A Review of STD/HIV Preventive Interventions for Adolescents: Sustaining Effects Using an Ecological Approach
Journal of Pediatric PsychologyPublished 9 April 2007Open access
Ralph J. DiClemente, Luis Fernández‐Salazar, Richard A. Crosby
Citations280
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TL;DR
Research should cross manifold levels of causation so that programs will be more effective at promoting adolescents' adoption and maintenance of STD/HIV preventive behaviors, and has been implemented in Brazil and was shown to be effective.
Abstract
Research should cross manifold levels of causation so that programs will be more effective at promoting adolescents' adoption and maintenance of STD/HIV preventive behaviors.
Keywords
MedicineHealth Professions
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American Journal of Public HealthBeliefs about AIDS, use of alcohol and drugs, and unprotected sex among Massachusetts adolescents.
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Personality and Individual DifferencesSensation seeking, impulsive decision-making, and risky sex: implications for risk-taking and design of interventions
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Journal of Adolescent HealthImpact of perceived parental monitoring on adolescent risk behavior over 4 years
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Family Planning PerspectivesMaternal Correlates of Adolescent Sexual and Contraceptive Behavior
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American Journal of Public HealthPatterns of condom use among adolescents: the impact of mother-adolescent communication.
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Mother-adolescent discussions about condoms that occurred prior to sexual debut were strongly associated with greater condom use during first intercourse and most recent intercourse, along with greater lifetime regular condom use.
American Journal of Public HealthA Critical Analysis of the Brazilian Response to HIV/AIDS: Lessons Learned for Controlling and Mitigating the Epidemic in Developing Countries
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Adolescents who are exposed to more sexual content in the media, and who perceive greater support from the media for teen sexual behavior, report greater intentions to engage in sexual intercourse and more sexual activity.
Journal of Adolescent HealthBehavioral interventions to reduce incidence of HIV, STD, and pregnancy among adolescents: a decade in review
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Analysis of adolescent sexual risk-reduction programs that were evaluated using quasi-experimental or experimental methods and published in the 1990s suggest four overall factors that may impact program effectiveness including the extent to which programs focus on specific skills for reducing sexual risk behaviors.
The Journal of PediatricsParent-adolescent communication and sexual risk behaviors among African American adolescent females
314 Citations2001Ralph J. DiClemente, Gina M. Wingood +4 more
The findings demonstrate the importance of involving parents in human immunodeficiency virus/sexually transmitted disease and pregnancy prevention efforts directed at female adolescents and Pediatricians and other clinicians can play an important role in facilitating parent-adolescent communication about sexual activity.
Health Education QuarterlyAttitudes, Norms, and Self-Efficacy: A Model of Adolescents' HIV-Related Sexual Risk Behavior
313 Citations1992Karen Basen‐Engquist, Guy S. Parcel
Using data from a cross-sectional, statewide survey of Texas ninth graders, a model of psychosocial predictors of human immunodeficiency virus (HIV)-related sexual risk behavior was tested and attitudes, norms, self-efficacy, and behavioral intentions were directly related to the number of sexual partners.
JAMARisk of Sexually Transmitted Disease Among Black Adolescent Crack Users in Oakland and San Francisco, Calif
282 Citations1990Robert E. Fullilove
Because of the impetuous nature of some crack-related sexual activity, it is possible that a program of widespread distribution of condoms in neighborhoods where crack use is prevalent might make it possible for the worried, impulsive crack user to practice "safer sex."
Mass Communication & SocietyLinking Exposure to Outcomes: Early Adolescents' Consumption of Sexual Content in Six Media
282 Citations2005Carol J. Pardun, Kelly L’Engle +1 more
Journal of Marriage and the FamilyParenting Processes Related to Sexual Risk-Taking Behaviors of Adolescent Males and Females
262 Citations1999Kathleen Boyce Rodgers
American Journal of Community PsychologyMaking a Difference: The Social Ecology of Social Transformation
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The paper concludes with three challenges to guide efforts as the authors enter the new century: to move social transformation to the center of their consciousness as a field, to articulate jointly with allied disciplines, organizations, and citizen groups an encompassing, multidisciplinary, and multilevel framework for social transformation.
