Preventing sexually transmitted infections among adolescents: 'the glass is half full'

Current Opinion in Infectious Diseases

Volumn 19, Issue 1, 2006, Pages 39-43

  DiClemente, Ralph J ^a,b,c   Crosby, Richard A ^d  

^a EMORY UNIVERSITY   (United States)

^b EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c EMORY CENTER FOR AIDS RESEARCH   (United States)

^d UNIVERSITY OF KENTUCKY COLLEGE OF PUBLIC HEALTH   (United States)

Author keywords

Adolescents; Epidemic; Prevention programs; Sexually transmitted infection

Indexed keywords

ADOLESCENCE; CHILD BEHAVIOR; CHLAMYDIASIS; CONDOM; HEALTH EDUCATION; HEALTH PROGRAM; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; INFECTION PREVENTION; INFECTION RISK; OUTCOME ASSESSMENT; PUBLIC HEALTH SERVICE; REVIEW; SAFE SEX; SCHOOL; SELF HELP; SEXUAL BEHAVIOR; SEXUALLY TRANSMITTED DISEASE; STATISTICAL SIGNIFICANCE; UNITED STATES;

EID: 29744440121     PISSN: 09517375     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.qco.0000200296.24447.2b     Document Type: Review

References (23)

1. Ruiz MS, Gable AR, Kaplan EH, et al. No time to lose: getting more from HIV prevention. In: Institute of Medicine. Washington DC: National Academy Press; 2001.
2. Weinstock H, Berman S, Cates W, et al. Sexually transmitted disease among America's youth: Incidence and prevalence estimates. Perspect Sex Reprod Health 2004; 36:6-10.
3. DiClemente RJ, Salazar LF, Crosby RA, et al. Prevention and control of sexually transmitted infections among adolescents: the importance of a socioecological perspective: a commentary. Public Health 2005; 119: 825-836. This paper presents an extensive review of the empirical literature to identify the antecedents and determinants of STIs and STI-associated sexual behavior. Based on this review, the authors categorize adolescents' STI-associated risk behaviors into relevant domains. Understanding the influence of these different domains, salient in adolescents' lives, is critical for the design of optimally effective STI-prevention interventions. Finally, it is asserted that STI-prevention programs need to be developed across domains to maximize their impact and potential to access the broadest range of adolescent audiences.
4. Eng TR, Butler WT, editors. The hidden epidemic: confronting sexually transmitted diseases. Washington DC: National Academy Press; 1997.
5. Chesson JM, Blandford T, Gift I, et al. The estimated direct medical cost of sexually transmitted diseases among American youth, 2000. Perspect Sex Reprod Health 2004; 36:11-19.
6. Coates TJ, Szekeres G. A plan for the next generation of HIV prevention research: seven key policy investigative challenges. Am Psychol 2004; 59:747-757.
7. Pedlow CT, Carey MP. HIV sexual risk-reduction interventions for youth: a review and methodological critique of randomized controlled trials. Behav Modificat 2003; 27:135-190.
8. Robin L, Dittus P, Whitaker D, et al. Behavioral interventions to reduce incidence of HIV, STD, and pregnancy among adolescents: a decade in review. J Adolesc Health 2004; 34:3-26.
9. Mullen PD, Ramirez G, Strouse D, et al. Meta-analysis of the effects of behavioral HIV prevention interventions on the sexual risk behavior of sexually experienced adolescents in controlled studies in the United States. J Acquir Immune Defic Syndr 2002; 30:S94-S105.
10. Jemmott JB, Jemmott LS. HIV behavioral interventions for adolescents in community settings. In: Peterson JL, DiClemente RJ, editors. Handbook of HIV prevention. New York, NY: Plenum Press; 2000. pp. 103-128.
11. Kirby D. School-based interventions to prevent unprotected sex and HIV among adolescents. In: Peterson JL, DiClemente RJ, editors. Handbook of HIV prevention. New York, NY: Plenum Press; 2000. pp. 83-102.
12. DeLamater J, Wagstaff DA, Havens KK. The impact of culturally appropriate STD/AIDS education intervention on Black male adolescents' sexual and condom use behavior. Health Edu Behav 2000; 27:454-470.
13. Metzler CW, Biglan A, Noell J, et al. A randomized controlled trial of a behavioral intervention to educe high-risk sexual behavior among adolescents in STD clinics. Behav Ther 2000; 31:27-54.
14. Scholes D, McBride CM, Grothaus L, et al. A tailored minimal self-help intervention to promote condom use in young women: results from a randomized trial. AIDS 2003; 17:1547-1556.
15. Shrier LA, Ancheta R, Goodman E, et al. Randomized controlled trial of a safer sex intervention for high-risk adolescent girls. Arch Pediatr Adolesc Med 2001; 155:73-79.
16. DiClemente RJ, Wingood GM, Harrington KF, et al. Efficacy of an HIV prevention intervention for African American adolescent girls: a randomized controlled trial. JAMA 2004; 292:171-179. This article presents data derived from a randomized controlled trial describing the impact of a gender and culturally congruent STI-/HIV-prevention program for African-American female adolescents of 14-18 years of age. To our knowledge, this is the first article to demonstrate substantial intervention effects across a range of behavioral outcomes (i.e. condom use, condom-application skills, acquisition of a new partner), mediators of STI-/HIV-preventive behaviors (i.e. self-efficacy to use condoms, STI-/HIV-prevention knowledge, barriers to condom use, etc.), and most important, a marked reduction in biologically confirmed STI incidence at 12-month follow up.
17. Basen-Enquist K, Coyle KK, Parcel GS, et al. Schoolwide effects of a multicomponent HIV, STD, and pregnancy prevention program for high school students. Health Edu Behav 2001; 28:166-185.
18. Kirby DB, Baumier E, Coyle KK, et al. The "Safer Choices" intervention: its impact on the sexual behaviors of different subgroups of high school students. J Adolesc Health 2004; 35:442-452.
19. Coyle KK, Kirby DB, Marin BV, et al. Draw the Line/Respect the Line: a randomized trial of a middle school intervention to reduce sexual risk behaviors. Am J Public Health 2004; 94:843-851.
20. Lonczak HS, Abbott RD, Hawkins JD, et al. Effects of the Seattle Social Development Project on sexual behavior, pregnancy, birth, and sexually transmitted disease outcomes by age 21 years. Arch Pediatr Adolesc Med 2002; 156:438-447.
21. DiClemente RJ, Wingood GM. Expanding the scope of HIV prevention for adolescents: Beyond individual-level interventions. J Adolesc Health 2000; 26:377-378.
22. DiClemente RJ, Wingood GM. HIV prevention for adolescents: windows of opportunity for optimizing intervention effectiveness. Arch Pediatr Adolesc Med 2003; 157:319-320.
23. Manhart LE, Holmes KK. Randomized controlled trials of individual-level, population-level, and multilevel interventions for preventing sexually transmitted infections: what has worked. J Infect Dis 2005; 191 (suppl 1):S7-S24. This article provides a comprehensive review of STI-prevention programs. It is not specific to youth. The authors note that while some programs have demonstrated efficacy, program dissemination has not been efficient or timely to address the burgeoning STI epidemic.