TY - JOUR
T1 - The Impact of the Teen Outreach Program on Sexual Intentions and Behaviors
AU - Walsh-Buhi, Eric R.
AU - Marhefka, Stephanie L.
AU - Wang, Wei
AU - Debate, Rita
AU - Perrin, Kay
AU - Singleton, Ashley
AU - Noble, Charlotte A.
AU - Rahman, Saba
AU - Maness, Sarah B.
AU - Mahony, Helen
AU - Ziemba, Robert
AU - Malmi, Markku
AU - Marwah, Elizabeth
AU - Hall, Kristin
AU - Turner, De Anne
AU - Blunt-Vinti, Heather
AU - Noble, Shireen M.
AU - Daley, Ellen M.
N1 - Funding Information:
This study was conducted under grant number TP1AH000017-01 from the U.S. Office of Adolescent Health (OAH) , U.S. Department of Health and Human Services .
Publisher Copyright:
© 2016 Society for Adolescent Health and Medicine
PY - 2016/9/1
Y1 - 2016/9/1
N2 - Purpose We evaluated the impact of a positive youth development program on adolescent pregnancy, sexual behavior, risky sex, and intentions in nonmetropolitan Florida high schools. Methods Between 2012 and 2014, the Teen Outreach Program (TOP) was compared to standard school curriculum content using a cluster randomized controlled trial design with 7,976 youth in two cohorts. The majority of youth were 14 years old and in the ninth grade at baseline. Treatment group youth received TOP in health-related classes. After using multiple imputation to account for missing data, we analyzed baseline and follow-up survey data using generalized linear mixed-effects models with logit link function. Results In the cohort 1 sample, compared to the control condition, males and females receiving TOP showed lower odds of engaging in recent sex (odds ratio [OR], .71; 95% confidence interval [CI]: .58–.86) compared to control males and females. Cohort 1 treatment females who did engage in recent sex were less likely to have risky sex (OR, .54; 95% CI: .32–.89). There were fewer significant findings in cohort 2, though TOP females and combined gender had lower odds of risky sex intentions (OR, .53; 95% CI: .33–.84 and OR, .65; 95% CI: .44–.96, respectively). Overall, cohort 1 females in the TOP condition were the group most likely to benefit from TOP. Conclusions Consistent with previous research, TOP was more effective regarding sexual health outcomes among female versus male youth; this was especially true for the outcome of risky sex. However, results were not consistent across cohorts, prompting questions for future research.
AB - Purpose We evaluated the impact of a positive youth development program on adolescent pregnancy, sexual behavior, risky sex, and intentions in nonmetropolitan Florida high schools. Methods Between 2012 and 2014, the Teen Outreach Program (TOP) was compared to standard school curriculum content using a cluster randomized controlled trial design with 7,976 youth in two cohorts. The majority of youth were 14 years old and in the ninth grade at baseline. Treatment group youth received TOP in health-related classes. After using multiple imputation to account for missing data, we analyzed baseline and follow-up survey data using generalized linear mixed-effects models with logit link function. Results In the cohort 1 sample, compared to the control condition, males and females receiving TOP showed lower odds of engaging in recent sex (odds ratio [OR], .71; 95% confidence interval [CI]: .58–.86) compared to control males and females. Cohort 1 treatment females who did engage in recent sex were less likely to have risky sex (OR, .54; 95% CI: .32–.89). There were fewer significant findings in cohort 2, though TOP females and combined gender had lower odds of risky sex intentions (OR, .53; 95% CI: .33–.84 and OR, .65; 95% CI: .44–.96, respectively). Overall, cohort 1 females in the TOP condition were the group most likely to benefit from TOP. Conclusions Consistent with previous research, TOP was more effective regarding sexual health outcomes among female versus male youth; this was especially true for the outcome of risky sex. However, results were not consistent across cohorts, prompting questions for future research.
KW - Adolescent
KW - Birth control
KW - Condom
KW - Pregnancy
KW - Prevention
KW - Randomized controlled trial
KW - Reproductive health
KW - Sexual health
UR - http://www.scopus.com/inward/record.url?scp=84995617515&partnerID=8YFLogxK
U2 - 10.1016/j.jadohealth.2016.05.007
DO - 10.1016/j.jadohealth.2016.05.007
M3 - Article
C2 - 27318427
AN - SCOPUS:84995617515
SN - 1054-139X
VL - 59
SP - 283
EP - 290
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 3
ER -