Journal of Adolescent HealthRelationship between number of sexual intercourse partners and selected health risk behaviors among public high school adolescents
254 Citations1999Robert F. Valois, John E. Oeltmann +2 more
PubMedRisk profiles of adolescent girls who were victims of dating violence.
250 Citations2003Donna E. Howard, Min Qi Wang
Evidence is provided that girls who were victims of dating violence were more likely to be involved in other violent behaviors, to report extreme sadness and suicidal actions, to use illicit substances, and to engage in risky sexual behavior.
Journal of Adolescent HealthPredictors of HIV-preventive sexual behavior in a high-risk adolescent population: The influence of perceived peer norms and sexual communication on incarcerated adolescents' consistent use of condoms
249 Citations1991Ralph J. DiClemente
The findings suggest that Human Immunodeficiency Virus (HIV) prevention programs for incarcerated adolescents that emphasize training in communication skills and modifying perceptions of peer normative behavior may be more effective in increasing the adoption and maintenance of condom use.
Journal of Adolescent HealthParental underestimates of adolescent risk behavior: a randomized, controlled trial of a parental monitoring intervention
245 Citations2000Bonita Stanton, Xiaoming Li +5 more
Parental monitoring interventions such as ImPACT should be given to parents in conjunction with more traditional youth-centered risk-reduction interventions, as well as an instrument to assess parental monitoring, the Parent-Adolescent Risk Behavior Concordance Scale.
Journal of Community & Applied Social PsychologyAdolescent self‐efficacy, self‐esteem and sexual risk‐taking
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Journal of Quantitative CriminologyGender differences in gang participation, delinquency, and substance use
234 Citations1993Beth Bjerregaard, Carolyn A. Smith
Health PsychologyUnderstanding and promoting AIDS-preventive behavior: Insights from the theory of reasoned action.
231 Citations1995William A. Fisher, Jeffrey D. Fisher +1 more
Development ofAIDS-prevention interventions that modify intentions, attitudes, and norms concerning performance of AIDS-preventive behaviors by targeting the empirically identified underpinnings of attitudes and norms related to specific preventive behaviors in specific populations of interest are focused on.
The Journal of Sex ResearchPredictors of condom use and multiple partnered sex among sexually‐active adolescent women: Implications for aids‐related health interventions
228 Citations1989Joseph A. Catania, Thomas J. Coates +6 more
The findings support the general observation that AIDS interventions with adolescents should build sexual communication skills, address motivational issues, and teach people how to enjoy safe‐sex activities.
Journal of Pediatric PsychologyPredictors of Risky Sexual Behavior in African American Adolescent Girls: Implications for Prevention Interventions
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Archives of Pediatrics and Adolescent MedicineParental Influence on Adolescent Sexual Behavior in High-Poverty Settings
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Annals of Behavioral MedicineDevelopmentally appropriate sexual risk reduction interventions for adolescents: Rationale, review of interventions, and recommendations for research and practice
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Journal of Marriage and the FamilyEarly Adolescent Sexual Activity: A Developmental Study
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206 Citations2001Gina M. Wingood, Ralph J. DiClemente +3 more
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Journal of Adolescent HealthSelf-efficacy, hedonistic expectancies, and condom-use intentions among inner-city black adolescent women: A social cognitive approach to AIDS risk behavior
202 Citations1992John B. Jemmott, Loretta Sweet Jemmott +3 more
Results highlight the value of a social cognitive approach to AIDS risk behavior: outcome expectancies regarding the effects of precautionary practices on sexual enjoyment and perceived self-efficacy to implement such practices play an important role in decisions about condom use.
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There was particularly strong evidence that four groups of programs are effective at reducing sexual risktaking or pregnancy and weaker evidence that a few other programs were effective.
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200 Citations1998Richard Rothenberg, Claire E. Sterk +5 more
The current discussions of partner notification may be informed by recognizing that it is a subset of a broader and potentially more powerful approach, which calls some basic tenets of syphilis epidemiology into question.
