       Document 0728
 DOCN  M9460728
 TI    Prevalence and correlates of AIDS-risk behaviors among urban minority
       high school students.
 DT    9404
 AU    Walter HJ; Vaughan RD; Ragin DF; Cohall AT; Kasen S; Fullilove RE;
       Columbia University College of Physicians and Surgeons, New York,; NY.
 SO    Prev Med. 1993 Nov;22(6):813-24. Unique Identifier : AIDSLINE
       MED/94159552
 AB    BACKGROUND. To guide the development of an AIDS prevention program for
       urban minority high school students, the authors investigated the
       prevalence of AIDS-risk behaviors, and the relative explanatory power of
       demographic, contextual, and cognitive correlates of these behaviors,
       among black and Hispanic students in three New York City public high
       schools. METHODS. A survey was administered to a randomly selected
       sample of classrooms in the 9th through 12th grades of three public
       academic high schools in a New York City borough. Survey participants (n
       = 926) were 59% black and 34% Hispanic; the mean age was 16.4 (sd 1.4)
       years. RESULTS. Two-thirds of students reported having had sexual
       intercourse. Of the more than one-half of students who reported
       past-year intercourse, three-quarters had never or had inconsistently
       used condoms, one-third had multiple intercourse partners, one-tenth had
       a sexually transmitted disease, and one-twentieth had intercourse with a
       high-risk partner. Demographic (i.e., age, race/ethnicity) and
       contextual (i.e., academic failure, substance use, adverse life
       circumstances, cues to prevention) factors were most strongly associated
       with involvement in AIDS-risk behaviors; in contrast, cognitive factors
       (i.e., knowledge and beliefs about AIDS and AIDS-preventive actions) had
       little explanatory power. CONCLUSIONS. Addressing demographic and
       contextual risk factors for involvement in AIDS-related behaviors may
       prove to be a more powerful AIDS-prevention strategy among adolescents
       than simply teaching facts about AIDS and fostering prevention-related
       beliefs.
 DE    Acquired Immunodeficiency Syndrome/*PREVENTION & CONTROL/  TRANSMISSION
       Adolescence  Adult  Cross-Sectional Studies  Female  *Health Behavior
       *Health Education  *Hispanic Americans  Human  Knowledge, Attitudes,
       Practice  Male  *Negroid Race  New York City  Risk-Taking  Sex Behavior
       Support, U.S. Gov't, P.H.S.  *Urban Population  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

