       Document 0117
 DOCN  M9640117
 TI    Sexually transmitted diseases, human immunodeficiency virus, and
       pregnancy prevention. Combined contraceptive practices among urban
       African-American early adolescents.
 DT    9604
 AU    Stanton BF; Li X; Galbraith J; Feigelman S; Kaljee L; Department of
       Pediatrics, University of Maryland, Baltimore, USA.
 SO    Arch Pediatr Adolesc Med. 1996 Jan;150(1):17-24. Unique Identifier :
       AIDSLINE MED/96133233
 AB    OBJECTIVE: To evaluate the success of efforts to educate youth not only
       to use prescription contraceptives to avoid pregnancy, but also to use
       condoms to avoid sexually transmitted diseases, including infection with
       the human immunodeficiency virus. METHODS: Longitudinal study of 383
       African-American youth aged 9 to 15 years enrolled in a randomized,
       controlled trial of an acquired immunodeficiency syndrome (AIDS) risk
       reduction intervention. Data about contraceptive practices were obtained
       at baseline and 6, 12, and 18 months later using a culturally and
       developmentally appropriate risk assessment tool administered with
       talking computers (Macintosh, Apple Computer Inc, Cupertino, Calif).
       RESULTS: Approximately three fourths of sexually active youth used some
       form of contraception in each 6-month round, with almost half of the
       youth using combinations of contraceptives. Among all youth at baseline
       and among control youth throughout the study, more than half used
       condoms and more than two thirds who used oral contraceptives also used
       condoms. Receipt of an AIDS education intervention was associated with
       use of more effective contraceptive practices (eg, condoms and another
       prescription or nonprescription method of birth control). After
       receiving the intervention, more than 80% of the youth who used oral
       contraceptives also used condoms. Contraceptive practices showed
       considerable stability. Knowledge about AIDS was positively associated
       with use of more effective contraceptive methods. CONCLUSIONS: Many
       youth are using condoms and prescription birth control simultaneously,
       and these use rates can be increased through AIDS education
       interventions.
 DE    Adolescence  *Blacks  Child  Condoms/*UTILIZATION  Contraception
       Behavior/*ETHNOLOGY/STATISTICS & NUMER DATA  Contraceptives, Oral
       Female  Human  HIV Infections/*PREVENTION & CONTROL  Knowledge,
       Attitudes, Practice  Longitudinal Studies  Male  Pregnancy  Program
       Evaluation  Risk Assessment  Sex Education/*ORGANIZATION & ADMIN
       Sexually Transmitted Diseases/*PREVENTION & CONTROL  Support, U.S.
       Gov't, P.H.S.  Urban Health  CLINICAL TRIAL  JOURNAL ARTICLE  RANDOMIZED
       CONTROLLED TRIAL

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

