To determine if sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection, risk assessment, and education tools provided as part of office-based primary care reduce adolescent risky sexual behaviors.
A randomized intervention trial with 3-and 9-month follow-up.
Five staff-model managed care sites in Washington, DC (n=19 pediatricians).
Consecutive 12-to 15-year-olds receiving a general health examination ; 81% minority.
Participation rate=215/432 (50%). Nine-month follow-up rate=197/215 (92%). Intervention.
Audiotaped STD risk assessment and education about staying safe (safer=condoms, safest=abstinence).
Adolescent-reported sexual intercourse and condom use.
More intervention adolescents reported pediatrician discussion on 11/13 sexual topics.
Although more vaginal intercourse (odds ratio [OR]=2.46,95% confidence interval [CI]=1.04-5.84) was reported in the intervention group at 3 months, this was not true of overall sexual intercourse (OR=1.55,95% CI=73-3.32).
More sexually active adolescents reported condom use in the intervention group at 3 months (OR=18.05,95% CI=1.27-256.03).
At 9 months, there were no group differences in sexual behaviors ; however, more signs of STD were reported by the control (7/103) than the intervention group (0/94). (...)
Mots-clés Pascal : SIDA, Virose, Infection, Maladie sexuellement transmissible, Prévention, Education, Etude longitudinale, Adolescent, Homme, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : AIDS, Viral disease, Infection, Sexually transmitted disease, Prevention, Education, Follow up study, Adolescent, Human, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0075022
Code Inist : 002B30A01C. Création : 31/05/1999.