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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
5139.0: Wednesday, December 14, 2005 - 1:30 PM

Abstract #114492

Evaluation of a randomized intervention to delay sexual initiation among fifth graders followed through the sixth grade

Helen P. Koo, DrPH, Health, Social and Economics Research, RTI International, 3040 Cornwallis Rd., Research Triangle Park, NC 27709, 919-541-6351, hpk@rti.org, Renee R. Jenkins, MD, Department of Pediatrics and Child Health, Howard University Hospital, 2041 Georgia Avenue, NW 6th Floor, Room 6-B-04, Washington, D.C., DC 20060, Qing Yao, PhD, Statistics Research Division, RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, Maurice Davis, MPA/MHSA, National Institute of Child Health and Human Development, 6100 Executive Blvd., Rockville, MD 20852, Karen M. Anderson, PhD, Department of Pediatrics and Child Health, Howard University, 2018 Georgia Avenue NW, Washington, DC 20001, Allison Rose, MHS, Research Consultant, RTI International, 10300 Strathmore Hall Street, #203, North Bethesda, MD 20852, and M. Nabil El-Khorazaty, PhD, RTI International, 6110 Executive Blvd., Suite 420, Rockville, MD 20852.

Sixteen Washington D.C. schools were randomized into intervention versus control conditions in 2001-2002. Fifth graders in intervention schools received 11 classroom sessions addressing academic and life goals; decision-making, peer influence, communication skills; puberty; and abstinence. Students were followed into the sixth grade. Four of the 16 schools lacked sixth grades and were replaced by four schools with sixth grades. Sixth graders in intervention schools received 13 sessions, including additional sessions on relationships, STDs, HIV, and contraception. Parents were also invited to attend parenting workshops addressing similar issues during both school years. Students completed questionnaires pre- and post-intervention each year, yielding longitudinally linked surveys over four times. In the fifth grade, 562 students (289 intervention, 273 control) completed pre- surveys and 506 post- surveys (269 intervention, 237 control). In the sixth grade, these figures were 623 (354, 269) and 572 (284, 288). We estimated models (separately by gender) to test for the impact of the intervention over the four time points on: knowledge about puberty of own and opposite gender; attitudes towards abstinence and using refusal skills to having sex; perceptions of abstinence as a peer norm; anticipating sexual activity in the next 12 months; and ever having had sex. We used a linear hierarchical model to account for clustering within schools and among time points, and to adjust for individual characteristics. Results showed a positive impact of the intervention on knowledge of puberty of the opposite gender among both genders (p=0.046, p=0.0450). Significant results were not found for other outcomes.

Learning Objectives:

  • At the end of the presentation, the participant will be able to

    Keywords: Adolescents, Intervention

    Presenting author's disclosure statement:

    I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

    [ Recorded presentation ] Recorded presentation

    Abstinence-only vs Comprehensive Sexuality Education

    The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA