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Assessment of a Culturally-Tailored Sexual Health Education Program for African American Youth

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  • Tiffany Zellner Lawrence

    (Department of Community Health and Preventive Medicine, Morehouse School of Medicine Prevention Research Center, 720 Westview Drive SW, Atlanta, GA 30310, USA)

  • Tabia Henry Akintobi

    (Department of Community Health and Preventive Medicine, Morehouse School of Medicine Prevention Research Center, 720 Westview Drive SW, Atlanta, GA 30310, USA)

  • Assia Miller

    (McKing Consulting Corporation, 2900 Chamblee Tucker Road, Building 10, Suite 100, Atlanta, GA 30341, USA)

  • Elaine Archie-Booker

    (Department of Community Health and Preventive Medicine, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310, USA)

  • Tarita Johnson

    (Wholistic Stress Control Institute, Incorporated, 2545 Benjamin E. Mays Drive, Atlanta, GA 30311, USA)

  • Donoria Evans

    (ICF International, 3 Corporate Square NE Suite 370, Atlanta, GA 30329, USA)

Abstract

African American youth are affected disproportionately by sexually transmitted infections (STIs), human immunodeficiency virus (HIV)/acquired immune deficiency syndrome (AIDS), and teenage pregnancy when compared to other racial groups. This paper evaluates the effectiveness of the To Help Young People Establish (2 HYPE) Abstinence Club, a behavioral intervention designed to promote delayed sexual activity among African American youth ages 12–18 in Atlanta, Georgia. The intervention included 20 h of curriculum and creative arts instruction. Pre- and post-intervention survey data collected from 2008–2010 were analyzed to determine the effectiveness of the intervention. Intervention ( n = 651) and comparison ( n = 112) groups were compared through analysis of variance and multivariate logistic regression models. There was a statistically significant increase in intervention youth who were thinking about being abstinent ( p = 0.0005). Those who had not been engaged in sexual activity were two times more likely to plan abstinence compared to participants that had been previously sexually active previously (odds ratio 2.41; 95% confidence interval 1.62, 3.60). Significant results hold implications for subsequent community-based participatory research and practice that broadens the understanding of the relevance of marriage, as just one among other life success milestones that may hold more importance to African American youth in positioning the value of delayed and responsible sexual activity towards effective STIs, HIV/AIDS, and teen pregnancy risk reduction interventions.

Suggested Citation

  • Tiffany Zellner Lawrence & Tabia Henry Akintobi & Assia Miller & Elaine Archie-Booker & Tarita Johnson & Donoria Evans, 2016. "Assessment of a Culturally-Tailored Sexual Health Education Program for African American Youth," IJERPH, MDPI, vol. 14(1), pages 1-13, December.
    • Handle: RePEc:gam:jijerp:v:14:y:2016:i:1:p:14-:d:86098
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    References listed on IDEAS

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    1. repec:mpr:mprres:4607 is not listed on IDEAS
    2. repec:mpr:mprres:5881 is not listed on IDEAS
    3. Christopher Trenholm & Barbara Devaney & Kenneth Fortson & Melissa Clark & Lisa Quay & Justin Wheeler, 2008. "Impacts of abstinence education on teen sexual activity, risk of pregnancy, and risk of sexually transmitted diseases," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 27(2), pages 255-276.
    4. Lisa Lieberman & Haiyan Su, 2012. "Impact of the Choosing the Best Program in Communities Committed to Abstinence Education," SAGE Open, , vol. 2(1), pages 21582440124, January.
    5. Wallerstein, N. & Duran, B., 2010. "Community-based participatory research contributions to intervention research: The intersection of science and practice to improve health equity," American Journal of Public Health, American Public Health Association, vol. 100(S1), pages 40-46.
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    Cited by:

    1. Ijeoma Opara & Kimberly Pierre & Maame Araba Assan & Laurel Scheinfeld & Courtnae Alves & Kristina Cross & Ashley Lizarraga & Bridgette Brawner, 2022. "A Systematic Review on Sexual Health and Drug Use Prevention Interventions for Black Girls," IJERPH, MDPI, vol. 19(6), pages 1-17, March.

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