2008, Number 1
<< Back Next >>
salud publica mex 2008; 50 (1)
Intervention to reduce adolescents’ sexual risk behaviors: a randomized controlled trial
Gallegos EC, Villarruel AM, Loveland-Cherry C, Ronis DL, Zhou Y
Language: Spanish
References: 28
Page: 59-66
PDF size: 178.75 Kb.
ABSTRACT
Objective. To test the efficacy of a behavioral intervention designed to decrease risk sexual behaviors for HIV/AIDS and unplanned pregnancies in Mexican adolescents.
Material and Methods. Randomized controlled trial with four follow ups; 832 adolescents recruited from high schools, age 14-17, were randomly assigned to the experimental or control group. The six hour intervention used active learning strategies, and was delivered in two sessions on two consecutive Saturdays. The study was carried out in Monterrey, Mexico, 2002-2005.
Results. GEE analysis indicated no differences in sexual relationships’ intentions between the two conditions, however, the experimental group had higher intentions to use condoms and contraceptives (mean differences 0.15 and 0.16, CI 95%) in the next three months, as compared with the control group. Theoretical variables, such as control beliefs, were significant mediators of the intervention.
Conclusions. The behavioral intervention represents an important effort in promoting safe sexual behaviors among Mexican adolescents.
REFERENCES
Caballero-Hoyos R, Villaseñor-Sierra A. El estrato socioeconómico como factor predictor del uso constante de condón en adolescentes. Rev Saude Pub 2001;35:531-538.
Gayet C, Juárez F, Pedrosa LA, Magis C. Uso del condón entre adolescentes mexicanos para la prevención de las infecciones de transmisión sexual. Salud Publica Mex 2003;45 supl 5:S632-S640.
Villaseñor-Sierra A, Caballero-Hoyos R, Hidalgo-San Martín A, Santos-Preciado JI. Conocimiento objetivo y subjetivo sobre el VIH/SIDA como predictor del uso de condón en adolescentes. Salud Publica Mex 2003;45 supl 1:S73-S80.
Consejo Nacional para la Prevención y Control de SIDA (CONASIDA). Mexico: El SIDA en México, categorías de transmisión. México, DF: Secretaría de Salud, 2006.
Instituto Nacional de Estadística, Geografía e Informática. México: Porcentaje de nacimientos registrados de madres adolescentes (menores de 20 años), 1990-2005. México, DF: INEGI, 2006.
Instituto Mexicano de la Juventud. Encuesta Nacional de Juventud 2005, resultados preliminares. Mexico, DF: Secretaria de Educación Pública, 2006.
Secretaría de Salud. Programa de Acción VIH/SIDA e Infecciones de Transmisión Sexual. Mexico, DF: Secretaria de Salud, 2002.
Martínez-Donate AP, Hovell MF, Zellener J, Sipan CL, Blumberg EJ, Carrizosa C. Evaluation of two schools-based HIV prevention interventions in the border city of Tijuana, México. JSR 2004;41:267-278.
McCauley A, Pick S, Guivaudan M. Programming for HIV Prevention in Mexican Schools. Washington, DC: Population Council, 2003.
Walker D, Gutiérrez JP, Torres P, Bertozzi SM. HIV prevention in Mexican schools: Prospective randomized evaluation of intervention. BMJ 2006;332:1189-1194.
Sczapocznick J, Coatsworth JD. An ecodevelopmental framework for organizing the influence on drug abused: An ecodevelopmental model for risk and prevention. En: Glanz M, Hertel CR, ed. Drug abuse: Origins and interventions. Washington: American Psychological Association, 1999:331-366
Bandura A. Perceived self-efficacy. En: Mays VM, Albe GW, Schneider SF, ed. Primary prevention of AIDS: Psychological approaches. Newbury Park: Sage, 1989:128-141.
Ajzen I, Fishben M. Understanding attitudes and predicting social behavior. 1era. edición. Englewood Cliffs:Prentice-Hall, 1980.
Ajzen I. The theory of planned behavior. OBHDP 1991;50:179-211.
Villarruel AM, Jemmott JB III, Jemmott LS. A randomized control trial testing and HIV prevention intervention for Latino youth. Arch Pediatr Adolesc Med 2006;160:772-777.
Villarruel AM, Jemmott LS, Jemmott JB III. Designing a culturally based intervention to reduce HIV sexual risk for Latino adolescents. JANAC 2005;16:23-31.
Villarruel AM, Gallegos EC, Loveland-Cherry CJ, Duran MR. La Uniendo de Fronteras: Collaboration to develop HIV prevention strategies for Mexican and Latino youth. J Transcult Nurs 2003;14:193-206
Jemmott JB III, Jemmott LS, Fong GT. Reduction in HIV risk-associated sexual behaviors among black male adolescents: Effects of an AIDS prevention intervention. Am J Public Health 1992;82:372-377.
Jemmott JB III, Jemmott LS, Fong GT. Abstinence and safer sex intervention for African American adolescents: A randomized control trial. JAMA 1998;279:1529-1536.
Villarruel AM, Jemmott JB III, Jemmott LS, Ronis DL. Predictors of sexual intercourse and condom use intentions among Spanish-dominant Latino youth. Nur Res 2004;53:172-181.
Crowne D, Marlow D. The approval motive. 1a edición. New York: Wiley & Sons, 1964.
Jemmott LS, Jemmott JB III, Villarruel AM. Predicting intentions and condom use among Latino college students. JANAC 2002;13:59-69.
Nunally JC, Bernstein IH. Psychometric theory. 3a edición. New York: McGraw Hill, 1994: 248-292.
Ajzen I. Constructing a TpB questionnaire, United States, September 2002-January 2006. Amherst (MA): Icek Ajzen Home Page, 2006.
Cohen J. Statistical power analysis for the behavioral sciences. 2a edición. Hillsdale:Erlbaum, 1988: 19-66.
Diggle PJ, Heagerty P, Liang KY, Zeger SL, ed. The analysis of longitudinal data. England:Oxford University Press, 2002.
Baron RM, Kenny DA. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. JPSP 1986;51:1173-1182.
McKinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets BA. Comparison of methods to test mediation and other intervening variable effects. Psychol Methods 2002;7:83-104.