TY - JOUR
T1 - Behavioral and psychosocial effects of two middle school sexual health education programs at tenth-grade follow-up
AU - Markham, Christine M.
AU - Peskin, Melissa F.
AU - Shegog, Ross
AU - Baumler, Elizabeth R.
AU - Addy, Robert C.
AU - Thiel, Melanie
AU - Escobar-Chaves, Soledad Liliana
AU - Robin, Leah
AU - Tortolero, Susan R.
N1 - Funding Information:
This study was funded by Centers for Disease Control and Prevention Grant 5U48DP000057 and by United States Department of Health and Human Services, Adolescent Family Life , Grant 90XF0036 .
PY - 2014/2
Y1 - 2014/2
N2 - Purpose An earlier randomized controlled trial found that two middle school sexual education programs - a risk avoidance (RA) program and a risk reduction (RR) program - delayed initiation of sexual intercourse (oral, vaginal, or anal sex) and reduced other sexual risk behaviors in ninth grade. We examined whether these effects extended into 10th grade. Methods Fifteen middle schools were randomly assigned to RA, RR, or control conditions. Follow-up surveys were conducted with participating students in 10th grade (n = 1,187; 29.2% attrition). Results Participants were 60% female, 50% Hispanic, and 39% black; seventh grade mean age was 12.6 years. In 10th grade, compared with the control condition, both programs significantly delayed anal sex initiation in the total sample (RA: adjusted odds ratio [AOR],.64, 95% confidence interval [CI],.42-.99; RR: AOR,.65, 95% CI,.50-.84) and among Hispanics (RA: AOR,.53, 95% CI,.31-.91; RR: AOR,.82, 95% CI,.74-.93). Risk avoidance students were less likely to report unprotected vaginal sex, either by using a condom or by abstaining from sex (AOR:.61, 95% CI,.45-.85); RR students were less likely to report recent unprotected anal sex (AOR:.34, 95% CI,.20-.56). Both programs sustained positive impact on some psychosocial outcomes. Conclusions Although both programs delayed anal sex initiation into 10th grade, effects on the delayed initiation of oral and vaginal sex were not sustained. Additional high school sexual education may help to further delay sexual initiation and reduce other sexual risk behaviors in later high school years.
AB - Purpose An earlier randomized controlled trial found that two middle school sexual education programs - a risk avoidance (RA) program and a risk reduction (RR) program - delayed initiation of sexual intercourse (oral, vaginal, or anal sex) and reduced other sexual risk behaviors in ninth grade. We examined whether these effects extended into 10th grade. Methods Fifteen middle schools were randomly assigned to RA, RR, or control conditions. Follow-up surveys were conducted with participating students in 10th grade (n = 1,187; 29.2% attrition). Results Participants were 60% female, 50% Hispanic, and 39% black; seventh grade mean age was 12.6 years. In 10th grade, compared with the control condition, both programs significantly delayed anal sex initiation in the total sample (RA: adjusted odds ratio [AOR],.64, 95% confidence interval [CI],.42-.99; RR: AOR,.65, 95% CI,.50-.84) and among Hispanics (RA: AOR,.53, 95% CI,.31-.91; RR: AOR,.82, 95% CI,.74-.93). Risk avoidance students were less likely to report unprotected vaginal sex, either by using a condom or by abstaining from sex (AOR:.61, 95% CI,.45-.85); RR students were less likely to report recent unprotected anal sex (AOR:.34, 95% CI,.20-.56). Both programs sustained positive impact on some psychosocial outcomes. Conclusions Although both programs delayed anal sex initiation into 10th grade, effects on the delayed initiation of oral and vaginal sex were not sustained. Additional high school sexual education may help to further delay sexual initiation and reduce other sexual risk behaviors in later high school years.
KW - Adolescents
KW - Computer-based
KW - Health education
KW - Intervention studies
KW - Sexual behavior
KW - Urban populations
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U2 - 10.1016/j.jadohealth.2013.10.204
DO - 10.1016/j.jadohealth.2013.10.204
M3 - Article
C2 - 24445180
AN - SCOPUS:84892707340
SN - 1054-139X
VL - 54
SP - 151
EP - 159
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 2
ER -