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Factors Related to Risky Sexual Behaviors and Effective STI / HIV and Pregnancy Intervention Programs for African American Adolescents
Author(s) -
Lee Young Me,
Cintron Adanisse,
Kocher Surinder
Publication year - 2014
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12128
Subject(s) - cinahl , intervention (counseling) , pregnancy , reproductive health , sexual behavior , medicine , psychology , human immunodeficiency virus (hiv) , clinical psychology , family medicine , population , environmental health , nursing , psychological intervention , genetics , biology
Objective The purpose of this integrative literature review study was to investigate factors related to risky sexual behaviors among African American adolescents, to evaluate which of the factors are common across successful and effective STI / HIV and pregnancy intervention programs, and finally, to propose suggestions for future intervention programs for A frican A merican adolescents in W est E nglewood, C hicago. Design An integrative literature review was conducted. Using CINAHL , PubMed, and ProQuest database, the following terms were searched: A frican A merican, Black, adolescents, teenagers, sexual behavior, cultural factors, pregnancy, STI s/ HIV / AIDS , and intervention programs. Result A total of 18 articles were reviewed, findings indicated there were five major contributing factors related to risky sexual behaviors: substance use, gender roles, peer influences, parental involvement, and level of knowledge and information on sex and STI s. Six successful STI / HIV and pregnancy programs that incorporated those factors to effectively reduce risky sexual behaviors were identified. Conclusion After analyzing six national intervention programs proven to be effective, the findings suggest that future prevention programs should be designed with more emphasis on avoidance or limited substance use, increased parental involvement, integration of cultural teaching components such as storytelling and history as suggested from the Aban Aya Youth Project. This study also concluded that future prevention programs should consider the length of programs be longer than 1 year, as it has been shown to be more effective than shorter programs.