SAGE Publications eBooksWorking with families in the era of HIV/AIDS
200 Citations2000Willo Pequegnat, José Szapocznik
This book discusses the role of families in Preventing and Adapting to HIV/AIDS, as well as strategies to enhance Coping and reduce Sexual Risk Behaviors in families affected by AIDS.
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Discriminant functions using constructs of the Theory of Planned Behavior, as well as the need for intimacy in relationships and motives for sex, were found to distinguish significantly between adolescents who always had protected sexual intercourse and adolescents who did not.
American Journal of Public HealthA Prospective Study of Exposure to Rap Music Videos and African American Female Adolescents’ Health
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This investigation sought to determine whether exposure to rap music videos at baseline could predict the occurrence of health risk behaviors and sexually transmitted diseases among African American adolescent females over a 12-month follow-up period.
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Journal of Marriage and the FamilySexual Intercourse and Pregnancy Among African American Girls in High‐Poverty Neighborhoods: The Role of Family and Perceived Community Environment
172 Citations2001Mignon R. Moore, P. Lindsay Chase‐Lansdale
Family Planning PerspectivesThe Determinants of First Sex by Age 14 in a High-Risk Adolescent Population
171 Citations1996Frank Luther Mott, Michelle M. Fondell +3 more
A study using data for mothers from the National Longitudinal Survey of Youth and their children aged 14 or older indicates that children are significantly more likely to become sexually active before age 14 if their mother had sex at an early age and if she has worked extensively.
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Journal of Health and Social BehaviorSexual Risk Behavior among Youth: Modeling the Influence of Prosocial Activities and Socioeconomic Factors
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A significant percentage of adolescents have concurrent partners during a main relationship, and having concurrent partners increases STD risk.
Family Planning PerspectivesSex, Contraception and Childbearing Among High-Risk Youth: Do Different Factors Influence Males and Females?
160 Citations1998Lori Kowaleski‐Jones, Frank Luther Mott
Although sexual behavior is tied to risk-taking in both adolescent males and females, some noticeable psychological differences are evidenced early, and there is room for optimism, in that young parents appear to adopt more mature traits.
Family Planning PerspectivesParent and Peer Communication Effects on AIDS-Related Behavior Among U.S. High School Students
157 Citations1995Deborah Holtzman, Richard Rubinson
Data from a 1989 national probability sample of 8,098 high school students in the United States indicate that young people's discussions about the human immunodeficiency virus (HIV) with parents and with peers are highly correlated and have opposite effects on behavior.
Journal of Adolescent HealthPredictors of condom use in sexually active adolescents1
156 Citations1992Lou Ann S. Brown, Ralph J. DiClemente +1 more
It was found that of the 266 teens who recently became sexually active, only 29% reported using condoms consistently, and consistent condom use was more frequent in males, those with little history of risk behavior and those with stronger intentions to use condoms in the future.
PEDIATRICSAfrican-American Adolescents Residing in High-risk Urban Environments Do Use Condoms: Correlates and Predictors of Condom Use Among Adolescents in Public Housing Developments
150 Citations1996Ralph J. DiClemente, Mark Lodico +5 more
The findings suggest that HIV prevention programs need to be implemented early, before high-risk behaviors are established and may be more difficult to modify.
PubMedSexual initiation with older male partners and subsequent HIV risk behavior among female adolescents.
149 Citations1997Karen Miller, L F Clark +1 more
Sexually Transmitted DiseasesSexual Risk Behaviors Associated With Having Older Sex Partners
148 Citations2002Ralph J. DiClemente, Gina M. Wingood +7 more
It is suggested that many adolescent females have sex partners who are at least 2 years older and that their relationship dynamics do not favor the adoption and maintenance of behavior protective against STD or HIV infection.
PEDIATRICSRepeated School-based Screening for Sexually Transmitted Diseases: A Feasible Strategy for Reaching Adolescents
148 Citations1999Deborah A. Cohen, M. Jacques Nsuami +2 more
There are high rates of asymptomatic sexually transmitted diseases (STDs) in the general urban school population, and Repeated screening and treatment are associated with declines in chlamydia prevalence among boys.
