Schoolwide effects of a multicomponent HIV, STD, and pregnancy prevention program for high school students

Karen Basen-Engquist, Karin K. Coyle, Guy S. Parcel, Douglas Kirby, Stephen W. Banspach, Scott C. Carvajal, Elizabeth Baumler

Research output: Contribution to journalArticlepeer-review


Few studies have tested schoolwide interventions to reduce sexual risk behavior, and none have demonstrated significant schoolwide effects. This study evaluates the schoolwide effects of Safer Choices, a multicomponent, behavioral theory-based HIV, STD, and pregnancy prevention program, on risk behavior, school climate, and psychosocial variables. Twenty urban high schools were randomized, and cross-sectional samples of classes were surveyed at baseline, the end of intervention (19 months after baseline), and 31 months after baseline. At 19 months, the program had a positive effect on the frequency of sex without a condom. At 31 months, students in Safer Choices schools reported having sexual intercourse without a condom with fewer partners. The program positively affected psychosocial variables and school climate for HIV/STD and pregnancy prevention. The program did not influence the prevalence of recent sexual intercourse. Schoolwide changes in condom use demonstrated that a school-based program can reduce the sexual risk behavior of adolescents.

Original languageEnglish (US)
Pages (from-to)166-185
Number of pages20
JournalHealth Education and Behavior
Issue number2
StatePublished - Apr 2001
Externally publishedYes

ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Public Health, Environmental and Occupational Health


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