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This version was published on August 1, 2007
Health Education & Behavior, Vol. 34, No. 4, 608-621 (2007)
DOI: 10.1177/1090198105284840
© 2007 Society for Public Health Education

A Brief, Low-Cost, Theory-Based Intervention to Promote Dual Method Use by Black and Latina Female Adolescents: A Randomized Clinical Trial

Carol Roye, EdD, RN, CPNP

Hunter College, New York, New York, carolroye{at}yahoo.com

Paula Perlmutter Silverman, MPH

Center for Community and Urban Health, Hunter College, New York, New York

Beatrice Krauss, PhD

Center for Community and Urban Health, Hunter College, New York, New York

HIV/AIDS disproportionately affects young women of color. Young women who use hormonal contraception are less likely to use condoms. Brief, inexpensive HIV-prevention interventions are needed for high-volume clinics. This study was a randomized clinical trial of two interventions: (a) a video made for this study and (b) an adaptation of Project RESPECT counseling. Four hundred Black and Latina teenage women completed a questionnaire about their sexual behaviors and were randomly assigned to (a) see the video, (b) get counseling, (c) see the video and get counseling, or (d) receive usual care. At 3-month follow-up, those who saw the video and received counseling were 2.5 times more likely to have used a condom at last intercourse with their main partner than teens in the usual care group. These differences did not persist at 12-month follow-up. This suggests that a brief intervention can positively affect condom use in the short term.

Key Words: HIV • prevention • female adolescents • hormonal contraception • condoms • Latina • Black • sexual behavior


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