents
Abstract
OBJECTIVE: Reductions in runaways' sexual risk behaviors were evaluated in response to an intensive program to prevent human immunodeficiency virus (HIV) infection and the acquired immunodeficiency syndrome (AIDS). DESIGN: In a nonrandomized control trial, sexual risk behaviors among 78 runaways at one residential shelter who received up to 30 HIV/AIDS intervention sessions were compared with 67 runaways at a nonintervention shelter with sexual behaviors assessed at baseline and 3 and 6 months. SETTING: Runaways were recruited from the only two publicly funded shelters in New York, NY. PARTICIPANTS: The runaways were aged 11 to 18 years, 64% female, and predominantly black or Hispanic. INTERVENTION: The intervention addressed general knowledge about HIV/AIDS, coping skills, access to health care and other resources, and individual barriers to safer sex. MAIN OUTCOME MEASURES: Consistent condom use, a high-risk pattern of sexual behavior, and sexual abstinence over a 3-month time frame were assessed. MAIN RESULTS: As the number of intervention sessions increased, runaways' reports of consistent condom use increased significantly (at 3 months, unique R2 = .06, P less than .05; at 6 months, unique R2 = .09, P less than .05), and their reports of engaging in a high-risk pattern of sexual behavior decreased significantly (at 3 months, unique R2 = .03, P = .06; at 6 months, unique R2 = .04, P less than .05). Abstinence did not change. CONCLUSIONS: The demonstrated effectiveness of the intensive HIV/AIDS program highlights the importance of enlarging the scope of most current HIV/AIDS prevention programs.
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Kirby, D. B., Laris, B. A., & Rolleri, L. A. (2007) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2006.11.143 · Cited by 915
Albarracín, D., Gillette, J. C., Earl, A. N., Glasman, L. R., Durantini, M. R., & Ho, M.-H. (2005) · Psychological Bulletin · doi:10.1037/0033-2909.131.6.856 · Cited by 792
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Smoak, N. D., Scott-Sheldon, L. A. J., Johnson, B. T., & Carey, M. P. (2006) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/01.qai.0000185575.36591.fc · Cited by 82
Metzler, C. W., Biglan, A., Noell, J., Ary, D. V., & Ochs, L. (2000) · Behavior Therapy · doi:10.1016/s0005-7894(00)80003-9 · Cited by 79
Sherman, A. C., Mosier, J., Leszcz, M., Burlingame, G. M., Ulman, K. H., Cleary, T., Simonton, S., Latif, U., Hazelton, L., & Strauss, B. (2004) · International Journal of Group Psychotherapy · doi:10.1521/ijgp.54.1.29.40376 · Cited by 45
Metadata
- Authors
- Rotheram-Borus, M. J.
- Venue
- JAMA: The Journal of the American Medical Association
- Publisher
- American Medical Association (AMA)
- Published
- 1991-09-04
- Volume
- 266
- Issue
- 9
- Pages
- 1237
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- OpenAlex
- W4240430597
- Cited by
- 360
- References
- 0
- FWCI
- 58.53
- Type
- journal article
- Language
- en
- Open access
- closed
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