Purpose: To examine the effect of a community-based sexually transmitted infection (STI) screening program on sexual risk behavior among African American adolescents. We hypothesized that adolescents testing positive for an STI and receiving post-test counseling would reduce risky sexual practices, whereas STI-negative adolescents would show little or no change in protective sexual behavior after screening. Methods: From August 2006 to January 2008, we recruited 636 sexually active African American adolescents (age, 14-17) from community-based organizations in two mid-sized U.S. cities with high STI prevalence. Participants were screened for three STIs (gonorrhea, chlamydia, and trichomoniasis) and completed an audio computer-assisted self-interview. Youth who tested positive for an STI (6.6%) received treatment and counseling. Youth testing negative received no further intervention. Approximately 85% of participants completed 3- and 6-month follow-up assessments. Generalized estimating equations determined the effects of STI screening on adolescents' number of sexual partners and occurrence of unprotected sex. Results: Adolescents who tested positive for an STI reduced their number of vaginal and oral sex partners and the probability of unprotected sex. STI-negative adolescents demonstrated no change for numbers of partners or unprotected sex. Conclusions: Community-based STI screening can help to reduce sexual risk behavior in youth who test positive for STIs. Alternative approaches will be needed to reduce risk behavior in youth who test negative but who are nevertheless at risk for acquiring an STI.
|Number of pages||8|
|Journal||Journal of Adolescent Health|
|State||Published - Jul 2010|
Bibliographical noteFunding Information:
The data stem from a project funded by the US National Institute of Mental Health (NIMH), Office on AIDS . This study was conducted through the iMPPACS network supported by the National Institutes of Mental Health (Pim Brouwers, Project Officer) at the following sites and local contributors: Columbia, SC (MH66802, Robert Valois (PI), Naomi Farber, Andure Walker); Macon, GA (MH66807, Ralph DiClemente (PI), Gina Wingood, Laura Salazar, Rachel Joseph, Delia Lang; Angela Caliendo); Philadelphia, PA (MH66809, Daniel Romer (PI), Sharon Sznitman, Bonita Stanton, Michael Hennessy, Susan Lee, Ivan Juzang, and Thierry Fortune); Providence, RI (MH66785, Larry Brown (PI), Christie Rizzo, Nanetta Payne); Syracuse, NY (MH66794, Peter Vanable (PI), Michael Carey, Rebecca Bostwick). Everyone who contributed significantly to the work is listed in the Acknowledgements.
- Community-based STI screening
- STI/HIV prevention, African-American adolescents
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Public Health, Environmental and Occupational Health
- Psychiatry and Mental health