Adolescent HIV Risk Reduction in the Bahamas: Results from Two Randomized Controlled Intervention Trials Spanning Elementary School through High School

December 2015 - Behavioral Prevention

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Stanton, B., Dinaj-Koci, V., Wang, B., et al. AIDS and Behavior (October 2015), E-publication ahead of print.

The authors of this article used data from two studies that examined the effects of a longitudinal, school-based, combined parent-child HIV prevention intervention conducted during pre- and mid-adolescence. The study involved 598 students in New Providence, Bahamas who had enrolled in the studies in both grade 6 (2005) and grade 10 (2009). The student intervention in both studies included interactive discussions, role-plays, and games to increase knowledge and skills regarding sexual-risk avoidance. Also, in both studies, the students' parents were randomized to participate with their children in a parental monitoring and communication intervention, an intervention about career planning, or no intervention. Findings showed high intention to use condoms in all groups. However, only students whose parents had attended interventions reported significantly higher condom use, suggesting the importance of parents to HIV prevention in youth. Additionally, while recipients of only the grade-6 intervention showed protective effects that were sustained over time, recipients of both grade 6 and grade 10 interventions appeared to receive additional benefits spanning a greater time period. These findings suggested that school-based programs delivered at different developmental periods are important, both to reach youth who may have missed the intervention earlier in adolescence and to reinforce the effects of the earlier intervention.

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