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  • Title: Short-term impact of safer choices: a multicomponent, school-based HIV, other STD, and pregnancy prevention program.
    Author: Coyle K, Basen-Engquist K, Kirby D, Parcel G, Banspach S, Harrist R, Baumler E, Weil M.
    Journal: J Sch Health; 1999 May; 69(5):181-8. PubMed ID: 10363221.
    Abstract:
    This study evaluated the effectiveness of the first year of Safer Choices, a theoretically based, multicomponent HIV, STD, and pregnancy prevention program for high school youth. The study featured a randomized trial involving 20 schools in California and Texas, with a cohort of 3,869 ninth-grade students. Students who completed both the baseline and the first follow-up survey approximately seven months later were included in the analysis (n = 3,677). Safer Choices enhanced 9 of 13 psychosocial variables including knowledge, self efficacy for condom use, normative beliefs and attitudes regarding condom use, perceived barriers to condom use, risk perceptions, and parent-child communication. Safer Choices also reduced selected risk behaviors. Specifically, Safer Choices reduced the frequency of intercourse without a condom in the three months prior to the survey, increased use of condoms at last intercourse, and increased use of selected contraceptives at last intercourse. Safer Choices is a theoretically based, multicomponent HIV, sexually transmitted disease (STD), and pregnancy prevention program for high school youths. This study assessed the effectiveness of this program 1 year after its implementation. The study conducted a randomized trial involving 20 schools (10 from California and 10 from Texas), with a cohort of 3869 ninth-grade students. Five schools in each state were randomly assigned to the Safer Choices program while the other five were assigned to a comparison program. Baseline and follow up data were then collected using student self-report surveys. 3677 students (95%) in the final cohort were surveyed. The results showed significant differences, which favored the intervention schools. Safer Choices enhanced 9 of 13 psychosocial variables, including knowledge, self efficacy for condom use, normative beliefs and attitudes regarding condom use, perceived barriers to condom use, risk perceptions, and parent-child communication. Furthermore, Safer Choices reduced selected risk behaviors such as the frequency of intercourse without using condoms in the three months prior to the survey; increased use of condoms at last intercourse; and increased use of other contraceptives at last intercourse. Overall, the first year of Safer Choices was successful in changing most of the behavioral determinants under the study and in enhancing protective behaviors.
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