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First published on May 31, 2006, doi:10.1177/1090198105284840

Health Education & Behavior 2007;34:608.

A more recent version of this article appeared on August 1, 2007

Article

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, CPNP1*, Paula Perlmutter Silverman, MPH2, Beatrice Krauss, PhD2

1 Hunter College, New York, New York.
2 Center for Community and Urban Health, Hunter College, New York, New York.

* To whom correspondence should be addressed. E-mail: carolroye{at}yahoo.com.


  Abstract

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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