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Behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19 years: a systematic review

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), pp. 495-512. (doi:10.1093/her/cys014). (PMID:22350195).

Record type: Article


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


Local EPrints ID: 337657
ISSN: 1465-3648
PURE UUID: a6c8536d-0c0f-4f68-969d-1086da22b291
ORCID for Joanna Picot: ORCID iD

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Date deposited: 02 May 2012 11:18
Last modified: 18 Jul 2017 06:01

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Author: Joanna Picot ORCID iD
Author: Josephine Kavanagh
Author: Keith Cooper
Author: Angela Harden
Author: Elaine Barnett-Page
Author: Jeremy Jones
Author: Andrew Clegg
Author: Debbie Hartwell
Author: Geoff Frampton

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