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A Triadic Intervention for Adolescent Sexual Health: A Randomized Clinical Trial
Open accessAbstract
OBJECTIVES: In this study, we evaluate the efficacy of Families Talking Together (FTT), a triadic intervention to reduce adolescent sexual risk behavior. METHODS: Adolescents aged 11 to 14 and their female caregivers were recruited from a pediatric clinic; 900 families were enrolled; 84 declined. Families were randomly assigned to FTT or 1 of 2 control conditions. The FTT triadic intervention consisted of a 45-minute face-to-face session for mothers, health care provider endorsement of intervention content, printed materials for families, and a booster call for mothers. The primary outcomes were ever having had vaginal intercourse, sexual debut within the past 12 months, and condom use at last sexual intercourse. Assessments occurred at baseline, 3 months post baseline, and 12 months post baseline. RESULTS: Of enrolled families, 73.4% identified as Hispanic, 20.4% as African American, and 6.2% as mixed race. Mean maternal age was 38.8 years, and mean adolescent grade was seventh grade. At the 12-month follow-up, 5.2% of adolescents in the experimental group reported having had sexual intercourse, compared with 18% of adolescents in the control groups (P < .05). In the experimental group, 4.7% of adolescents reported sexual debut within the past 12 months, compared with 14.7% of adolescents in the control group (P < .05). In the experimental group, 74.2% of sexually active adolescents indicated using a condom at last sexual intercourse, compared with 49.1% of adolescents in the control group (P < .05). CONCLUSIONS: This research suggests that the FTT triadic intervention is efficacious in delaying sexual debut and reducing sexual risk behavior among adolescents.
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Research has highlighted the importance of the family context in shaping a wide range of health outcomes.
“Research has highlighted the importance of the family context—defined inclusively for a diversity of caretakers, parental figures, and generational household compositions—in shaping a wide range of health outcomes”
From Nurse-led approaches to address social determinants of health and advance health equity: A new framework and its implications (2023) · cites this paper as Guilamo-Ramos et al., 2020
The paper's introduction says parents influence several adolescent sexual-health behaviors, and its Methods define mothers to include biological and nonbiological primary adult female caregivers. But the study addresses adolescent sexual and reproductive health, not a wide range of health outcomes; it does not examine the diversity of parental figures or generational household compositions described in the citing sentence. The Discussion explicitly limits the study to mother-adolescent dyads. (LLM, conf=0.86)
Experimental — accuracy not yet measuredPersistent and widening inequities in HIV incidence have been largely driven by harmful SDOH.
“persistent and widening inequities in HIV incidence, which have been largely driven by harmful SDOH”
From Nurse-led approaches to address social determinants of health and advance health equity: A new framework and its implications (2023) · cites this paper as Guilamo-Ramos, Thimm-Kaiser, et al., 2020
The Abstract reports a disparity in new HIV diagnoses: Hispanic and African American adolescents accounted for four in five diagnoses among adolescents and young adults in 2018. It does not establish that HIV-incidence inequities are persistent or widening, or that harmful social determinants of health largely drive them. (LLM, conf=0.84)
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Cited by
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US Preventive Services Task Force, Krist, A. H., Davidson, K. W., Mangione, C. M., Barry, M. J., Cabana, M., Caughey, A. B., Donahue, K., Doubeni, C. A., Epling, J. W., et al. (2020) · JAMA · doi:10.1001/jama.2020.13095 · Cited by 59
Guilamo-Ramos, V., Johnson, C., Thimm-Kaiser, M., & Benzekri, A. (2023) · Nursing Outlook · doi:10.1016/j.outlook.2023.101996 · Cited by 40
Self-citation
Metadata
- Authors
- Guilamo-Ramos, V., Benzekri, A., Thimm-Kaiser, M., Dittus, P., Ruiz, Y., Cleland, C. M., & McCoy, W.
- Affiliations
- Center for Latino Adolescent and Family Health, New York University, New York, New York;
- New York University (US)
- City University of New York (US)
- Centers for Disease Control and Prevention (US)
- Purdue University West Lafayette (US)
- NYU Langone Health (US)
- Morris Heights Health Center, Bronx, New York
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2020-05-01
- Volume
- 145
- Issue
- 5
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC7193976
- OpenAlex
- W3018151345
- Cited by
- 46
- References
- 1
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 6 · 2023: 13 · 2022: 2 · 2021: 6 · 2020: 5
- FWCI
- 6.79
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R25MH067127)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD066159)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Health and Behaviors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Keywords
- adolescent sexual health, sexual risk behavior, maternal involvement, family intervention, sexual initiation, condom use, adolescent sexual intercourse, Latino youth
- MeSH terms
- Adolescent Health, Sexual Health, Adolescent, Adolescent Behavior, Adult, Aged, Child, Female, Follow-Up Studies, Humans, Male, Middle Aged, Parent-Child Relations, Safe Sex, Risk Reduction Behavior, Young Adult
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