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A decade in review: building on the experiences of past adolescent STI/HIV interventions to optimise future prevention efforts
  1. J M Sales1,2,
  2. R R Milhausen1,2,
  3. R J DiClemente1,2,3
  1. 1Rollins School of Public Health, Emory University, Atlanta, GA, USA
  2. 2Center for AIDS Research, Emory University, Atlanta, GA, USA
  3. 3School of Medicine, Department of Pediatrics, Division of Infectious Diseases, Epidemiology, and Immunology, Emory University, Atlanta, GA, USA
  1. Correspondence to:
 Jessica McDermott Sales
 PhD, Rollins School of Public Health, Department of Behavioral Sciences and Health Education, Emory University, 1520 Clifton Road, NE, Rm 132, Atlanta, GA 30322, USA; jmcderm{at}emory.edu

Abstract

The major purpose of this article is to systematically review and synthesise empirical findings from selected adolescent STI/HIV interventions conducted in the United States between 1994 and 2004. Specifically, the most current adolescent STI risk reduction interventions conducted in diverse venues, such as in the community, schools, clinics, and specialised adolescent centres (that is, detention homes and drug programmes) were examined for reported efficacy, and were assessed for programmatic and methodological strengths and weaknesses. Next, a subset of programmatic characteristics was identified that were associated with the efficacy of STI risk reduction programmes both within a particular venue, as well as across all venues. Finally, we discuss the research and practice implications of these findings for optimising future evidence based STI risk reduction programmes for adolescents in the United States.

  • ASSESS, awareness, skills, self efficacy/self esteem, and social support
  • CYS, community youth service
  • ENABL, education now and babies later
  • IMB, information motivation behaviour
  • MAC, monogamy, abstinence, condoms
  • PCE, peer counsellor/educator
  • STD, sexually transmitted diseases
  • STI, sexually transmitted infections
  • YAPP, youth AIDS prevention programme
  • sexually transmitted infections
  • HIV
  • United States
  • adolescents

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Footnotes

  • Contributors

    JMcDS was the primary author of the manuscript, and assisted in the conceptual design of the review and resulting manuscript, as well as searched for, identified, and reviewed the interventions meeting our search criteria; RRM searched for, identified, and reviewed the interventions meeting our search criteria, assisted with portions of the writing pertaining to search and evaluation methods, as well as reviewed and provided critical feedback of drafts of the manuscript; RJDiC assisted with the conceptual design of the review and resulting manuscript and reviewed and provided critical feedback of drafts of the manuscript.