Outcomes of a randomized, controlled community-level HIV prevention intervention for adolescents in low-income housing developments.


Journal Article

OBJECTIVES:Youth are increasingly at risk for contracting HIV infection, and community-level interventions are needed to reduce behavioral risk. DESIGN:A randomized, controlled, multi-site community-level intervention trial was undertaken with adolescents living in 15 low-income housing developments in five US cities. METHODS:Baseline (n = 1172), short-term follow-up (n = 865), and long-term follow-up (n = 763) risk assessments were conducted among adolescents, ages 12-17, in all 15 housing developments. The developments were randomly assigned in equal numbers to each of three conditions: experimental community-level intervention (five developments); "state-of-the-science" skills training workshops (five developments); and, education-only delayed control intervention (five developments). RESULTS:At long-term follow-up, adolescents living in the housing developments receiving the community-level intervention were more likely to delay onset of first intercourse (85%) than those in the control developments (76%), while those in the workshop developments (78%) did not differ from control condition adolescents. Adolescents in both the community-level intervention (77%) and workshop (76%) developments were more likely to use a condom at last intercourse than those in control (62%) developments. CONCLUSIONS:Community-level interventions that include skills training and engage adolescents in neighborhood-based HIV prevention activities can produce and maintain reductions in sexual risk behavior, including delaying sexual debut and increasing condom use.

Full Text

Cited Authors

  • Sikkema, KJ; Anderson, ES; Kelly, JA; Winett, RA; Gore-Felton, C; Roffman, RA; Heckman, TG; Graves, K; Hoffmann, RG; Brondino, MJ

Published Date

  • September 2005

Published In

Volume / Issue

  • 19 / 14

Start / End Page

  • 1509 - 1516

PubMed ID

  • 16135905

Pubmed Central ID

  • 16135905

Electronic International Standard Serial Number (EISSN)

  • 1473-5571

International Standard Serial Number (ISSN)

  • 0269-9370

Digital Object Identifier (DOI)

  • 10.1097/01.aids.0000183128.39701.34


  • eng