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Journal of Urban Health : Bulletin of the New York Academy of Medicine logoLink to Journal of Urban Health : Bulletin of the New York Academy of Medicine
. 2003 Sep;80(Suppl 3):iii40–iii49. doi: 10.1093/jurban/jtg081

The next generation of HIV prevention for adolescent females in the united states: Linking behavioral and epidemiologic sciences to reduce incidence of HIV

Jonathan M Ellen 1,
PMCID: PMC3456265  PMID: 14713670

Abstract

Given the increasing numbers of new HIV infections among adolescent females and limitations of the current generation of HIV interventions, a new generation of interventions is needed to prevent HIV and other infections in this population. Interventions available today are limited by their focus on single behaviors that have little epidemiologic significance, such as condom use, and their failure to be tested among the highest risk females. Recent advances in epidemiologic sciences suggest that the next generation of interventions should focus on parenting and parenting skills, sexual risk networks in which drug use and other high-risk behaviors are prevalent, and neighborhoods where these networks exist. Future research should include formative and observational studies to inform new intervention trials that reach the highest risk female youth.

Keywords: Female adolescents, HIV risk behaviors, HIV/STIs, Preventions, Social/sexual networks

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References

  • 1.Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report. 2001. Centers for Disease Control and Prevention:2002.
  • 2.Wilson CM, Houser J, Partlow C, Rudy BJ, Futterman DC, Friedman LB. The REACH (Reaching for Excellence in Adolescent Care and Health) Project: study design, methods, and population profile. J Adolesc Health. 2001;29(3):8–18. doi: 10.1016/S1054-139X(01)00291-9. [DOI] [PubMed] [Google Scholar]
  • 3.The Hidden Epidemic: Confronting Sexually Transmitted Diseases. Washington, DC: National Academy Press; 1997. Committee on Prevention and Control of Sexually Transmitted Diseases, Eng TR, Butler WT. [PubMed] [Google Scholar]
  • 4.Grunbaum JA, Kann L, Kinchen SA, et al. Youth risk behavior surveillance—United States, 2001. J Sch Health. 2002;72(8):313–328. doi: 10.1111/j.1746-1561.2002.tb07917.x. [DOI] [PubMed] [Google Scholar]
  • 5.Mosure DJ, Berman S, Kleinbaum D, Halloran ME. Predictors of Chlamydia trachomatis infection among female adolescents: a longitudinal analysis. Am J Epidemiol. 1996;144(10):997–1003. doi: 10.1093/oxfordjournals.aje.a008870. [DOI] [PubMed] [Google Scholar]
  • 6.Weller S, Davis K. Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Systemic Rev. 2002;(1):CD003255. [DOI] [PubMed]
  • 7.Zenilman JM, Weisman CS, Rompalo AM, et al. Condom use to prevent incident STDs: the validity of self-reported condom use. Sex Transm Dis. 1995;22(1):15–21. doi: 10.1097/00007435-199501000-00003. [DOI] [PubMed] [Google Scholar]
  • 8.Turner CF, Rogers SM, Miller HG, et al. Untreated gonococcal and chlamydial infection in a probability sample of adults. JAMA. 2002;287(6):726–733. doi: 10.1001/jama.287.6.726. [DOI] [PubMed] [Google Scholar]
  • 9.Ellen JM, Aral SO, Madger LS. Do differences in sexual behaviors account for the racial/ethnic differences in adolescents’ self-reported history of a sexually transmitted disease? Sex Transm Dis. 1998;25(3):125–129. doi: 10.1097/00007435-199803000-00002. [DOI] [PubMed] [Google Scholar]
  • 10.Ellen JM, Kent CK, Gurvey JE, Bolan GA. A comparison of the sexual mixing patterns of adolescents diagnosed with chlamydia and gonorrhea. In: Stephens R, ed Proceedings of the Ninth International Symposium on Human Chlamydial Infection. Napa Valley, CA; 1998:15–18.
  • 11.Ellen JM, Langer LM, Zimmerman RS, Cabral RJ, Fichtner R. The link between the use of crack cocaine and the sexually transmitted diseases of a clinic population: a comparison of adolescents with adults. Sex Transm Dis. 1996;23(6):511–516. doi: 10.1097/00007435-199611000-00013. [DOI] [PubMed] [Google Scholar]
  • 12.Ghani AC, Swinton J, Garnett GP. The role of sexual partnership networks in the epidemiology of gonorrhea. Sex Transm Dis. 1997;24(1):45–56. doi: 10.1097/00007435-199701000-00009. [DOI] [PubMed] [Google Scholar]
  • 13.Morris M, Kretzschmar M. Concurrent partnerships and the spread of HIV. AIDS. 1997;11:641–648. doi: 10.1097/00002030-199705000-00012. [DOI] [PubMed] [Google Scholar]
  • 14.Rosenberg MD, Gurvey JE, Adler N, Dunlop MBV, Ellen JM. Concurrent sex partners and risk for sexually transmitted diseases among adolescents. Sex Transm Dis. 1999;26(4):208–212. doi: 10.1097/00007435-199904000-00004. [DOI] [PubMed] [Google Scholar]
