A Parent-Based Intervention to Reduce Sexual Risk Behavior in Early Adolescence: Building Alliances Between Physicians, Social Workers, and Parents

To evaluate the efficacy of a parent-based intervention to prevent sexual risk behavior among Latino and African American young adults. This was delivered to mothers while waiting for their adolescent child to complete an annual physical examination. A randomized clinical trial was conducted with 26...

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Bibliographic Details
Published in:	Journal of adolescent health Vol. 48; no. 2; pp. 159 - 163
Main Authors:	Guilamo-Ramos, Vincent, Bouris, Alida, Jaccard, James, Gonzalez, Bernardo, McCoy, Wanda, Aranda, Diane
Format:	Journal Article
Language:	English
Published:	New York, NY Elsevier Inc 01.02.2011 Elsevier
Subjects:	Adolescent Adolescent Behavior - ethnology Adolescent Behavior - psychology Adolescent sexuality Adolescents Adult Biological and medical sciences Black American people Black or African American - psychology Black or African American - statistics & numerical data Child Children Clinic-based intervention Education - methods Harm Reduction Health Education - methods Hispanic Americans Hispanic or Latino - psychology Hispanic or Latino - statistics & numerical data Humans Intervention Latin American people Medical sciences Mental health Mother-Child Relations - ethnology Mothers New York City Parent-based intervention Pediatricians Pediatrics Physicians Prevention. Health policy. Planification Professional-Family Relations Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Risk Safe sexual practices Sexual Behavior - ethnology Sexual Behavior - psychology Sexual Intercourse Sexual risk behavior Social psychiatry. Ethnopsychiatry Social Work Young Adults United States North America America New York City USA, New York, New York City Sexual risk behavior Parent-based intervention Adolescent sexuality Clinic-based intervention Pediatricians Parental behavior Mental health Educational schedule Mother child relation Latinamerican Prevention Family environment Social worker Occupational role Public health Human Health staff Sexual behavior Physician Risk taking Ethnic group Preadolescent Social interaction Adolescent African American
ISSN:	1054-139X, 1879-1972, 1879-1972
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Summary:	To evaluate the efficacy of a parent-based intervention to prevent sexual risk behavior among Latino and African American young adults. This was delivered to mothers while waiting for their adolescent child to complete an annual physical examination. A randomized clinical trial was conducted with 264 mother–adolescent dyads in New York City. Adolescents were eligible for the study only if they were African American or Latino and aged 11–14 years, inclusive. Dyads completed a brief baseline survey and were then randomly assigned to one of the following two conditions: (1) a parent-based intervention (n = 133), or (2) a “standard care” control condition (n = 131). Parents and adolescents completed a follow-up survey nine months later. The primary outcomes included whether the adolescent had ever engaged in vaginal sexual intercourse, the frequency of sexual intercourse, and the frequency of oral sex. Relative to the control group, statistically significant reduced rates of transitioning to sexual activity and frequency of sexual intercourse were observed, with oral sex reductions nearly reaching statistical significance ( p < .054). Specifically, sexual activity increased from 6% to 22% for young adults in the “standard of care” control condition, although it remained at 6% among young adults in the intervention condition at the 9-month follow-up. A parent-based intervention delivered to mothers in a pediatric clinic as they waited for their child to complete a physical examination may be an effective way to reduce sexual risk behaviors among Latino and African American middle-school young adults.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3 ObjectType-Article-2 ObjectType-Feature-1
ISSN:	1054-139X 1879-1972 1879-1972
DOI:	10.1016/j.jadohealth.2010.06.007