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  1. A STD/HIV prevention trial among adolescents in managed care.

    Article - En anglais

    Objective

    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.

    Design

    A randomized intervention trial with 3-and 9-month follow-up.

    Setting

    Five staff-model managed care sites in Washington, DC (n=19 pediatricians).

    Patients

    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).

    Main Outcome Measures

    Adolescent-reported sexual intercourse and condom use.

    Results

    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

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

    Cote : 99-0075022

    Code Inist : 002B30A01C. Création : 31/05/1999.