Family Planning PerspectivesConsistency of Condom Use for Disease Prevention among Adolescent Users of Oral Contraceptives
143 Citations1991Carol S. Weisman, Stacey B. Plichta +3 more
Consistent condom use was associated with having asked a partner to use a condom, perceiving partner support for condom use, having less frequent sexual intercourse and using oral contraceptives inconsistently.
PubMedAdolescent sexual behavior in two ethnic minority groups: a multisystem perspective.
138 Citations2000Karen Miller, Rex Forehand +1 more
A cumulative risk index suggested a linear relationship between the number of systems identified as being at risk and indicators of adolescent sexual behavior, and the implications for prevention are discussed.
Journal for Specialists in Pediatric NursingRisky Sexual Behavior Among Adolescent Women
135 Citations2000Margaret A. Taylor‐Seehafer, Lynn Rew
Effective clinical interventions target high-risk adolescent women and incorporate environmental and cognitive-behavioral components; use social learning theories; address differences in regards to culture, developmental stage, and sexual experience; and support family and school involvement.
PubMedHIV risk reduction behavioral interventions with heterosexual adolescents.
134 Citations2000John B. Jemmott, Loretta Sweet Jemmott
It is concluded that carefully designed theory-based interventions that take into account the characteristics of the particular population or culture can cause positive changes in adolescents' HIV sexual-risk behavior, but boundary conditions for their effectiveness still need to be identified.
Archives of Pediatrics and Adolescent MedicineTemporal Associations Between Depressive Symptoms and Self-reported Sexually Transmitted Disease Among Adolescents
132 Citations2002Lydia A. Shrier, Sion Kim Harris +1 more
Screening for depressive symptoms in sexually active adolescents, particularly boys, may identify those at risk for STDs and suggest that adolescent preventive care needs to include regular, comprehensive assessments of both mental health and STD.
The Journal of Infectious DiseasesHigh Prevalence and Incidence of Sexually Transmitted Diseases in Urban Adolescent Females Despite Moderate Risk Behaviors
131 Citations1999Rebecca Bunnell, Linda L. Dahlberg +8 more
STD incidence and prevalence were extremely high in this population, even in teenagers with only 1 lifetime partner, and individual risk behaviors appeared less important for STD risk than population factors.
AIDS and BehaviorSocial Capital as a Predictor of Adolescents' Sexual Risk Behavior: A State-Level Exploratory Study
127 Citations2003Richard A. Crosby, David R. Holtgräve +3 more
Preliminary evidence that social capital may have a profound influence of adolescents' sexual risk and protective behaviors is provided, and social capital was inversely correlated with sexual risk behaviors and positively correlated with protective sexual behaviors.
American Journal of Public HealthFactors associated with AIDS risk behaviors among high school students in an AIDS epicenter.
127 Citations1992Heather J. Walter, Roger D. Vaughan +4 more
These findings suggest that addressing socioenvironmental influences on risky and preventive behaviors may prove to be the most effective AIDS prevention strategy among adolescents.
PubMedFactors influencing first intercourse for teenage men.
127 Citations1994Leighton Ku, Sonenstein Fl +1 more
Findings indicate the relevance of integrated approaches to school-based sex and AIDS education in delaying intercourse and promoting use of contraceptive methods.
Journal of Adolescent HealthSexually-transmitted disease in female adolescents: Effects of psychosocial factors and high risk behaviors
125 Citations1995Susan G. Millstein, Anna‐Barbara Moscicki
Female adolescents who were heavy substance users, who felt little control over their sexual behavior, and had a greater number of friends who engaged in riskySexual behavior were themselves more likely to engage in risky sexual behavior.
Journal of Adolescent HealthAssociations of sociodemographic, psychosocial, and behavioral factors with sexual risk and sexually transmitted diseases in teen clinic patients
125 Citations2000Cherrie B. Boyer, Mary–Ann Shafer +4 more
Sociodemographic factors and constructs of the IMB model are associated with adolescents' risk and acquisition of STDs and teens with such risk profiles should be targeted for risk-reduction intervention.
