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Schoolwide Effects of a Multicomponent HIV, STD, and Pregnancy Prevention Program for High School Students

Department of Behavioral Science, University of Texas M. D. Anderson Cancer Center and the Center for Health Promotion Research and Development, University of Texas, Houstonkbasenen{at}notes.mdacc.tmc.edu

Karin K. Coyle, PhD

Santa Cruz, California

Guy S. Parcel, PhD

Center for Health Promotion Research and Development, University of Texas–Houston School of Public Health, Houston, Texas

Douglas Kirby, PhD

Santa Cruz, California

Stephen W. Banspach, PhD

Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, Georgia

Scott C. Carvajal, PhD, MPH

Santa Cruz, California

Elizabeth Baumler, PhD

Center for Health Promotion Research and Development, University of Texas–Houston School of Public Health, Houston, Texas

Few studies have tested schoolwide interventions to reduce sexual risk behavior, and none have demonstrated significant schoolwide effects. This study evaluates the schoolwide effects of Safer Choices, a multicomponent, behavioral theory–based HIV, STD, and pregnancy prevention program, on risk behavior, school climate, and psychosocial variables. Twenty urban high schools were randomized, and cross-sectional samples of classes were surveyed at baseline, the end of intervention (19 months after baseline), and 31 months after baseline. At 19 months, the program had a positive effect on the frequency of sex without a condom. At 31 months, students in Safer Choices schools reported having sexual intercourse without a condom with fewer partners. The program positively affected psychosocial variables and school climate for HIV/STD and pregnancy prevention. The program did not influence the prevalence of recent sexual intercourse. Schoolwide changes in condom use demonstrated that a school-based program can reduce the sexual risk behavior of adolescents.

Health Education & Behavior, Vol. 28, No. 2, 166-185 (2001)
DOI: 10.1177/109019810102800204


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