TY - JOUR
T1 - The Impact of a Sexual and Reproductive Health Intervention for American Indian Adolescents on Predictors of Condom Use Intention
AU - Tingey, Lauren
AU - Chambers, Rachel
AU - Rosenstock, Summer
AU - Lee, Angelita
AU - Goklish, Novalene
AU - Larzelere, Francene
N1 - Publisher Copyright:
© 2016 Society for Adolescent Health and Medicine
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Purpose American Indian (AI) adolescents experience inequalities in sexual health, in particular, early sexual initiation. Condom use intention is an established predictor of condom use and is an important construct for evaluating interventions among adolescents who are not yet sexually active. This analysis evaluated the impact of Respecting the Circle of Life (RCL), a sexual and reproductive health intervention for AI adolescents, on predictors of condom use intention. Methods We utilized a cluster randomized controlled trial design to evaluate RCL among 267 AIs ages 13–19. We examined baseline psychosocial and theoretical variables associated with condom use intention. Generalized estimating equation regression models determined which baseline variables predictive of condom use intention were impacted. Results Mean sample age was 15.1 years (standard deviation 1.7) and 56% were female; 22% had initiated sex. A larger proportion of RCL versus control participants had condom use intention post intervention (relative risk [RR] = 1.39, p =.008), especially younger (ages 13–15; RR = 1.42, p =.007) and sexually inexperienced adolescents (RR = 1.44, p =.01); these differences attenuated at additional follow-up. Baseline predictors of condom use intention included being sexually experienced, having condom use self-efficacy, as well as response efficacy and severity (both theoretical constructs). Of these, the RCL intervention significantly impacted condom use self-efficacy and response efficacy. Conclusions Results demonstrate RCL intervention efficacy impacting variables predictive of condom use intention at baseline, with greater differences among younger, sexually inexperienced adolescents. To sustain intervention impact, future RCL implementation should reinforce education and training in condom use self-efficacy and response efficacy and recruit younger, sexually inexperienced AI adolescents.
AB - Purpose American Indian (AI) adolescents experience inequalities in sexual health, in particular, early sexual initiation. Condom use intention is an established predictor of condom use and is an important construct for evaluating interventions among adolescents who are not yet sexually active. This analysis evaluated the impact of Respecting the Circle of Life (RCL), a sexual and reproductive health intervention for AI adolescents, on predictors of condom use intention. Methods We utilized a cluster randomized controlled trial design to evaluate RCL among 267 AIs ages 13–19. We examined baseline psychosocial and theoretical variables associated with condom use intention. Generalized estimating equation regression models determined which baseline variables predictive of condom use intention were impacted. Results Mean sample age was 15.1 years (standard deviation 1.7) and 56% were female; 22% had initiated sex. A larger proportion of RCL versus control participants had condom use intention post intervention (relative risk [RR] = 1.39, p =.008), especially younger (ages 13–15; RR = 1.42, p =.007) and sexually inexperienced adolescents (RR = 1.44, p =.01); these differences attenuated at additional follow-up. Baseline predictors of condom use intention included being sexually experienced, having condom use self-efficacy, as well as response efficacy and severity (both theoretical constructs). Of these, the RCL intervention significantly impacted condom use self-efficacy and response efficacy. Conclusions Results demonstrate RCL intervention efficacy impacting variables predictive of condom use intention at baseline, with greater differences among younger, sexually inexperienced adolescents. To sustain intervention impact, future RCL implementation should reinforce education and training in condom use self-efficacy and response efficacy and recruit younger, sexually inexperienced AI adolescents.
KW - Adolescent
KW - American Indian
KW - Condom use intention
KW - Reproductive health
KW - Sexual health
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U2 - 10.1016/j.jadohealth.2016.08.025
DO - 10.1016/j.jadohealth.2016.08.025
M3 - Article
C2 - 28034609
AN - SCOPUS:85009212149
SN - 1054-139X
VL - 60
SP - 284
EP - 291
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 3
ER -