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Evaluation of Interventions to Decrease the HIV/STI Risk Behaviors of African American
Youth: Can We Control Future Trends?
Beatrice Simiyu
Capstone Project
Dr. Bruce Johnson Abstract
As a result of the need to recognize successful human immunodeficiency virus (HIV) and sexually transmitted infections (STI) interventions tailored for African American youth, a literature review of six HIV/STI randomized controlled trials interventions targeting African American youth conducted in the United States were evaluated. A comparative analysis was used; the settings, procedures and outcomes of the different interventions targeting African American youth were compared, contrasted and combined to ultimately identify trends that are likely to initiate and possibly sustain change in HIV/STI risk behaviors among African American youth who are a vulnerable group. Variables were evaluated by the various intervention impacts on reducing sexual risk behaviors by an indication of a delay in first sexual intercourse, a decline in the number of sex partners and frequency of sex, and increase in condom use and a reduction in positive STI outcomes. Outcomes were used to facilitate identification of public health strategies that might be most beneficial in targeting African American youth and pinpoint what manner current public health strategies neglects to focus on their needs.
The research and practice implications of the findings imply that enhancing future HIV/STI targeting African American youth necessitates the prioritization, development and evaluation of “innovative, theory based, empirically derived, and rigorously designed research specially tailored to the cultural, gender, and socio demographic characteristics of the target population” (Sales, Milhausen &Diclemente, 2006, p. 435). Recommendations include addressing HIV/STI social and behavioral risk factors to change…...

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