Efficacy of an HIV/STI Sexual Risk-Reduction Intervention for African American Adolescent Girls in Juvenile Detention Centers: A Randomized Controlled Trial

Details

• Alternative Title:
  Women Health
• Personal Author:
  DiClemente, Ralph J. ; Davis, Teaniese L. ; Swartzendruber, Andrea ; Fasula, Amy M. ; Boyce, Lorin ; Gelaude, Deborah ; Gray, Simone C. ; Hardin, James ; Rose, Eve ; Carry, Monique ; Sales, Jessica M. ; Brown, Jennifer L. ; Staples-Horne, Michelle
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• Description:
  Background ; Few HIV/STI interventions exist for African American adolescent girls in juvenile detention. ; Objective ; The objective was to evaluate the efficacy of an intervention to reduce incident STIs, improve HIV-preventive behaviors, and enhance psychosocial outcomes. ; Methods ; We conducted a randomized controlled trial among African American adolescent girls (13-17 years, N=188) in juvenile detention from March 2011 to May 2012. Assessments occurred at baseline and 3- and 6-months post-randomization and included: audio computer-assisted self-interview, condom skills assessment, and self-collected vaginal swab to detect Chlamydia and gonorrhea. ; Intervention ; The Imara intervention included three individual-level sessions and four phone sessions; expedited partner therapy was offered to STI-positive adolescents. The comparison group received the usual care provided by the detention center: STI testing, treatment and counseling. ; Results ; At the 6-month assessment (3-months post-intervention) Imara participants reported higher condom use self-efficacy (p<0.001), HIV/STI knowledge (p<0.001), and condom use skills (p<0.001) compared to control participants. No significant differences were observed between trial conditions in incident Chlamydia or gonorrhea infections, condom use, or number of vaginal sex partners. ; Conclusions ; Imara for detained African American adolescent girls can improve condom use skills and psychosocial outcomes; however, a critical need for interventions to reduce sexual risk remains.
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• Subjects:
  • Adolescent
  • Black or African American
  • Chlamydia Infections
  • Condoms
  • Female
  • Gonorrhea
  • HIV Infections
  • Health Knowledge, Attitudes, Practice
  • Health Promotion
  • Humans
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• Source:
  Women Health. 54(8):726-749.
• Pubmed ID:
  25190056
• Pubmed Central ID:
  PMC4224621
• Document Type:
  Journal Article
• Funding:
  5 UR6 PS000679/PS/NCHHSTP CDC HHS/United States ; F32 AA022058/AA/NIAAA NIH HHS/United States ; K01 MH085506/MH/NIMH NIH HHS/United States ; K12 GM000680/GM/NIGMS NIH HHS/United States
• Place as Subject:
  United States
• Volume:
  54
• Issue:
  8
• Download URL:
  https://stacks.cdc.gov/view/cdc/30166/cdc_30166_DS1.pdf
• File Type:
  [PDF - 521.57 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:a0d0b148da75460ca591491e865549ca9dc2be22ad63161e16ccfdd6a158087458c8f80cbd386c0e9e826809d77a9485590d71f26ef0dfe4790470d266e89648