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Effectiveness of an HIV/STD risk-reduction intervention for adolescents when implemented by community-based organizations: A cluster-randomized controlled trial

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  • Jemmott III, J.B.
  • Jemmott, L.S.
  • Fong, G.T.
  • Morales, K.H.

Abstract

Objectives. We evaluated the effectiveness of an HIV/STD risk-reduction intervention when implemented by community-based organizations (CBOs). Methods. In a cluster-randomized controlled trial, 86 CBOs that served African American adolescents aged 13 to 18 years were randomized to implement either an HIV/STD risk-reduction intervention whose efficacy has been demonstrated or a health-promotion control intervention. CBOs agreed to implement 6 intervention groups, a random half of which completed 3-, 6-, and 12-month follow-up assessments. The primary outcome was consistent condom use in the 3 months prior to each follow-up assessment, averaged over the follow-up assessments. Results. Participants were 1707 adolescents, 863 in HIV/STD-intervention CBOs and 844 in control-intervention CBOs. HIV/STD-intervention participants were more likely to report consistent condom use (odds ratio [OR] = 1.39; 95% confidence interval [Cl] = 1.06, 1.84) than were control-intervention participants. HIV/STD-intervention participants also reported a greater proportion of condomprotected intercourse (β=0.06; 95% Cl = 0.00, 0.12) than did the control group. Conclusions. This is the first large, randomized intervention trial to demonstrate that CBOs can successfully implement an HIV/STD risk-reduction intervention whose efflcacv has been established.

Suggested Citation

  • Jemmott III, J.B. & Jemmott, L.S. & Fong, G.T. & Morales, K.H., 2010. "Effectiveness of an HIV/STD risk-reduction intervention for adolescents when implemented by community-based organizations: A cluster-randomized controlled trial," American Journal of Public Health, American Public Health Association, vol. 100(4), pages 720-726.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2008.140657_3
    DOI: 10.2105/AJPH.2008.140657
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    Cited by:

    1. Jeff Naidoo & Jeffrey T. Huber & Pamela Cupp & Qishan Wu, 2013. "Modeling the relationship between an emerging infectious disease epidemic and the body of scientific literature associated with it: The case of HIV/AIDS in the United States," Journal of the Association for Information Science & Technology, Association for Information Science & Technology, vol. 64(2), pages 380-391, February.
    2. Taylor, Rebecca J. & Shade, Kate & Lowry, Sarah J. & Ahrens, Kym, 2020. "Evaluation of reproductive health education in transition-age youth," Children and Youth Services Review, Elsevier, vol. 108(C).
    3. repec:mpr:mprres:7799 is not listed on IDEAS
    4. Brian Goesling & Silvie Colman & Christopher Trenholm & Mary Terzian & Kristin Moore, "undated". "Programs to Reduce Teen Pregnancy, Sexually Transmitted Infections, and Associated Sexual Risk Behaviors: A Systematic Review," Mathematica Policy Research Reports 86f1c46af651471f8bfb97142, Mathematica Policy Research.
    5. Zohra S. Lassi & Sophie G. E. Kedzior & Wajeeha Tariq & Yamna Jadoon & Jai K. Das & Zulfiqar A. Bhutta, 2021. "Effects of preconception care and periconception interventions on maternal nutritional status and birth outcomes in low‐ and middle‐income countries: A systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(2), June.
    6. Combs, Katie Massey & Aparicio, Elizabeth M. & Prince, Dana M. & Grinnell-Davis, Claudette & Marra, Laura & Faulkner, Monica, 2019. "Evidence-based sexual health programs for youth involved with juvenile justice and child welfare systems: Outcomes across settings," Children and Youth Services Review, Elsevier, vol. 100(C), pages 64-69.
    7. Fan Zhang & Louisa Chung, 2021. "HIV/AIDS Awareness Among Young Adults in Hong Kong: The Roles of Knowledge, Acceptance and Stigma," IJERPH, MDPI, vol. 18(14), pages 1-9, July.
    8. Margaret Dolcini, M. & Gandelman, Alice A. & Vogan, Stacy A. & Kong, Carol & Leak, Tia-Nicole & King, A.J. & DeSantis, Linda & O'Leary, Ann, 2010. "Translating HIV interventions into practice: Community-based organizations' experiences with the diffusion of effective behavioral interventions (DEBIs)," Social Science & Medicine, Elsevier, vol. 71(10), pages 1839-1846, November.

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