American Journal of Public HealthCondom availability in New York City public high schools: relationships to condom use and sexual behavior.
123 Citations1997Sally Guttmacher, Lisa Lieberman +4 more
It is suggested that school-based condom availability can lower the risk of HIV and other sexually transmitted diseases for urban teenagers in the United States.
The Journal of PediatricsPsychosocial and behavioral factors associated with risk of sexually transmitted diseases, including human immunodeficiency virus infection, among urban high school students
122 Citations1991Mary–Ann Shafer, Cherrie B. Boyer
The results indicate that several factors relate to adolescent risk for STDs: the connection between peer influence and adolescent risk behaviors, the link between alcohol and drug use and sexual risk behavior, and the role of knowledge in determining nonuse of condoms.
Prevention ScienceSelf-Concept and Adolescents′ Refusal of Unprotected Sex: A Test of Mediating Mechanisms Among African American Girls
120 Citations2004Laura F. Salazar, Ralph J. DiClemente +6 more
Sexually Transmitted DiseasesDo Differences in Sexual Behaviors Account for the Racial/Ethnic Differences in Adolescentsʼ Self-Reported History of a Sexually Transmitted Disease?
115 Citations1998Jonathan M. Ellen, SEVGI O. ARAL +1 more
Differences in sexual behaviors do not fully account for African‐American adolescents' increased risk for STDs and interventions designed to reduce sexual risk taking among African‐ American adolescents may not ameliorate racial/ethnic differences in rates of STDs.
PEDIATRICSSelf-Esteem as a Predictor of Initiation of Coitus in Early Adolescents
114 Citations2002Jennifer M. Spencer, Gregory D. Zimet +2 more
Self-esteem, regardless of pubertal status, predicted coitus transition differentially in boys and girls, and results from this longitudinal study seem to fit within traditional problem behavior theory.
Archives of Pediatrics and Adolescent MedicineCorrelates of Unprotected Vaginal Sex Among African American Female Adolescents
111 Citations2000Richard A. Crosby, Ralph J. DiClemente +4 more
Adolescents' perceptions played an integral role in explaining female adolescents' frequency of UVS with both steady and casual partners, and these findings have implications for clinic- or community-based STD and human immunodeficiency virus prevention programs.
Archives of Pediatrics and Adolescent MedicineCognitive and Behavioral Predictors of Sexually Transmitted Disease Risk Behavior Among Sexually Active Adolescents
109 Citations1997Renee E. Sieving
Efforts targeting reduction in STD risk behavior must begin before the onset of somewhat stable patterns of sexual risk behavior, and interventions should include components that increase condom use self-efficacy, build skills to communicate with sexual partners about STD prevention, and address behaviors associated withSTD risk behavior including oral contraceptive use.
International Journal of STD & AIDSSexually transmitted diseases: magnitude, determinants and consequences
108 Citations2001Sevgi O. Aral
Policy decisions that facilitate more open discussion of sexuality and STDs, and that expand the accessibility and acceptability of sexual risk assessment, STD screening and treatment services would help decrease STD rates in the United States to levels similar to those observed in other industrialized countries.
Journal of Adolescent HealthThe association between impulsiveness and sexual risk behaviors in adolescent and young adult women*1
107 Citations2002Jessica A. Kahn, REBEKAH A. KAPLOWITZ +2 more
Higher impulsiveness was significantly associated with early age of first sexual intercourse, higher number of sexual partners, non-use of contraception and condoms, and prior Chlamydia infection.
Journal of Behavioral MedicinePsychosocial Factors and High-Risk Sexual Behavior: Race Differences Among Urban Adolescents
106 Citations1998Robert Doljanac, Marc A. Zimmerman
The results suggest that problem behavior theory and social interactions theory may be most relevant for white youth and that other models may be necessary to explain high-risk sexual behavior among African-American youths.
