Randomized controlled trial of abstinence and safer sex intervention for adolescents in Singapore: 6-month follow-up.

We assessed the efficacy of an individual-based behavioral intervention on sexually transmitted infections’ (STI) risk-reduction behaviors in Singapore. A randomized controlled trial of a behavioral intervention compared to usual care was conducted on sexually active heterosexual adolescents aged 16...

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Published in:Health Education Research Vol. 32; no. 3; pp. 233 - 244
Main Authors: Mee Lian Wong, Ng, Junice Y. S., Chan, Roy K. W., Chio, Martin T. W., Lim, Raymond B. T., Koh, David
Format: research tables/charts randomized controlled trial Journal Article
Published: Oxford University Press / USA Jun2017
Online Access:View this record in EBSCOhost
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      dt: Jun2017
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      pub: Oxford University Press / USA
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        atl: Randomized controlled trial of abstinence and safer sex intervention for adolescents in Singapore: 6-month follow-up.
      aug:
        au:
          Mee Lian Wong
          Ng, Junice Y. S.
          Chan, Roy K. W.
          Chio, Martin T. W.
          Lim, Raymond B. T.
          Koh, David
        affil: Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.
      sug:
        subj:
          Sexually Transmitted Diseases Prevention and Control
          Risk Taking Behavior Prevention and Control
          Health Education Methods
          Outcomes of Education
          Sexual Abstinence
          Safe Sex
          Human
          Randomized Controlled Trials
          Singapore
          Adolescence
          Young Adult
          Female
          Male
          Heterosexuals
          Condoms Utilization
          Descriptive Statistics
          Confidence Intervals
          Sexual Partners
          Questionnaires
          Effect Size
          Regression
          Chi Square Test
          Mann-Whitney U Test
          Data Analysis Software
          Funding Source
          Adolescent: 13-18 years
          Female
          Male
      ab: We assessed the efficacy of an individual-based behavioral intervention on sexually transmitted infections’ (STI) risk-reduction behaviors in Singapore. A randomized controlled trial of a behavioral intervention compared to usual care was conducted on sexually active heterosexual adolescents aged 16–19 years attending the only public STI clinic. The intervention included two on-site skills-based sessions targeting individual, relational and environmental influences on sexual behaviors, followed by online support. Participants were assessed at baseline and 6-month follow-up. Primary outcomes were self-reported abstinence, number of partners and consistent condom use for vaginal sex. We recruited 337 adolescents to the intervention and 351 to usual care (controls). Fifty-nine percent of intervention participants and 53% of controls completed follow-up. Young men [adjusted risk ratio (RR) 2.03; 95% CI, 1.25–3.30], but not young women, in the intervention were more likely than controls to report secondary abstinence. More non-abstinent young women in the intervention than controls kept to one partner (adjusted RR, 1.25; 95% CI, 1.04–1.50) compared to no differences in young men. There was no intervention effect on consistent condom use in both genders. Skill-based intervention can promote abstinence in young men and keeping to one partner in young women in a clinic setting.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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