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Outcomes of a Culturally-Based Sexually Risk Reduction Intervention for Adolescents in Puerto Rico: A Cohort Evaluation Report | OMICS International| Abstract
ISSN: 2161-0711

Journal of Community Medicine & Health Education
Open Access

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  • Research Article   
  • J Community Med Health Educ 2018, Vol 8(1): 585
  • DOI: 10.4172/2161-0711.1000585

Outcomes of a Culturally-Based Sexually Risk Reduction Intervention for Adolescents in Puerto Rico: A Cohort Evaluation Report

Cruz-Feliciano MA1*, Pabón-Cruz K2, Carrión-González IS1 and Vargas-Bernal MI2
1Institute of Research, Education and Services in Addiction, School of Medicine, Universidad Central del Caribe, , USA
2Maternal, Child and Adolescent Health Division, Department of Health, , Puerto Rico, USA
*Corresponding Author : Cruz-Feliciano MA, Assistant Professor, Institute of Research, Education and Services in Addiction, School of Medicine, Universidad Central del Caribe, PO BOx 60327, Bayamon, PR 00960-6032, USA, Tel: 17877854211, Email: [email protected]

Received Date: Jan 23, 2018 / Accepted Date: Jan 31, 2018 / Published Date: Feb 02, 2018

Abstract

Objective: Teen pregnancy and sexually risky behaviors among adolescents represent a major public health concern. Despite reduction of teen birth rates, Hispanic adolescents still report higher rates in comparison to other racial and ethnic groups. Under uncontrolled community and school settings, ¡Cuídate! was implemented for assisting Puerto Rican youth reduce sexual risk behaviors in high risk communities.
Methods: A prospective assessment was conducted among adolescents that participated in the intervention. A stratified probabilistic sample of 185 adolescents was re-contacted and comparisons were made between participants that completed and not completed the intervention in terms of intent to have sex, sexual encounters, contraceptive methods, teen pregnancy, and improvement in life coping skills.
Results: After intervention’s completion participation, adolescents were more likely to ask sexual partner to use any birth control or condom that non-completers. Completers reported 75% less probability of reporting sex ever than those non-completers after controlling for age and gender. They also were more likely to indicate higher intentions to have sex. Among those adolescents that indicated not having sex before starting the intervention, 12.0% had sex and from those that had sex after the intervention, 1.2% reported being pregnant or gotten someone pregnant.
Conclusions: The investigation found that an impact in knowledge and attitudes were experienced. Despite teen pregnancy prevention did not reach statistical significance, it resulted in lower incidence than the general population of adolescents.¡Cuídate! resulted effective in changing the perception towards abstinence, condom utilization, and in delaying age of first sexual encounter.

Keywords: Adolescents; Risk reduction; Hispanic/Latino; Sexualbehaviors; ¡Cuídate!

Citation: Cruz-Feliciano MA, Pabón-Cruz K, Carrión-González IS, Vargas-Bernal MI (2018) Outcomes of a Culturally-based Sexually Risk Reduction Intervention for Adolescents in Puerto Rico: A Cohort Evaluation Report. J Community Med Health Educ 8: 585. Doi: 10.4172/2161-0711.1000585

Copyright: © 2018 Cruz-Feliciano MA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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