The Impact of a Sexual and Reproductive Health Intervention for American Indian Adolescents on Predictors of Condom Use Intention

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish (US)
JournalJournal of Adolescent Health
DOIs
StateAccepted/In press - May 16 2016

Fingerprint

North American Indians
Reproductive Health
Condoms
Self Efficacy
Randomized Controlled Trials
Education

Keywords

  • Adolescent
  • American Indian
  • Condom use intention
  • Reproductive health
  • Sexual health

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

@article{881f6c291c1349c1b8c67d11c6dd32eb,
title = "The Impact of a Sexual and Reproductive Health Intervention for American Indian Adolescents on Predictors of Condom Use Intention",
abstract = "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.",
keywords = "Adolescent, American Indian, Condom use intention, Reproductive health, Sexual health",
author = "Lauren Tingey and Rachel Chambers and Summer Rosenstock and Angelita Lee and Novalene Goklish and {Larzelere Hinton}, Francen",
year = "2016",
month = "5",
day = "16",
doi = "10.1016/j.jadohealth.2016.08.025",
language = "English (US)",
journal = "Journal of Adolescent Health",
issn = "1054-139X",
publisher = "Elsevier USA",

}

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 Hinton, Francen

PY - 2016/5/16

Y1 - 2016/5/16

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

UR - http://www.scopus.com/inward/record.url?scp=85009212149&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85009212149&partnerID=8YFLogxK

U2 - 10.1016/j.jadohealth.2016.08.025

DO - 10.1016/j.jadohealth.2016.08.025

M3 - Article

C2 - 28034609

AN - SCOPUS:85009212149

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

ER -