  • 15.Sturdevant MS, Belzer M, Weissman G, Friedman LB, Sarr M, Muenz LR. The relationship of unsafe sexual behavior and the characteristics of sexual partners of HIV infected and HIV uninfected adolescent females. J Adolesc Health. 2001;29(3 suppl):64–71. doi: 10.1016/S1054-139X(01)00286-5. [DOI] [PubMed] [Google Scholar]
  • 16.Hamers FF, Peterman TA, Zaidi AA, Ransom RL, Wroten JE, Witte JJ. Syphilis and gonorrhea in Miami: similar clustering, different trends. Am J Public Health. 1995;85(pt 1):1104–1108. doi: 10.2105/AJPH.85.8_Pt_1.1104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 17.Zimmerman HL, Potterat JJ, Dukes RL, et al. Epidemiologic differences between chlamydia and gonorrhea. Am J Public Health. 1990;80(11):1338–1342. doi: 10.2105/AJPH.80.11.1338. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 18.Cohen D, Spear S, Scribner R, Kissinger P, Mason K, Wildgen J. “Broken windows” and the risk of gonorrhea [see comments] Am J Public Health. 2000;90(2):230–236. doi: 10.2105/AJPH.90.2.230. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 19.Jemmott JB, III, Jemmott LS, Fong GT. Abstinence and safer sex HIV risk-reduction interventions for African American adolescents: a randomized controlled trial. JAMA. 1998;279(19):1529–1536. doi: 10.1001/jama.279.19.1529. [DOI] [PubMed] [Google Scholar]
  • 20.Jemmott JB, III, Jemmott LS, Fong GT, McCaffree K. Reducing HIV risk-associated sexual behavior among African American adolescents: testing the generality of intervention effects. Am J Community Psychol. 1999;27(2):161–187. doi: 10.1007/BF02503158. [DOI] [PubMed] [Google Scholar]
  • 21.Kirby D, Barth RP, Leland N, Fetro JV. Reducing the risk: impact of a new curriculum on sexual risk-taking. Fam Plann Perspect. 1991;23(6):253–263. doi: 10.2307/2135776. [DOI] [PubMed] [Google Scholar]
  • 22.Hubbard BM, Giese ML, Rainey J. A replication study of Reducing the Risk, a theory-based sexuality curriculum for adolescents. J Sch Health. 1998;68(6):243–247. doi: 10.1111/j.1746-1561.1998.tb06347.x. [DOI] [PubMed] [Google Scholar]
  • 23.Basen-Engquist K, Coyle KK, Parcel GS, et al. Schoolwide effects of a multicomponent HIV, STD, and pregnancy prevention program for high school students. Health Educ Behav. 2001;28(2):166–185. doi: 10.1177/109019810102800204. [DOI] [PubMed] [Google Scholar]
  • 24.Main DS, Iverson DC, McGloin J, et al. Preventing HIV infection among adolescents: evaluation of a school-based education program. Prev Med. 1994;23(4):409–417. doi: 10.1006/pmed.1994.1056. [DOI] [PubMed] [Google Scholar]
  • 25.Rotheram-Borus MJ, Murphy DA, Fernandez MI, Srinivasan S. A brief HIV intervention for adolescents and young adults. Am J Orthopsychiatry. 1998;68(4):553–564. doi: 10.1037/h0080364. [DOI] [PubMed] [Google Scholar]
  • 26.Stanton BF, Li X, Ricardo I, Galbraith J, Feigleman S, Kaljee L. A randomized controlled effectiveness trial of an AIDS prevention program for low income African American youths. Arch Pediatr Adolesc Med. 1996;150:363–372. doi: 10.1001/archpedi.1996.02170290029004. [DOI] [PubMed] [Google Scholar]
  • 27.St Lawrence JS, Brasfield TL, Jefferson KW, Alleyne E, O’Bannon RE, Shirley A. Cognitive-behavioral intervention to reduce African American adolescents’ risk for HIV infection. J Consult Clin Psychol. 1995;63(2):221–237. doi: 10.1037/0022-006X.63.2.221. [DOI] [PubMed] [Google Scholar]
  • 28.Orr DP, Langefeld CD, Katz BP, Caine VA. Behavioral intervention to increase condom use among high-risk female adolescents. Pediatr. 1996;128(2):288–295. doi: 10.1016/S0022-3476(96)70413-4. [DOI] [PubMed] [Google Scholar]
  • 29.DiClemente RJ, Wingood GM. Human immunodeficiency virus prevention for adolescents: windows of opportunity for optimizing intervention effectiveness. Arch Pediatr Adolesc Med. 2003;157:319–320. doi: 10.1001/archpedi.157.4.319. [DOI] [PubMed] [Google Scholar]
  • 30.McNeely C, Shew ML, Beuhring T, Sieving R, Miller BC, Blum RW. Mothers’ influence on the timing of first sex among 14- and 15-year-olds. J Adolesc Health. 2002;31(3):256–265. doi: 10.1016/S1054-139X(02)00350-6. [DOI] [PubMed] [Google Scholar]
  • 31.Blum RW. Healthy youth development as a model for youth health promotion: a review. J Adolesc Health. 1998;22(5):368–375. doi: 10.1016/S1054-139X(97)00261-9. [DOI] [PubMed] [Google Scholar]
  • 32.Resnick MD, Bearman PS, Blum RW, et al. Protecting adolescents from harm: findings from the National Longitudinal Study on Adolescent Health. JAMA. 1997;278(10):823–832. doi: 10.1001/jama.278.10.823. [DOI] [PubMed] [Google Scholar]

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