Reductions in HIV risk-associated sexual behaviors among black male adolescents: effects of an AIDS prevention intervention.

American journal of public health - Tập 82 Số 3 - Trang 372-377 - 1992
John B. Jemmott1, Loretta Sweet Jemmott1, Geoffrey T. Fong1
1Princeton Univer-sity, Department of Psychology, Green Hall, Princeton, NJ 08544-1010.

Tóm tắt

BACKGROUND. The number of reported cases of acquired immune deficiency syndrome (AIDS) is increasing disproportionately among Blacks in the United States. The relatively high incidence of sexually transmitted diseases among Black adolescents suggest the need for AIDS prevention programs to reduce their risk of sexually transmitted human immunodeficiency virus (HIV) infection. METHODS. Black male adolescents (n = 157) were randomly assigned to receive an AIDS risk reduction intervention aimed at increasing AIDS-related knowledge and weakening problematic attitudes toward risky sexual behavior, or to receive a control intervention on career opportunities. RESULTS. The adolescents who received the AIDS intervention subsequently had greater AIDS knowledge, less favorable attitudes toward risky sexual behavior, and lower intentions to engage in such behavior than did those in the control condition. Follow-up data collected 3 months later revealed that the adolescents who had received the AIDS intervention reported fewer occasions of coitus, fewer coital partners, greater use of condoms, and a lower incidence of heterosexual anal intercourse than did the other adolescents. CONCLUSIONS. These results suggest that interventions that increase knowledge about AIDS and change attitudes toward risky sexual behavior may have salutary effects on Black adolescents' risk of HIV infection.

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Tài liệu tham khảo

Centers for Disease Control. HIV/AIDS Surveillance Report, June, 1-18. Atlanta, Ga: Center for Infectious Diseases, Centers for Disease Control; 1991.

Centers for Disease Control, 1987, MMWR., 36, 1

Centers for Disease Control. CDC HIV/ AIDS Prevention Newsletter, February. Atlanta, Ga: Centers for Disease Control; 1991.

10.1126/science.3340847

10.1097/00007435-198410000-00005

Hatcher RA, Stewart FH, Trussell J, etal. Contraceptive Technology 1990-1992. New York, NY: Irvington; 1990.

Hayes CD, ed. Risking the Future: Adolescent Sexuality, P&Tnancy, and Childbeaneg, Volume 1. Washington, DC: National Academy Press; 1987.

Hofferth SL, Hayes CD, eds. Risking the Future: Adolescent Sexualit, Pregnancy, and Childbearng, Volume 2. Washington, DC: National Academy Press; 1987.

Jones EF, Forrest JD, Goldman N, etal. Teenage Pregnancy in Industrialized Cownries. New Haven, Conn: Yale University Press; 1986.

Pratt W, 1984, Cycle Ill. Popul Bull., 39, 1

10.2307/2134865

Turner CF, Miller HG, Moses LE, eds. AIDS, Sexual Behavior and Intravenous Drug Use. Washington, DC: National Academy Press; 1989.

Weddle KD, McKenmy PC, Leigh GK Adolescent sexual behavior: trends and issues in research. JAdol Res. 1988;3:245-257.

Chilman CS. Adolescent Sexuality in a Changig Amencan Society: Social and Psychological Perspectives. Bethesda, Md: Department of Health, Education, and Welfare Publication No. NIH 79-1426; 1979.

10.2105/AJPH.70.8.790

10.1177/074355488833009

Solomon M, DeJong W. Preventing AIDS and other STDs through condom promotion: a patient education intervention.AmJ Publc Health. 1989;79:453-458.

10.1037/0022-006X.57.1.60

10.1037/0022-006X.58.4.432

DiClemente RJ, Pies CA, Stoller EJ, etal. Evaluation of school-based AIDS education curricula in San Francisco.JSexRes. 1989;26:188-198.

21, Yarber W. AIDS: What young adults should know. Bloomington, Ind: Indiana State Board of Health; 1987.

Cook TD, Campbell DT. Quasi-epeimentation. Design and Analysis Issues for Field Settings. Chicago, Ill: Rand Mc-Nally; 1979.

Ajzen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. Englewood Cliffs, NJ: Prentice-Hall; 1980.

Fishbein M, Middlestadt SE. Using the theory of reasoned action as a framework for understanding and changing AIDS-related behaviors. In: Mays V, Albee G, Schneider S, eds. Pimnary Preventon of AIDS: PsychologicalApproaches. Beverly Hills, Calif: Sage; 1989:93-110.

Jemmott LS, Jemmott JB III. Sexual knowledge, attitudes, and risky sexual behavior among inner-city Black male adolescents. JAdolRes. 1990;5:346-369.

Jemmott IS, 1991, Nws Res., 40, 228

10.2307/351862

10.2105/AJPH.76.12.1443

Crowne D, Marlowe D. 7TheApproval Motive. New York, NY: John Wiley & Sons; 1964.

Huitema, BE. TheAna 4sis of Covanance and Alternatives. New York, NY: John Wiley & Sons; 1980.

10.1037/0033-2909.108.3.339

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American journal of public health

Tập 82 Số 3

372-377

Thông tin tác giả