There is an urgent need for continued innovation in the design of HIV/STI prevention interventions for African American females, a group at high risk for STIs and HIV. In particular, attention to social development and to culture is needed. The present study reports on a group randomized controlled trial of a friendship-based HIV/STI prevention intervention delivered at community-based centers in four San Francisco neighborhoods (n = 2, experimental; n = 2, control). This brief program focuses on youth and their friendship group (N = 264). Program outcomes vary by age at 3-month follow-up, evidencing decreases in risky sex in the oldest group (p ≤ .05), decreases in multiple partners in the middle age group (p ≤ .05), and increases in HIV testing in the youngest group (p = .05). Findings extend recent work on the efficacy of interventions to reduce sexual risk for racial and ethnic minority youth.
Boyer, C.B., Shafer, M.A., Shaffer, R.A., Brodine, S.T., Pollack, L.M., Betsinger, K., et al. (2005). Evaluation of a cognitive-behavioral, group, randomized controlled intervention trail to prevent sexually transmitted infections and unintended pregnancies in young women. Preventive Medicine , 40, 420-431.
2.
Boyer, C.B., Tschann, J.M., & Shafer, M.-A. ( 1999). Predictors of risk for sexually transmitted diseases in ninth grade urban high school students. Journal of Adolescent Research, 14, 448-465.
3.
Brown, B.B. ( 1990). Peer groups and peer cultures. In S. S. Feldman & G. R. Elliott (Eds.), At the threshold: The developing adolescent (pp. 171-196). Cambridge, MA: Harvard University Press .
4.
Brown, B.B., Dolcini, M.M., & Leventhal, A. ( 1997). Transformations in peer relationships at adolescence: Implications for health-related behavior. In J. Schulenger, J. L. Maggs, & K. Hurrelmann (Eds.), Health risks and developmental transitions during adolescence (pp. 161-189). New York: Cambridge University Press.
5.
Catania, J.A., & Dolcini, M.M. ( 2006, March). Norms governing urban African American adolescents’ sexual and substance-using behavior: A conceptual review and new empirical findings. Poster presented at the Annual Meeting of the Society for Research on Adolescence, San Francisco, CA.
6.
Catania, J.A., Gibson, D.R., Chitwood, D.D., & Coates, T.J. ( 1990). Methodological problems in AIDS behavioral research: Influences on measurement error and participation bias in studies of sexual behavior. Psychological Bulletin, 108, 339-362.
7.
Catania, J.A., Kegeles, S.M., & Coates, T.J. ( 1990). Towards an understanding of risk behavior: An AIDS Risk Reduction Model (ARRM). Health Education Quarterly , 17(1), 53-72.
8.
Centers for Disease Control and Prevention. ( 2006a). Sexually transmitted disease surveillance report, 2005 . Atlanta, GA: U.S. Department of Health and Human Services. Retrieved February 24, 2007 , from http://www.cdc.gov/std/stats/minorities/htm
9.
Centers for Disease Control and Prevention. ( 2006b). Trends in reportable sexually transmitted diseases in the United States, 2005: National surveillance data for chlamydia, gonorrhea, and syphilis. Retrieved September 23, 2007, from http://www.cdc.gov/std/stats/05pdf/trends-2005.pdf
10.
Centers for Disease Control and Prevention. ( 2007a). HIV/AIDS surveillance report, 2005. Vol. 17 (rev. ed., pp. 1-46). Atlanta, GA: Author. Available at http://www.cdc.gov/hiv/topics/surveillance/resources/reports/
11.
Centers for Disease Control and Prevention. ( 2007b). Racial/ethnic disparities in diagnosis of HIV/AIDS-33 states, 2001-2005. Morbidity and Mortality Weekly Report, 56, 189-193.
12.
Diggle, P.J., Heagerty, P., Liang, K.Y., & Zeger, S.L. ( 2002). Analysis of longitudinal data (2nd ed.). Oxford, UK: Oxford University Press.
13.
Diggle, P.J., Liang, K.Y., & Zeger, S. ( 1994). Analysis of longitudinal data. Oxford , UK: Clarendon.
14.
Dolcini, M.M., Harper, G.W., Boyer, C.B., Watson, S.E., Anderson, M., Pollack, L., et al. (2008). Preliminary findings on a brief friendship-based HIV/STI intervention for urban African American youth: Project ÒRÉ . Journal of Adolescent Health, 42, 629-633.
15.
