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      Mediation Analysis of an Effective Sexual Health Promotion Intervention for Spanish Adolescents

      , , ,
      AIDS and Behavior
      Springer Nature

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          Prácticas sexuales de chicos y chicas españoles de 14-24 años de edad

          Objetivo: Describir los comportamientos y prácticas sexuales de adolescentes y jóvenes españoles en función del género. Método: La información fue recogida mediante un cuestionario, realizado en el domicilio de los participantes y con presencia del entrevistador, aplicado a una muestra aleatoria integrada por 2.171 chicos y chicas de 14-24 años de edad, representativa de las comunidades de Galicia, Madrid y Andalucía. Resultados: Un total de 1.439 sujetos (66,3%) refirieron haber tenido actividad sexual en los últimos 6 meses, sin apreciarse diferencias estadísticamente significativas entre chicos (66,4%) y chicas (66,2%), excepto en las siguientes variables: haber practicado el coito anal (los chicos refieren haberlo practicado en mayor proporción); número de parejas sexuales (las chicas manifestaron tener menor número de parejas), y frecuencia de coitos vaginales (las chicas presentaron una frecuencia más elevada en esta práctica). También se encontraron diferencias en frecuencia de uso del condón en las prácticas coito-anales y en las bucogenitales, en las que los chicos refirieron utilizarlo más frecuentemente. Conclusiones: Los datos de este estudio indican que los chicos y las chicas mantienen comportamientos sexuales diferenciados. En este sentido, las chicas suelen tener menor número de parejas sexuales y utilizan el preservativo en mayor medida que los chicos en las prácticas coito-vaginales; sin embargo, hacen menor uso de éste en las prácticas bucogenitales y coito-anales. En función de estos datos consideramos necesario tener en cuenta la variable género a la hora de diseñar e implementar intervenciones preventivas.
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            Randomized trial of group interventions to reduce HIV/STD risk and change theoretical mediators among detained adolescents.

            Criminally involved adolescents engage in high levels of risky sexual behavior and alcohol use, and alcohol use may contribute to lack of condom use. Detained adolescents (n = 484) were randomized to (1) a theory-based sexual risk reduction intervention (GPI), (2) the GPI condition with a group-based alcohol risk reduction motivational enhancement therapy component (GPI + GMET), or (3) an information-only control (INFO). All interventions were presented in same-sex groups in single sessions lasting from 2 to 4 hr. Changes to putative theoretical mediators (attitudes, perceived norms, self-efficacy, and intentions) were measured immediately following intervention administration. The primary outcomes were risky sexual behavior and sexual behavior while drinking measured 3 months later (65.1% retention). The GPI + GMET intervention demonstrated superiority over both other conditions in influencing theoretical mediators and over the INFO control in reducing risky sexual behavior. Self-efficacy and intentions were significant mediators between condition and later risky sexual behavior. This study contributes to an understanding of harm reduction among high-risk adolescents and has implications for understanding circumstances in which the inclusion of GMET components may be effective.
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              Effectiveness of health education teachers and school nurses teaching sexually transmitted infections/human immunodeficiency virus prevention knowledge and skills in high school.

              We examined the differential impact of a well-established human immunodeficiency virus (HIV)/sexually transmitted infections (STIs) curriculum, Be Proud! Be Responsible!, when taught by school nurses and health education classroom teachers within a high school curricula.
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                Author and article information

                Journal
                AIDS and Behavior
                AIDS Behav
                Springer Nature
                1090-7165
                1573-3254
                October 2015
                August 13 2015
                October 2015
                : 19
                : 10
                : 1850-1859
                Article
                10.1007/s10461-015-1163-2
                26267253
                41ef0211-b596-4c05-adc9-4570bc68b80f
                © 2015
                History

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