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American Journal of Public Health logoLink to American Journal of Public Health
. 1994 Mar;84(3):388–393. doi: 10.2105/ajph.84.3.388

Changes in HIV-related information sources, instruction, knowledge, and behaviors among US high school students, 1989 and 1990.

D Holtzman 1, R Lowry 1, L Kann 1, J L Collins 1, L J Kolbe 1
PMCID: PMC1614834  PMID: 8129053

Abstract

OBJECTIVES. Few data have been available among adolescents to determine behavioral changes that may prevent human immunodeficiency virus (HIV) infection. This analysis examines changes in the prevalence of self-reported HIV-related information sources, instruction, knowledge, and behaviors among high school students in the United States. METHODS. Two independent, multistage national probability samples of students in grades 9 through 12 were surveyed in 1989 (n = 8098) and 1990 (n = 11,631) with self-administered, anonymous questionnaires that included similar items. RESULTS. Compared with students surveyed in 1989, a significantly greater proportion of students surveyed in 1990 had received HIV instruction in school. Significant decreases were found in the proportion of White and female students who reported having had sexual intercourse, in the proportion of White students reporting two or more lifetime sex partners, and in the proportion of 15- and 16-year-olds, White students, and female students who reported having had four or more lifetime sex partners. For both years, students who had a greater level of HIV knowledge were less likely to have had multiple lifetime sex partners or to have injected illicit drugs. CONCLUSIONS. The findings suggest that school-based HIV education and knowledge may be contributing factors in reducing certain risk behaviors that can lead to HIV transmission among secondary school youth.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson J. E., Kann L., Holtzman D., Arday S., Truman B., Kolbe L. HIV/AIDS knowledge and sexual behavior among high school students. Fam Plann Perspect. 1990 Nov-Dec;22(6):252–255. [PubMed] [Google Scholar]
  2. Brown L. K., Fritz G. K. Children's knowledge and attitudes about AIDS. J Am Acad Child Adolesc Psychiatry. 1988 Jul;27(4):504–508. doi: 10.1097/00004583-198807000-00022. [DOI] [PubMed] [Google Scholar]
  3. Goodman E., Cohall A. T. Acquired immunodeficiency syndrome and adolescents: knowledge, attitudes, beliefs, and behaviors in a New York City adolescent minority population. Pediatrics. 1989 Jul;84(1):36–42. [PubMed] [Google Scholar]
  4. Hingson R., Strunin L., Berlin B. Acquired immunodeficiency syndrome transmission: changes in knowledge and behaviors among teenagers, Massachusetts statewide surveys, 1986 to 1988. Pediatrics. 1990 Jan;85(1):24–29. [PubMed] [Google Scholar]
  5. Holtzman D., Anderson J. E., Kann L., Arday S. L., Truman B. I., Kolbe L. J. HIV instruction, HIV knowledge, and drug injection among high school students in the United States. Am J Public Health. 1991 Dec;81(12):1596–1601. doi: 10.2105/ajph.81.12.1596. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Holtzman D., Greene B. Z., Ingraham G. C., Daily L. A., Demchuk D. G., Kolbe L. J. HIV education and health education in the United States: a national survey of local school district policies and practices. J Sch Health. 1992 Nov;62(9):421–427. doi: 10.1111/j.1746-1561.1992.tb01261.x. [DOI] [PubMed] [Google Scholar]
  7. Kann L., Anderson J. E., Holtzman D., Ross J., Truman B. I., Collins J., Kolbe L. J. HIV-related knowledge, beliefs, and behaviors among high school students in the United States: results from a national survey. J Sch Health. 1991 Nov;61(9):397–401. doi: 10.1111/j.1746-1561.1991.tb07875.x. [DOI] [PubMed] [Google Scholar]
  8. Kegeles S. M., Adler N. E., Irwin C. E., Jr Sexually active adolescents and condoms: changes over one year in knowledge, attitudes and use. Am J Public Health. 1988 Apr;78(4):460–461. doi: 10.2105/ajph.78.4.460. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Keller S. E., Bartlett J. A., Schleifer S. J., Johnson R. L., Pinner E., Delaney B. HIV-relevant sexual behavior among a healthy inner-city heterosexual adolescent population in an endemic area of HIV. J Adolesc Health. 1991 Jan;12(1):44–48. doi: 10.1016/0197-0070(91)90040-s. [DOI] [PubMed] [Google Scholar]
  10. Ku L. C., Sonenstein F. L., Pleck J. H. The association of AIDS education and sex education with sexual behavior and condom use among teenage men. Fam Plann Perspect. 1992 May-Jun;24(3):100–106. [PubMed] [Google Scholar]
  11. Sonenstein F. L., Pleck J. H., Ku L. C. Sexual activity, condom use and AIDS awareness among adolescent males. Fam Plann Perspect. 1989 Jul-Aug;21(4):152–158. [PubMed] [Google Scholar]

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