Source:http://linkedlifedata.com/resource/pubmed/id/19116781
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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
3
|
| pubmed:dateCreated |
2009-5-25
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| pubmed:abstractText |
Behavioral interventions based on the Protection Motivation Theory (PMT) have been demonstrated to reduce HIV risk behavior among mid- and older adolescents in different settings across the globe but have not been evaluated among Caribbean nations and have received limited evaluation among pre-adolescents. To determine (1) the effectiveness among pre-adolescents in The Bahamas of a PMT-based HIV prevention program "Focus on Youth in the Caribbean" (FOYC) and (2) the role of the targeted PMT constructs in intervention effect. 1,360 sixth grade youth (10-11 years of age) from 15 urban schools in New Providence, The Bahamas were randomized by school to receive either FOYC or a control condition. Data collected at baseline, 6 and 12 months post intervention were analyzed. A five-step scheme was used to assess sexual behavior progression, ranging from "1" = "a virgin without intention to have sex" to "5" = "having sex without a condom". Group-based trajectory analysis was utilized in assessing the program effect. Two sexual behavior progression patterns were detected: slow progressors and quick progressors. Receiving FOYC reduced the likelihood for adolescents to become quick progressors (adjusted OR = 0.77, 95% CI: 0.64-1.00). The observed effectiveness was especially impacted by a subset of the targeted PMT constructs. FOYC effectively delays sexual risk among Bahamian pre-adolescents. The group-based trajectory analysis provides an analytical approach for assessing interventions among adolescents with low rates and diverse progression patterns of sexual activity.
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| pubmed:grant | |
| pubmed:language |
eng
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| pubmed:journal | |
| pubmed:citationSubset |
IM
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| pubmed:status |
MEDLINE
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| pubmed:month |
Jun
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| pubmed:issn |
1573-3254
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| pubmed:author | |
| pubmed:issnType |
Electronic
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| pubmed:volume |
13
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| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
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| pubmed:pagination |
499-508
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| pubmed:meshHeading |
pubmed-meshheading:19116781-Adolescent,
pubmed-meshheading:19116781-Bahamas,
pubmed-meshheading:19116781-Child,
pubmed-meshheading:19116781-Cluster Analysis,
pubmed-meshheading:19116781-Cultural Characteristics,
pubmed-meshheading:19116781-Female,
pubmed-meshheading:19116781-HIV Infections,
pubmed-meshheading:19116781-Health Education,
pubmed-meshheading:19116781-Health Knowledge, Attitudes, Practice,
pubmed-meshheading:19116781-Health Promotion,
pubmed-meshheading:19116781-Humans,
pubmed-meshheading:19116781-Male,
pubmed-meshheading:19116781-Parents,
pubmed-meshheading:19116781-Program Evaluation,
pubmed-meshheading:19116781-Questionnaires,
pubmed-meshheading:19116781-Risk-Taking,
pubmed-meshheading:19116781-Students,
pubmed-meshheading:19116781-Urban Population
|
| pubmed:year |
2009
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| pubmed:articleTitle |
A cluster randomized controlled trial of an adolescent HIV prevention program among Bahamian youth: effect at 12 months post-intervention.
|
| pubmed:affiliation |
Department of Pediatrics, Pediatric Prevention Research Center, Wayne State University School of Medicine, 4201 St. Antoine Street, UHC-6D, Detroit, MI, USA. jimchen@med.wayne.edu
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| pubmed:publicationType |
Journal Article,
Randomized Controlled Trial,
Research Support, N.I.H., Extramural
|