Evaluation of a randomized intervention to delay sexual initiation among fifth-graders followed through the sixth grade
US adolescents initiate sex at increasingly younger ages, yet few pregnancy prevention interventions for children as young as 10–12 years old have been evaluated. Sixteen Washington, DC schools were randomly assigned to intervention versus control conditions. Beginning in 2001/02
with fifth-grade students and continuing during the sixth grade, students completed pre-intervention and post-intervention surveys each school year. Each year, the intervention included 10–13 classroom sessions related to delaying sexual initiation. Linear hierarchical models compared
outcome changes between intervention and control groups by gender over time. Results show the intervention significantly decreased a rise over time in the anticipation of having sex in the next 12 months among intervention boys versus control boys, but it had no other outcome effects. Among
girls, the intervention had no significant outcome effects. One exception is that for both genders, compared with control students, intervention students increased their pubertal knowledge. In conclusion, a school-based curriculum to delay sexual involvement among fifth-grade and sixth-grade
high-risk youths had limited impact. Additional research is necessary to outline effective interventions, and more intensive, comprehensive interventions may be required to counteract adverse circumstances in students' lives and pervasive influences toward early sex.
No Reference information available - sign in for access.
No Citation information available - sign in for access.
No Supplementary Data.
No Article Media
Document Type: Research Article
Social and Statistical Sciences, RTI International, Research Triangle Park, NC, USA
Department of Pediatrics and Child Health, Howard University, Washington, DC, USA
Institute of Medicine, Washington, DC, USA
Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, MD, USA
Department of Pediatrics, University of Washington, Seattle, WA, USA
February 1, 2011
More about this publication?