Focus-on-Teens, sexual risk-reduction intervention for high-school adolescents: Impact on knowledge, change of risk-behaviours, and prevalence of sexually transmitted diseases

C. A. Gaydos, Y. H. Hsieh, J. S. Galbraith, M. Barnes, G. Waterfield, B. Stanton

Research output: Contribution to journalArticle

Abstract

A community-based intervention, Focus-on-Kids (FOK) has demonstrated risk-behaviour reduction of urban youth. We modified FOK to Focus-on-Teens (FOT) for high schools. High school adolescents (n = 1190) were enrolled over successive school semesters. The small-group sessions were presented during the school-lunch hours. Confidential surveys were conducted at baseline, immediate, six-, and 12-month postintervention for demographics, parental communication/monitoring, sexual risk behaviours and sexually transmitted diseases (STDs)/HIV/condom-usage knowledge. Sexually active participants were encouraged to volunteer for urine-based STDs testing at the School-Based Health Centres. Many (47.4%) students reported having had sexual intercourse at baseline. Overall behaviours changed towards 'safer' sex behaviours (intent-to-use and using condoms, communicating with partner/parents about sex/condoms/STDs) with time (P< 0.05). Proportion of students with complete correct knowledge of STDs/HIV increased to 88% at time 4 from 80% at baseline after adjusting for age, gender and sexual activity (P < 0.05). High prevalence of STDs was detected in 875 participants who reported for urine testing at time 1: trichomonas, 11.8%; chlamydia, 10.1 % and gonorrhoea, 4.1 %. Prevalence decreased significantly for 310 participants who re-tested; chlamydia: 27.4% to 6.1 % and gonorrhoea: 11.3% to 3.2%. FOT was successfully implemented as an STDs/HIV risk-reduction intervention. Sustained improvements of knowledge about STDs/HIV/condom usage, decreases in sexual risk behaviours supported the effectiveness of this intervention.

Original languageEnglish (US)
Pages (from-to)704-710
Number of pages7
JournalInternational Journal of STD and AIDS
Volume19
Issue number10
DOIs
StatePublished - Oct 1 2008

Keywords

  • Adolescents
  • Behavioural intervention
  • HIV
  • High schools
  • STDs

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

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