HIV/AIDS Education Impact on Risky Adolescent Sexual Behaviors across Racial Groups Seventh National Conference on Quality Health Care for Culturally Diverse Populations Baltimore, MD October 18-21, 2010 Paul DuongTran, Ph.D. Edgar H. Tyson, Ph.D. Fordham University Graduate School of Social Service New York, New York

Impact of Sexual Behaviors 870,000 pregnancies occur each year among year olds 490,000 live births occur each year to teen mothers aged years 3 million sexually transmitted diseases occur each year among year olds 2Dr. DuongTran 10/21/10

Purposes of the YRBSS Focus the nation on behaviors among youth causing the most important health problems Assess how risk behaviors change over time Provide comparable data Dr. DuongTran 10/21/103

Methodology Youth Risk Behavioral Surveillance System (YRBSS) U.S. Center for Disease Control and Prevention (CDC) 50 states and U.S. Territories (Guam, Virgin Island, Puerto Rico, etc.) Survey data collected every two years in schools Dr. DuongTran 10/21/104

Characteristics of the National, State, and Local School-Based YRBS 9 th – 12th grade students Probability samples of schools and students Anonymous Self-administered, computer-scannable questionnaire or answer sheet Completed in one class period (45 minutes) Conducted biennially usually during the spring Dr. DuongTran 10/21/105

Research Questions What effects do HIV/AIDS education have on adolescent risky sexual behaviors? Are there racial differences in behaviors and prevention effects? Dr. DuongTran 10/21/106

Research Variables: Risky Behaviors HIV/AIDS Education at School Ever Had Sex Had Sex Before 13 Years of Age Had 4 + Partners, Ever More than 1 + Partners, in Past 3 Months Used Alcohol or Drug during Last Sexual Intercourse Used Condom in Recent Sexual Intercourse Dr. DuongTran 10/21/107

HIV/AIDS Education Dr. DuongTran 10/21/108 The 2006 School Health Policies and Programs Study indicated that among U.S. high schools: 85% teach, as part of required courses, how HIV is transmitted. 77% teach how HIV is diagnosed and treated. 76% teach how to find valid information or services

What do Teens Think? * (2003 Gallup Youth Survey) Dr. DuongTran 10/21/109

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What Do the YRBSS Data Tell? Dr. DuongTran 10/21/1011

Table 1. Students Ever Had Sex, by Race and AIDS/HIV Education 12Dr. DuongTran 10/21/10

Table 2. Students Had Sex Before 13 Years of Age, Race and AIDS/HIV Education 13Dr. DuongTran 10/21/10

Table 3. Students Had 4+ Sex Partners Ever, Race and AIDS/HIV Education 14Dr. DuongTran 10/21/10

Table 4. Students Had 1+ Sex Partners in Past 3 Months, Race and AIDS/HIV Education 15Dr. DuongTran 10/21/10

Table 5. Used Alcohol/Drug in Recent Sexual Intercourse, Race and AIDS/HIV Education 16Dr. DuongTran 10/21/10

Table 6. Used Condoms in Recent Sexual Intercourse, Race and AIDS/HIV Education 17Dr. DuongTran 10/21/10

What Else Do Teens Think (based on Gallup Surveys) ? Dr. DuongTran 10/21/1018

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Questions? Please contact authors: Dr. Paul DuongTran Dr. Edgar H. Tyson Dr. DuongTran 10/21/1022