Publications [#90818] of Kathleen J. Sikkema

Journal Articles

1. KJ Sikkema, ES Anderson, JA Kelly, RA Winett, C Gore-Felton, RA Roffman, TG Heckman, K Graves, RG Hoffmann, MJ Brondino (2005). Outcomes of a randomized, controlled community-level HIV prevention intervention for adolescents in low-income housing developments.. AIDS (London, England), 19(14), 1509-16. [doi]
   (last updated on 2014/07/23)

   Abstract:
   OBJECTIVE: Youth are increasingly at risk for contracting HIV infection, and community-level interventions are needed to reduce behavioral risk. METHODS: A randomized, controlled, multi-site community-level intervention trial was undertaken with adolescents living in 15 low-income housing developments in five US cities. METHODS: Baseline (n = 1172), short-term follow-up (n = 865), and long-term follow-up (n = 763) risk assessments were conducted among adolescents, ages 12-17, in all 15 housing developments. The developments were randomly assigned in equal numbers to each of three conditions: experimental community-level intervention (five developments); "state-of-the-science" skills training workshops (five developments); and, education-only delayed control intervention (five developments). RESULTS: At long-term follow-up, adolescents living in the housing developments receiving the community-level intervention were more likely to delay onset of first intercourse (85%) than those in the control developments (76%), while those in the workshop developments (78%) did not differ from control condition adolescents. Adolescents in both the community-level intervention (77%) and workshop (76%) developments were more likely to use a condom at last intercourse than those in control (62%) developments. CONCLUSIONS: Community-level interventions that include skills training and engage adolescents in neighborhood-based HIV prevention activities can produce and maintain reductions in sexual risk behavior, including delaying sexual debut and increasing condom use.