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Randomized Controlled Trial
. 2014 Feb;15 Suppl 1(0 1):S47-58.
doi: 10.1007/s11121-012-0321-2.

Universal family-focused intervention with young adolescents: effects on health-risking sexual behaviors and STDs among young adults

Richard Spoth  1 , Scott Clair, Linda Trudeau
Affiliations
Randomized Controlled Trial

Universal family-focused intervention with young adolescents: effects on health-risking sexual behaviors and STDs among young adults

Richard Spoth et al. Prev Sci. 2014 Feb.

Abstract

Considering the prevalence and consequences of health-risking sexual behaviors (HRSBs) and STDs among young adults, their prevention is a public health priority. Emerging etiological and prevention outcome literatures suggested study of the long-term effects of universal family-focused interventions on young adult HRSBs and STDs. Although earlier studies have demonstrated intervention impact on adolescent substance misuse, no study has examined universal family-focused intervention effects on young adult HRSBs and STDs via reductions in adolescent misuse. Sixth grade students and their families enrolled in 33 rural Midwestern schools were randomly assigned to experimental conditions. Self-report questionnaires provided data at pretest (Ns = 238, 221, and 208 for the Iowa Strengthening Families Program [ISFP], Preparing for the Drug Free Years [PDFY], and control groups, respectively), with seven data points through young adulthood (age 21). In latent growth modeling, three young adult HRSB measures (number of sexual partners, condom use, substance use with sex) and lifetime STDs were specified as distal outcomes mediated by adolescent substance initiation growth factors (average level and rate of change). Results showed that the models fit the data and, except for condom use, there were significant indirect effects, with a higher frequency of significant findings for ISFP. The model additions of direct intervention effects on young adult outcomes generally were not supported, consistent with a model positing that long-term intervention effects on young adult HRSBs and STDs outcomes are indirect. As an indication of the practical significance of long-term effects, analyses revealed relative reduction rates ranging from 6% to 46% for significant outcomes.

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Figures

Fig. 1
Fig. 1
Model of universal intervention effects via adolescent growth in substance initiation. Note. Controlling for gender, T1AAII, T1 Parents’ Marital Status, T1 Family Income and T1 Parent Education; Intercept was specified at the midpoint of the adolescent time frame
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References

    1. Bentler PM. Comparative fit indexes in structural models. Psychological Bulletin. 1990;107:238–246. - PubMed
    1. Catalano RF, Hawkins JD. The social development model: A theory of antisocial behavior. In: Hawkins JD, editor. Delinquency and crime: Current theories. New York: Cambridge University Press; 1996. pp. 149–197.
    1. Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion. Adolescent and School Health [Electronic version] CDC Atlanta: U.S. Department of Health and Human Services, Public Health Service; 2002. Available [On-line]: http://www.cdc.gov/nccdphp/dash/index.htm.
    1. CDC. Prevention of genital HPV infection and sequelae: Report of an external consultant’s meeting. Atlanta: Centers for Disease Control and Prevention; 1999.
    1. CDC. Trends in HIV- and STD-related risk behaviors among high school students—United States, 1991–2007. Morbidity & Mortality Weekly Report. 2008;57:817–822. - PubMed

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