Safer Sex Media Messages and Adolescent Sexual Behavior: 3-Year Follow-Up Results From Project iMPPACS
- 1 January 2013
- journal article
- research article
- Published by American Public Health Association in American Journal of Public Health
- Vol. 103 (1), 134-140
- https://doi.org/10.2105/ajph.2012.300856
Abstract
Objectives. We estimated the long-term (36-month) effects of Project iMPPACS, a multisite randomized controlled trial of mass media and small-group intervention for African American adolescents. Methods. We collected 6 waves of longitudinal data on program participants aged 14 to 17 years (n = 1139) in Providence, Rhode Island; Syracuse, New York; Columbia, South Carolina; and Macon, Georgia, 36 months (December 2009–December 2010) after the intervention began (August 2006–January 2008). Seemingly unrelated regressions at each wave estimated the effects of 3 types of mass media messages (the thematic mediators: selection, pleasure, and negotiation) on condom use intention and self-reported unprotected vaginal sex events. Results. All 3 mediators of behavior change that were introduced during the media intervention were sustained at the follow-up assessments at least 18 months after the intervention ended, with intention having the largest correlation. Unprotected vaginal sex increased with each wave of the study, although cities receiving media exposure had smaller increases. Conclusions. Project iMPPACS demonstrates that mass media influence delivered over an extended period, when adolescents were beginning to learn patterns of behavior associated with sex, persisted after the media program ended.Keywords
This publication has 30 references indexed in Scilit:
- Using Culturally Sensitive Media Messages to Reduce HIV-Associated Sexual Behavior in High-Risk African American Adolescents: Results From a Randomized TrialJournal of Adolescent Health, 2011
- Long Term Effects of Community-Based STI Screening and Mass Media HIV Prevention Messages on Sexual Risk Behaviors of African American AdolescentsAIDS and Behavior, 2011
- The Impact of Community-Based Sexually Transmitted Infection Screening Results on Sexual Risk Behaviors of African American AdolescentsJournal of Adolescent Health, 2010
- Mass Media as an HIV-Prevention Strategy: Using Culturally Sensitive Messages to Reduce HIV-Associated Sexual Behavior of At-Risk African American YouthAmerican Journal of Public Health, 2009
- HIV interventions affect behavior indirectly: results from the AIDS Community Demonstration ProjectsAIDS Care, 2008
- Confirming preferences or collecting data? Information search strategies and romantic partner selectionPsychology, Health & Medicine, 2008
- Evaluating the Risk and Attractiveness of Romantic Partners When Confronted with Contradictory CuesAIDS and Behavior, 2006
- “Talking” computers: A reliable and private method to conduct interviews on sensitive topics with childrenThe Journal of Sex Research, 1997
- Prevention of sexually transmitted HIV infection: A meta-analytic review of teh behavioral outcome literatureAnnals of Behavioral Medicine, 1996
- Using structural equations to estimate effects of behavioral interventionsStructural Equation Modeling: A Multidisciplinary Journal, 1994