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Using Culturally Sensitive Media Messages to Reduce HIV-Associated Sexual Behavior in High-Risk African American Adolescents: Results From a Randomized Trial

Sznitman, Sharon, Ph.D ; Vanable, Peter A., Ph.D ; Carey, Michael P., Ph.D ; Hennessy, Michael, Ph.D ; Brown, Larry K., M.D ; Valois, Robert F., Ph.D., M.P.H ; Stanton, Bonita F., M.D ; Salazar, Laura F., Ph.D ; DiClemente, Ralph, Ph.D ; Farber, Naomi, Ph.D ; Romer, Daniel, Ph.D

Journal of adolescent health, 2011-09, Vol.49 (3), p.244-251 [Periódico revisado por pares]

New York, NY: Elsevier Inc

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Título:
Using Culturally Sensitive Media Messages to Reduce HIV-Associated Sexual Behavior in High-Risk African American Adolescents: Results From a Randomized Trial
Autor: Sznitman, Sharon, Ph.D ; Vanable, Peter A., Ph.D ; Carey, Michael P., Ph.D ; Hennessy, Michael, Ph.D ; Brown, Larry K., M.D ; Valois, Robert F., Ph.D., M.P.H ; Stanton, Bonita F., M.D ; Salazar, Laura F., Ph.D ; DiClemente, Ralph, Ph.D ; Farber, Naomi, Ph.D ; Romer, Daniel, Ph.D
Assuntos: Adolescent ; Adolescent Behavior - ethnology ; Adolescents ; African American adolescents ; African Americans - psychology ; African Americans - statistics & numerical data ; Attitude to Health - ethnology ; Biological and medical sciences ; Black American people ; Condom use ; Culturally sensitive messages ; Female ; Harm Reduction ; Health Knowledge, Attitudes, Practice ; Health Promotion - methods ; High risk ; HIV Infections - ethnology ; HIV Infections - prevention & control ; HIV-prevention ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Immunodeficiencies ; Immunodeficiencies. Immunoglobulinopathies ; Immunopathology ; Infectious diseases ; Long term effects ; Male ; Mass Media ; Mass media interventions ; Medical sciences ; Pediatrics ; Recruitment ; Risk-Taking ; Rural Population - statistics & numerical data ; Sex Education - methods ; Sexual Behavior - ethnology ; Sexual behaviour ; United States - epidemiology ; Unsafe Sex - prevention & control ; Urban Population - statistics & numerical data ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids
É parte de: Journal of adolescent health, 2011-09, Vol.49 (3), p.244-251
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Descrição: Abstract Purpose To test the long-term effects of a mass media intervention that used culturally and developmentally appropriate messages to enhance human immunodeficiency virus (HIV)-preventive beliefs and behavior of high-risk African American adolescents. Methods Television and radio messages were delivered for more than 3 years in two cities (Syracuse, NY; and Macon, GA) that were randomly selected within each of the two regionally matched city pairs, with the other cities (Providence, RI; and Columbia, SC) serving as controls. African American adolescents, aged 14–17 years (N = 1,710), recruited in the four cities over a 16-month period, completed audio computer-assisted self-interviews at recruitment and again at 3, 6, 12, and 18-months postrecruitment to assess the long-term effects of the media program. To identify the unique effects of the media intervention, youth who completed at least one follow-up and who did not test positive for any of the three sexually transmitted infections at recruitment or at 6-and 12-month follow-up were retained for analysis (N = 1,346). Results The media intervention reached virtually all the adolescents in the trial and produced a range of effects including improved normative condom-use negotiation expectancies and increased sex refusal self-efficacy. Most importantly, older adolescents (aged 16–17 years) exposed to the media program showed a less risky age trajectory of unprotected sex than those in the nonmedia cities. Conclusion Culturally tailored mass media messages that are delivered consistently over time have the potential to reach a large audience of high-risk adolescents, to support changes in HIV-preventive beliefs, and to reduce HIV-associated risk behaviors among older youth.
Editor: New York, NY: Elsevier Inc
Idioma: Inglês

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Using Culturally Sensitive Media Messages to Reduce HIV-Associated Sexual Behavior in High-Risk African American Adolescents: Results From a Randomized Trial

Sznitman, Sharon, Ph.D ; Vanable, Peter A., Ph.D ; Carey, Michael P., Ph.D ; Hennessy, Michael, Ph.D ; Brown, Larry K., M.D ; Valois, Robert F., Ph.D., M.P.H ; Stanton, Bonita F., M.D ; Salazar, Laura F., Ph.D ; DiClemente, Ralph, Ph.D ; Farber, Naomi, Ph.D ; Romer, Daniel, Ph.D

New York, NY: Elsevier Inc

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