AIDS Education and PreventionPredictors of African American Adolescents' Condom Use and HIV Risk Behavior
106 Citations1996David Reitman, Janet S. St. Lawrence +4 more
The findings suggest that precautionary practices (condom use) and high-risk behavior (unprotected sex with multiple partners) may have different correlates and theoretical models developed with homosexual male populations may be generalizable to African American adolescents' sexual behavior.
Journal of AdolescenceSexual self-concept and sexual risk-taking
105 Citations1997Glynis M. Breakwell, Lynne J. Millward
The structure of the sexual self-concept is significantly influenced by dominant social representations of gender differences and relationships and both identity and social representational processes need to be considered if a comprehensive model of health behaviour is to be evolved.
Journal of Applied Social PsychologyDirect and Nondirect Communication of Maternal Beliefs to Adolescents: Adolescent Motivations for Premarital Sexual Activity<sup>1</sup>
104 Citations1999Patricia Dittus, James Jaccard +1 more
Journal of Substance AbuseSubstance-abusing adolescents at varying levels of HIV risk
103 Citations2001Robert M. Malow, Jessy G. Dévieux +3 more
Significant main effects were found for impulsive propensity, submissiveness, marijuana and alcohol use, condom attitudes, and intentions to engage in safer sex in boys and girls mandated into in court-ordered substance abuse treatment.
Journal of Adolescent HealthPsychosocial and behavioral correlates of refusing unwanted sex among African-American adolescent females
101 Citations2002Catlainn Sionéan, Ralph J. DiClemente +7 more
Sexual-risk reduction efforts directed toward adolescent females should seek to build self-efficacy to negotiate safer sex and provide training in social competency skills that may help to reduce or eliminate partner barriers to condom use.
Family Planning PerspectivesAIDS Knowledge, Perceived Risk and Prevention among Adolescent Clients of a Family Planning Clinic
100 Citations1989Carol S. Weisman, Constance A. Nathanson +4 more
Recommendations are made that personalized AIDS prevention programs be integrated into family planning programs, that adolescent clients be advised to use condoms with spermicides, and that they be assisted in acquiring the social skills needed to negotiate condom use with partners.
Sexually Transmitted DiseasesScreening for Gonorrhea and Chlamydia by DNA Amplification in Adolescents Attending Middle School Health Centers
97 Citations1998GALE R. BURSTEIN, Geraldine Daley Waterfield +4 more
Data suggest that all sexually active adolescent girls in this high risk setting should be offered testing for GC and CT at least twice per year, regardless of age or other sexual risk behaviors and that STD control efforts in high risk middle schools should be encouraged.
Health Education & BehaviorCondom Use and Correlates of African American Adolescent Females’ Infrequent Communication with Sex Partners about Preventing Sexually Transmitted Diseases and Pregnancy
97 Citations2002Richard A. Crosby, Ralph J. DiClemente +6 more
Given the importance of partner communication in promoting safer sex behaviors, STD and pregnancy prevention programs may benefit adolescents by addressing the identified psychosocial correlates of infrequent communication with their partners.
AIDSExpanding the range of interventions to reduce HIV among adolescents
96 Citations2000Mary Jane Rotheram‐Borus
To implement structural HIV interventions for adolescents requires researchers to shift their community norms regarding the value of innovation, adopt designs other than randomized controlled trials, expand their theoretical models, and adopt strategies used by lawyers, private enterprise, and lobbyists.
Journal of Adolescent ResearchPredictors of Risk for Sexually Transmitted Diseases in Ninth Grade Urban High School Students
96 Citations1999Cherrie B. Boyer, Jeanne M. Tschann +1 more
Examination of risk factors associated with acquisition of sexually transmitted diseases including HIV in adolescents, using the AIDS Risk Reduction Model, indicates that demographic factors are associated with being sexually experienced, but few demographics areassociated with specific STD-related risk behaviors.
Journal of Adolescent HealthPartner-specific condom use among adolescent women clients of a family planning clinic
95 Citations1992Stacey B. Plichta, Carol S. Weisman +3 more
Investigating partner-specific condom use over time among adolescent women found that consistent condom use was more likely to occur in shorter relationships and with partners who preferred condoms for contraception and it was somewhat lesslikely to occur among consistent oral contraceptive users.
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