AIDS and Behavior

, 15:1755

Long Term Effects of Community-Based STI Screening and Mass Media HIV Prevention Messages on Sexual Risk Behaviors of African American Adolescents

  • Sharon Sznitman
  • Bonita F. Stanton
  • Peter A. Vanable
  • Michael P. Carey
  • Robert F. Valois
  • Larry K. Brown
  • Ralph DiClemente
  • Michael Hennessy
  • Laura F. Salazar
  • Daniel Romer
Original Paper

DOI: 10.1007/s10461-011-9946-6

Cite this article as:
Sznitman, S., Stanton, B.F., Vanable, P.A. et al. AIDS Behav (2011) 15: 1755. doi:10.1007/s10461-011-9946-6

Abstract

We examined the long-term effects of two interventions designed to reduce sexual risk behavior among African American adolescents. African American adolescents (N = 1383, ages 14–17) were recruited from community-based organizations over a period of 16 months in two northeastern and two southeastern mid-sized U.S. cities with high rates of sexually transmitted infection (STI). Participants were screened for three STIs (gonorrhea, chlamydia, and trichomoniasis) and completed an audio computer-assisted attitude, intention, and behavior self-interview. Youth who tested positive for an STI (8.3%) received treatment and risk reduction counseling. In addition, television and radio HIV-prevention messages were delivered during the recruitment period and 18 months of follow-up in one randomly selected city in each region. Analyses determined effects of the media program for those receiving a positive versus negative STI test result on number of sexual partners and occurrence of unprotected sex. Adolescents who tested STI-positive reduced their number of vaginal sex partners and the probability of unprotected sex over the first 6 months. However, in the absence of the mass media program, adolescents returned to their previously high levels of sexual risk behavior after 6 months. Adolescents who tested STI-positive and received the mass media program showed more stable reductions in unprotected sex. Community-based STI treatment and counseling can achieve significant, but short-lived reductions in sexual risk behavior among STI-positive youth. A culturally sensitive mass media program has the potential to achieve more stable reductions in sexual risk behavior and can help to optimize the effects of community-based STI screening.

Keywords

Community-based STI screening Mass media interventions STI/HIV prevention African American adolescent 

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Sharon Sznitman
    • 1
  • Bonita F. Stanton
    • 2
  • Peter A. Vanable
    • 3
  • Michael P. Carey
    • 3
  • Robert F. Valois
    • 4
  • Larry K. Brown
    • 5
  • Ralph DiClemente
    • 6
  • Michael Hennessy
    • 1
  • Laura F. Salazar
    • 6
  • Daniel Romer
    • 1
  1. 1.Annenberg Public Policy CenterUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.Department of PediatricsWayne State University School of MedicineDetroitUSA
  3. 3.Department of PsychologySyracuse UniversitySyracuseUSA
  4. 4.Arnold School of Public HealthUniversity of South CarolinaColumbiaUSA
  5. 5.Department of Psychiatry and Human BehaviorBrown UniversityProvidenceUSA
  6. 6.Rollins School of Public HealthEmory UniversityAtlantaUSA

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