Journal of Consulting and Clinical Psychology · 2002 · 96 citations · 49 references
Public HealthHealth BehaviorHealth PromotionAdolescent HealthHiv PreventionSexual Health EducationAdolescent Hiv PreventionSafer Sex PracticesSexual HealthSexual Risk ReductionSexually Transmitted Infection PreventionSexually Transmitted InfectionsAttitudes Toward Condom UseCondom Use Among AdolescentsHiv Risk ReductionRisk SensitizationSafer Sex EducationSafer Sex Skills TrainingSexual AbstinenceUnprotected Sex
A randomized controlled trial assessed 3 interventions designed to increase safer sex behaviors of substance-dependent adolescents. Participants (N = 161) received 12 sessions of either a health information intervention (I only), information plus skills-based safer sex training (I + B), or the same experimental condition plus a risk-sensitization manipulation (I + M + B). The I + B and I + M + B conditions, as compared with the I only condition, (a) produced more favorable attitudes toward condoms; (b) reduced the frequency of unprotected vaginal sex; and (c) increased behavioral skill performance, frequency of condom-protected sex, percentage of intercourse occasions that were condom protected, and number of adolescents who abstained from sex. The intervention that included the risk-sensitization procedure was more resistant to decay. An unexpected finding was that the I + B and I + M + B conditions produced substantial increases in sexual abstinence.
49