CDC STACKS serves as an archival repository of CDC-published products including scientific findings, journal articles, guidelines, recommendations, or other public health information authored or co-authored by CDC or funded partners.
As a repository, CDC STACKS retains documents in their original published format to ensure public access to scientific information.
i
Efficacy of a Family-Based Intervention for HIV Prevention with Hispanic Adolescents with Same Gender Sexual Behaviors
-
1 2022
-
-
Source: Prev Sci. 23(1):119-129
Details:
-
Alternative Title:Prev Sci
-
Personal Author:
-
Description:Background:
Despite the availability of efficacious and effective family-based interventions, such interventions are scarce for sexual minority adolescents, particularly among ethnic/racial minorities. Prior to creating an entirely new intervention, a prudent first step may be to determine if existing interventions are efficacious in reducing risk behaviors in sexual minority adolescents. This study assesses the relative efficacy of a general, family-based intervention (Familias Unidas) on improving substance and condom use outcomes among Hispanic adolescents with same gender sexual behaviors (HASGB).
Methods:
Data across five distinct trials of Familias Unidas were synthesized. HASGB were randomized either to an intervention (n=94) or control condition (n=100). Mediation analyses tested for intervention efficacy on past 90-day substance (cigarette/alcohol/illicit drug) use and condomless sex at last intercourse in HASGB participants and whether family functioning indicators – parent-adolescent communication, positive parenting and parental monitoring of peers – mediated the effects. Post hoc analyses explored the moderating role of study target population based on prior risk.
Results:
Familias Unidas did not impact substance use, but significantly reduced condomless sex post-intervention relative to the control condition. Hypothesized mediators did not explain this effect. Post hoc analyses indicated that the effect was significant in studies that recruited based on prior risk but not studies that recruited universal samples.
Conclusion:
Our results suggest that a general, family-based intervention may have positive effects on condom use in HASGB, particularly those with prior indicated risk. Identifying intervention components that drive this effect in addition to developing tailored content for HASGB is needed.
-
Keywords:
-
Source:
-
Pubmed ID:34173133
-
Pubmed Central ID:PMC10642168
-
Document Type:
-
Funding:
-
Volume:23
-
Issue:1
-
Collection(s):
-
Main Document Checksum:
-
Download URL:
-
File Type:
[PDF-390.03 KB]
