Systematic Review of Interventions to Prevent the Spread of Sexually Transmitted Infections, Including HIV, Among Young People in Europe

Lazarus, Jeffrey V.; Sihvonen-Riemenschneider, Henna; Laukamm-Josten, Ulrich; Wong, Fiona; Liljestrand, Jerker
February 2010
Croatian Medical Journal;Feb2010, Vol. 51 Issue 1, p74
Academic Journal
Aim To examine the effectiveness of interventions seeking to prevent the spread of sexually transmitted infections (STIs), including HIV, among young people in the European Union. Methods For this systematic review, we examined interventions that aimed at STI risk reduction and health promotion conducted in schools, clinics, and in the community for reported effectiveness (in changing sexual behavior and/or knowledge) between 1995 and 2005. We also reviewed study design and intervention methodology to discover how these factors affected the results, and we compiled a list of characteristics associated with successful and unsuccessful programs. Studies were eligible if they employed a randomized control design or intervention-only design that examined change over time and measured behavioral, biologic, or certain psychosocial outcomes. Results Of the 19 studies that satisfied our review criteria, 11 reported improvements in the sexual health knowledge and/or attitudes of young people. Ten of the 19 studies aimed to change sexual risk behavior and 3 studies reported a significant reduction in a specific aspect of sexual risk behavior. Two of the interventions that led to behavioral change were peer-led and the other was teacher-led. Only 1 of the 8 randomized controlled trials reported any statistically significant change in sexual behavior, and then only for young females. Conclusion The young people studied were more accepting of peer-led than teacher-led interventions. Peerled interventions were also more successful in improving sexual knowledge, though there was no clear difference in their effectiveness in changing behavior. The improvement in sexual health knowledge does not necessarily lead to behavioral change. While knowledge may help improve health-seeking behavior, additional interventions are needed to reduce STIs among young people.


Related Articles

  • RELIGION: The Crowd Whispers, The Crowd Laughs. McNaught, Brian // Advocate;3/10/76, Issue 185, p16 

    Comments on key issues concerning sexual ethics, homosexuality and the beliefs of the Roman Catholic Church. Sex education and religion in underdeveloped countries; Perception of homosexuality as a natural, irreversible variation of sexual orientation; Beliefs about the importance of celibacy...

  • Sex in the schoolroom.  // Saturday Evening Post;6/29/1968, Vol. 241 Issue 13, p72 

    Discusses several issues concerning sex education among schools in the U.S., as of June 1986. Comment on an argument that children must have access to knowledge about sex and sexuality; Views on the purpose of sex education; Criticisms against the use of sex education as an experiment in...

  • Reforming Sex by Rolodex.  // Christianity Today;03/06/2000, Vol. 44 Issue 3, p37 

    Provides information on Sexuality Information and Education Council of the United States which endorses religious declaration on sexual morality, justice and healing. Statement endorsed by liberal religious scholars and clergy; Church trial of United Methodist minister Jimmy Creech; Effect of...

  • AASECT's Code of Ethics. Finger, Bill // Contemporary Sexuality;Oct2011, Vol. 45 Issue 10, p3 

    An introduction to the October 2011 issue of "Contemporary Sexuality" is presented which discusses the ethics of the American Association of Sex Educators, Counselors & Therapists.

  • PLANNED PARENTHOOD AND STUDENTS' KNOWLEDGE OF CONTRACEPTIVE METHODS. Roupa, Z.; Mylona, E.; Sotiropoulou, P.; Arsenos, P.; Kotrotsiou, E.; Gourni, M.; Faros, E.; Nikas, M.; Salakos, N. // Health Science Journal;2007, Issue 1, p1 

    Objective: The present study concentrates on the need of young people aged approximately 18-22 for accurate information on family planning and sex education provided by trained health professionals. Materials and Methods: 350 questionnaires were filled out by a random sample of students at the...

  • Talking the Talk. McEnroe, Colin // Best Life;Mar2007, Vol. 4 Issue 2, p88 

    The article presents tips for teaching children about sex. The impact of mass media on the perceptions of children and teenagers towards sex is discussed. The need for discussing safe sex to children and teenagers is mentioned. The efforts of the author to enlighten the views of his son on sex...

  • La promotion de l'équité en éducation sexuelle dans les écoles secondaires de la région d'Ottawa. Martinez, Andrea; Phillips, Karen // Canadian Journal of Education;2009, Vol. 32 Issue 1, p60 

    This article examines the social representations of sexual health equity using interview data from 30 Ontario secondary school teachers from the Ottawa region, which includes five peripheral municipalities east of the city. Based on a feminist interpretation of the main pitfalls in sexual...

  • What's your teen cultural literacy?  // Contemporary Sexuality;Oct2006, Vol. 40 Issue 10, p6 

    The article presents hypothetical conversation between two teenage boys and a girl created by peer educators at Planned Parenthood in Milwaukee. Meanings of the boldfaced words and phrases were asked to evaluate readers' apprehension on today's teen slang and buzzwords. Words or phrases...

  • Indulgence -- In Reason, Evidence and Common Sense.  // Electronic Ardell Wellness Report (E-AWR);7/27/2007, Issue 393, p2 

    An essay is presented on sex education program in the U.S. It offers information on the debacle of abstinence-only sex education program and suggests an alternative approach emphasizing more on importance of safety measures than on abstinence in sex education. The author discusses the changing...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics