Behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19 years: a systematic review
Behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19 years: a systematic review
We systematically reviewed school-based skills building behavioural interventions for the prevention of sexually transmitted infections. References were sought from 15 electronic resources, bibliographies of systematic reviews/included studies and experts. Two authors independently extracted data and quality-assessed studies. Fifteen randomized controlled trials (RCTs), conducted in the United States, Africa or Europe, met the inclusion criteria. They were heterogeneous in terms of intervention length, content, intensity and providers. Data from 12 RCTs passed quality assessment criteria and provided evidence of positive changes in non-behavioural outcomes (e.g. knowledge and self-efficacy). Intervention effects on behavioural outcomes, such as condom use, were generally limited and did not demonstrate a negative impact (e.g. earlier sexual initiation). Beneficial effect on at least one, but never all behavioural outcomes assessed was reported by about half the studies, but this was sometimes limited to a participant subgroup. Sexual health education for young people is important as it increases knowledge upon which to make decisions about sexual behaviour. However, a number of factors may limit intervention impact on behavioural outcomes. Further research could draw on one of the more effective studies reviewed and could explore the effectiveness of 'booster' sessions as young people move from adolescence to young adulthood.
prevention, sexually transmitted infections, systematic review
495-512
Picot, Joanna
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Shepherd, Jonathan
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Kavanagh, Josephine
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Cooper, Keith
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Harden, Angela
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Barnett-Page, Elaine
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Jones, Jeremy
270b303b-6bad-4be7-8ea0-63d0e8015c91
Clegg, Andrew
838091f5-39df-4dbe-a369-675b26f2301b
Hartwell, Debbie
e6a0eaa0-956d-45fb-9b7d-03ca1af3334c
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
20 February 2012
Picot, Joanna
324d6f20-a105-49fd-9fb0-88791be84ada
Shepherd, Jonathan
dfbca97a-9307-4eee-bdf7-e27bcb02bc67
Kavanagh, Josephine
fbe0f528-f08e-47eb-934b-831d43700a44
Cooper, Keith
ea064f58-d71d-404a-bcf3-49d243b8825b
Harden, Angela
6b4ba3e6-9768-4ae2-92b2-2f2603530893
Barnett-Page, Elaine
7e8978a2-c3b4-4999-9b5f-da68c6aa9adb
Jones, Jeremy
270b303b-6bad-4be7-8ea0-63d0e8015c91
Clegg, Andrew
838091f5-39df-4dbe-a369-675b26f2301b
Hartwell, Debbie
e6a0eaa0-956d-45fb-9b7d-03ca1af3334c
Frampton, Geoff
26c6163c-3428-45b8-b8b9-92091ff6c69f
Picot, Joanna, Shepherd, Jonathan, Kavanagh, Josephine, Cooper, Keith, Harden, Angela, Barnett-Page, Elaine, Jones, Jeremy, Clegg, Andrew, Hartwell, Debbie and Frampton, Geoff
(2012)
Behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19 years: a systematic review.
Health Education Research, 27 (3), .
(doi:10.1093/her/cys014).
(PMID:22350195)
Abstract
We systematically reviewed school-based skills building behavioural interventions for the prevention of sexually transmitted infections. References were sought from 15 electronic resources, bibliographies of systematic reviews/included studies and experts. Two authors independently extracted data and quality-assessed studies. Fifteen randomized controlled trials (RCTs), conducted in the United States, Africa or Europe, met the inclusion criteria. They were heterogeneous in terms of intervention length, content, intensity and providers. Data from 12 RCTs passed quality assessment criteria and provided evidence of positive changes in non-behavioural outcomes (e.g. knowledge and self-efficacy). Intervention effects on behavioural outcomes, such as condom use, were generally limited and did not demonstrate a negative impact (e.g. earlier sexual initiation). Beneficial effect on at least one, but never all behavioural outcomes assessed was reported by about half the studies, but this was sometimes limited to a participant subgroup. Sexual health education for young people is important as it increases knowledge upon which to make decisions about sexual behaviour. However, a number of factors may limit intervention impact on behavioural outcomes. Further research could draw on one of the more effective studies reviewed and could explore the effectiveness of 'booster' sessions as young people move from adolescence to young adulthood.
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Published date: 20 February 2012
Keywords:
prevention, sexually transmitted infections, systematic review
Organisations:
Faculty of Medicine
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Local EPrints ID: 337657
URI: http://eprints.soton.ac.uk/id/eprint/337657
ISSN: 1465-3648
PURE UUID: a6c8536d-0c0f-4f68-969d-1086da22b291
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Date deposited: 02 May 2012 11:18
Last modified: 15 Mar 2024 03:19
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Contributors
Author:
Josephine Kavanagh
Author:
Angela Harden
Author:
Elaine Barnett-Page
Author:
Debbie Hartwell
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