Evid Based Nurs 2:14 doi:10.1136/ebn.2.1.14
  • Treatment

Sexually risky behaviour in adolescents was reduced by a safer sex, condom based intervention

 Question Will a multicomponent abstinence intervention reduce the frequency of sexual intercourse, and will a safer sex intervention increase condom use in African-American adolescents?


Randomised controlled trial (RCT) with 12 months follow up.


3 middle schools in low income African-American communities in Philadelphia, Pennsylvania, USA.


School announcements and letters to parents and guardians were used to recruit students. 659 adolescents in the 6th and 7th grade were studied (mean age 11.8 y, 53% girls, 26.8% living with both parents, 25% reported previous sexual experience).


Adolescents were paid US$100 to participate. All interventions were given in 8 one hour sessions on 2 consecutive Saturdays. They were designed to be educational, entertaining, and culture sensitive and included group discussion, videos, games, brainstorming, and experiential and skill building exercises to encourage pride in self and community, responsible behaviour, and consideration of goals and long term health concerns. …

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