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      Encyclopedia of Primary Prevention and Health Promotion 

      Pregnancy, Adolescence

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      Springer US

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          Adolescent Pregnancy and Childbearing: Levels and Trends in Developed Countries

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            Preventing Teen Pregnancy and Academic Failure: Experimental Evaluation of a Developmentally Based Approach

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              Cognitive-behavioral intervention to reduce African American adolescents' risk for HIV infection.

              Two hundred forty-six African American adolescents were randomly assigned to an educational program or an 8-week intervention that combined education with behavior skills training including correct condom use, sexual assertion, refusal, information provision, self-management, problem solving, and risk recognition. Skill-trained participants (a) reduced unprotected intercourse, (b) increased condom-protected intercourse, and (c) displayed increased behavioral skills to a greater extent than participants who received information alone. The patterns of change differed by gender. Risk reduction was maintained 1 year later for skill-trained youths. It was found that 31.1% of youths in the education program who were abstinent at baseline had initiated sexual activity 1 year later, whereas only 11.5% of skills training participants were sexually active. The results indicate that youths who were equipped with information and specific skills lowered their risk to a greater degree, maintained risk reduction changes better, and deferred the onset of sexual activity to a greater extent than youths who received information alone.
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                2003
                : 838-846
                10.1007/978-1-4615-0195-4_122
                321b8d78-e4ad-4d74-8e0c-65d31aee5106
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