Dolcini, M.M., Harper, G.W., Watson, S.E., Catania, J.A., & Ellen, J.M. ( 2005). Friends in the ‘hood: Should peer-based health promotion programs target nonschool friendship networks? Journal of Adolescent Health, 36, 146-147.
16.
Fang, X., Stanton, B., Li, X., Feigelman, S., & Baldwin, R. ( 1998). Similarities in sexual activity and condom use among friends within groups before and after a risk-reduction intervention . Youth & Society, 29, 431-450.
17.
Green, L.W., & Glasgow, R.E. ( 2006). Evaluating the relevance, generalization, and applicability of research: Issues in external validation and translation methodology . Evaluation & the Health Professions, 29, 126-153.
18.
Harper, G.W., Benhorin, S., Watson, S.E., Anderson, M., & Dolcini, M.M. ( 2008). The benefits of a friendship-based HIV/STI prevention intervention for African American youth: A process evaluation. Manuscript submitted for publication.
19.
Harper, G.W., Dolcini, M.M., Gannon, C., Watson, S., & Catania, J.A. ( 2004). The role of close friends in African-American adolescents’ dating and sexual behavior. Journal of Sex Research, 41, 351-362.
20.
Horne, C. ( 2001). Sociological perspectives on the emergence of social norms. In M. Hechter & K. D. Opp (Eds.), Social Norms (pp. 3-34). New York: Russell Sage.
21.
Jemmott, J.B., III, Jemmott, L.S., Braverman, P.K., & Fong, G.T. ( 2005). HIV/STD risk reduction interventions for African American and Latino adolescent girls at an adolescent medicine clinic: A randomized controlled trial. Archives of Pediatrics and Adolescent Medicine , 159, 440-449.
22.
Keating, D. ( 1990). Adolescent thinking. In S. S. Feldman & G. R. Elliot (Eds.), At the threshold: The developing adolescent (pp. 54-89). Cambridge, MA: Harvard University Press.
23.
Kirby, D. ( 2001). Understanding what works and what doesn’t in reducing adolescent sexual risk-taking. Family Planning Perspectives , 33, 276-281.
24.
Kirby, D. ( 2008). Abstinence, sex, and STD/HIV education programs for teens: Their impact on sexual behavior, pregnancy, and sexually transmitted diseases . Annual Review of Sex Research, 18, 143-177.
25.
Pedlow, C.T., & Carey, M.P. ( 2004). Developmentally appropriate sexual risk reduction interventions for adolescents: Rationale, review of interventions, and recommendations for research and practice. Annals of Behavioral Medicine, 27, 172-184.
26.
Peterson, J.L., Coates, T.J., & Catania, J.A. ( 1996). Evaluation of an HIV risk reduction intervention among African-American homosexual and bisexual men. AIDS, 10, 319-325.
27.
Roye, C., Perlmutter Silverman, P., & Krauss, B. ( 2007). A brief, low-cost, theory-based intervention to promote dual method use by Black and Latina female adolescents: A randomized clinical trial. Health Education & Behavior, 34, 608-621.
28.
Schulenberg, J., Maggs, J.L., & Hurrelmann, K. (1997). Negotiating developmental transitions during adolescence and young adulthood: Health risks and opportunities . In J. Schulenger, J. L. Maggs, & K. Hurrelmann (Eds.), Health risks and developmental transitions during adolescence (pp. 1-22). New York: Cambridge University Press.
29.
Stanton, B.F., Xiaoming, L., Ricardo, I., Galbraith, J., Feigelman, S., & Kaljee, L. ( 1996). A randomized, controlled effectiveness trial of an AIDS prevention program for low-income African-American youths. Archives of Pediatric and Adolescent Medicine, 150, 363-371.
30.
Vera, E.M., Reese, L.E., Paikoff, R.L., & Jarrett, R.L. ( 1996). Contextual factors of sexual risk-taking in urban African American preadolescent children. In B. J. Ross Leadbeater & N. Way (Eds.), Urban girls (pp. 291-308). New York: New York University Press.
31.
Villarruel, A.M., Jemmott, J.B., & Jemmott, L.S. ( 2006). A randomized controlled trial testing an HIV prevention intervention for Latino youth. Archives of Pediatric and Adolescent Medicine, 160, 772-777.
32.
Wilson, B.D.M., & Miller, R.L. ( 2003). Examining strategies for culturally grounded HIV prevention: A review. AIDS Education and Prevention, 15, 184-202.
