A STD/HIV prevention trial among adolescents in managed care

摘要: Objective. To determine if sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection, risk assessment, and education tools provided as part of office-based primary care reduce adolescent risky sexual behaviors. Design. A randomized intervention trial with 3- 9-month follow-up. Setting. Five staff-model managed sites in Washington, DC (n = 19 pediatricians). Patients. Consecutive 12- to 15-year-olds receiving a general health examination; 81% minority. Participation rate 215/432 (50%). Nine-month follow-up 197/215 (92%). Intervention. Audiotaped STD assessment about staying safe (safer condoms, safest abstinence). Main Outcome Measures. Adolescent-reported intercourse condom use. Results. More adolescents reported pediatrician discussion on 11/13 topics. Although more vaginal (odds ratio [OR] 2.46, 95% confidence interval [CI] 1.04–5.84) was the group at 3 months, this not true overall (OR 1.55, CI .73–3.32). active use months 18.05, 1.27–256.03). At 9 there were no differences behaviors; however, signs by control (7/103) than (0/94). Conclusions. administered single office visit facilitated STD/HIV prevention education. Any impact activity short-lived. Further research is needed develop brief, reduction for young adolescents.