Other 'What Works' Topics
Adolescent Reproductive Health
By Jennifer Manlove, Ph.D., Elizabeth Terry-Humen, M.P.P., Angela Romano Papillo, M.A., Kerry Franzetta, Stephanie Williams, and Suzanne Ryan, Ph.D.
TABLE 1 TABLE 2 TABLE 3 TABLE 4 TABLE 5 TABLE 6 TABLE 7
INITIATION OF SEXUAL INTERCOURSE FREQUENCY OF SEXUAL ACTIVITY NUMBER OF SEXUAL PARTNERS USE OF CONDOMS FOR PROTECTION USE OF CONTRACEPTION PREGNANCIES AND BIRTHS CONTRACTING STDs
Adolescent Reproductive Health

 Experimental Research Studies Non-Experimental Research Studies
Use of Condoms for STD and/or Pregnancy Prevention
 

- Only 1 abstinence-only education program has been evaluated (Postponing Sexual Involvement/ ENABL) and showed no impact on condom use. Few strong evaluations of abstinence-only programs have been conducted. Future evaluations will assess the effectiveness of these programs.

- 3 sexuality education programs focused on condom use as an outcome. One program had a positive impact (Safer Choices) and 2 programs showed no impacts (Healthy for Life Project and Project SNAPP).

- 7 HIV/AIDS education programs measured condom use as an outcome. 3 programs had a positive impact (Becoming a Responsible Teen; Be Proud, Be Responsible; and Be Proud! Be Responsible! A Safer Sex Curriculum); 3 had no impact (YAPP); Gilmore et al. 1997 in Seattle, WA; and Slonim-Nevo et al. 1996 in St. Louis); and 1 had some positive impacts that varied by length of follow-up (Be Proud! Be Responsible! A Sexual Abstinence Curriculum).

- Reduce other risky behaviors, such as substance abuse.

- Convey to parents the importance of talking to teens about HIV and condom use and of expressing disapproval for teen sexual activity.

- Advocate strong parental monitoring.

- Promote high parent education levels.

- Work to change adolescents' perception that peers do not like or use condoms.

- Talk with partner about sexual risks (findings based on non-representative sample - blacks & Hispanics in AL, NY and Puerto Rico).

- Sexuality education and HIV education programs that include 10 components were associated with more positive outcomes (Kirby, 2001).

- Sexuality or HIV education programs that did not include the 10 components listed in "what works," including programs that were primarily didactic and that did not include teen involvement were not associated with increased condom use. Programs short in duration appear to have no association with outcomes, suggesting longer durations are more desirable.

 

 


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