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  1. Behavioral intervention to increase condom use among high-risk female adolescents.

    Article - En anglais

    Objective 

    To determine whether condom use among high-risk female adolescents could be increased by a behavioral intervention, with the use of infection with Chlamydia trachomatis as a biomarker of condom practices.

    Design 

    Prospective, randomized, controlled intervention.

    Setting 

    Urban family planning and sexually transmitted disease clinics.

    Participants 

    Two hundred nine female adolescents, aged 15 through 19 years, who were treated for C. trachomatis genitourinary infection, were randomly assigned to standard (control) or experimental (behavioral intervention) groups.

    One hundred twelve subjects returned for follow-up 5 to 7 months after enrollment and comprise the study subjects.

    Measurements 

    Subjects completed a multiinstrument questionnaire measuring sexual behavior, condom practices, attitudes and beliefs, cognitive complexity, sociodemographics, and motivation at enrollment and follow-up.

    Endourethral and endocervical sites were sampled for C. trachomatis.

    Results 

    Among the 112 subjects who returned for repeated examination, those who had received the experimental intervention reported increased use of condoms by their sexual partners for protection against sexually transmitted diseases (odds ratio=2.4 ; p=0.02) and for vaginal intercourse (odds ratio=3.1 ; p=0.005) at the 6-month follow-up.

    Multivariable logistic regression analysis controlling for condom use at enrollment demonstrated that the experimental intervention (odds ratio=2.8 ;...

    Mots-clés Pascal : Chlamydiose, Chlamydia trachomatis, Maladie sexuellement transmissible, Prévention, Comportement sexuel, Résultat, Condom, Risque, Femelle, Adolescent, Education sanitaire, Bactériose, Infection, Chlamydiaceae, Chlamydiales, Bactérie, Homme

    Mots-clés Pascal anglais : Chlamydiosis, Chlamydia trachomatis, Sexually transmitted disease, Prevention, Sexual behavior, Result, Condom, Risk, Female, Adolescent, Health education, Bacteriosis, Infection, Chlamydiaceae, Chlamydiales, Bacteria, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0146852

    Code Inist : 002B30A03B. Création : 199608.