Journal of Adolescent Health
Volume 46, Issue 2 , Pages 169-179 , February 2010

It's Your Game: Keep It Real: Delaying Sexual Behavior with an Effective Middle School Program

  • Susan R. Tortolero, Ph.D.

      Affiliations

    • Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Houston, Texas
    • Corresponding Author InformationAddress correspondence to: Susan R. Tortolero, Ph.D., Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Health Promotion and Behavioral Science, University of Texas Health Science Center at Houston, 7000 Fannin, Suite 2080, Houston, TX 77030.
  • ,
  • Christine M. Markham, Ph.D.

      Affiliations

    • Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Houston, Texas
  • ,
  • Melissa Fleschler Peskin, Ph.D.

      Affiliations

    • Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Houston, Texas
  • ,
  • Ross Shegog, Ph.D.

      Affiliations

    • Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Houston, Texas
  • ,
  • Robert C. Addy, M.A.

      Affiliations

    • Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Houston, Texas
  • ,
  • S. Liliana Escobar-Chaves, Dr.P.H.

      Affiliations

    • Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Houston, Texas
  • ,
  • Elizabeth R. Baumler, Ph.D.

      Affiliations

    • Center for Health Promotion and Prevention Research, University of Texas Health Science Center at Houston, Houston, Texas

Received 7 October 2008 ,Accepted 16 June 2009.

References 

  1. Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2007. Vol. 19. Atlanta: U.S: Department of Health and Human Services, Centers for Disease Control and Prevention; 2009;
  2. National Office of AIDS Policy. Youth and HIV/AIDS 2000: A new American agenda. [Online] Available at: http://www.thebody.com/content/art36.html. Accessed May 1, 2008.
  3. Hamilton BE, Martin JA, Ventura SJ, et al. Births: Preliminary data for 2007. [Online] National Vital Statistics Report; 57(12). Available at: http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_12.pdf. Accessed March 21, 2009.
  4. Shanklin SL, Brener N, McManus T, et al. 2005 Middle School Youth Risk Behavior Survey. Atlanta: U.S: Department of Health and Human Services, Centers for Disease Control and Prevention; 2007;Available at: http://www.cdc.gov/HealthyYouth/yrbs/middleschool2005/pdf/YRBS_MS_05_fullreport.pdfAccessed March 21, 2009
  5. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance: United States, 2007. MMWR Morb Mortal Wkly Rep. Surveillance Summaries. 2008;57:SS-4. Available: http://www.cdc.gov/HealthyYouth/yrbs/pdf/yrbss07_mmwr.pdfAccessed March 21, 2009
  6. Centers for Disease Control and Prevention. HIV/AIDS Surveillance in Adolescents and Young Adults (through 2006): Slide 1: Proportion of HIV/AIDS cases and population among adolescents 13–19 years of age, by race/ethnicity diagnosed in 2006—33 states. [Online] Available at: http://www.cdc.gov/hiv/topics/surveillance/resources/slides/adolescents/slides/Adolescents.pdf. Accessed March 21, 2009.
  7. AVERT. HIV and AIDS in America. [Online] Available at: http://www.avert.org/america.htm. Accessed July 17, 2008.
  8. Kirby D. Emerging answers 2007: Research findings on programs to reduce teen pregnancy and sexually transmitted diseases. Washington, DC: National Campaign to Prevent Teen and Unplanned Pregnancy; 2007;
  9. Coyle KK, Kirby DB, Main BV, et al. Draw the Line/Respect the Line: A randomized trial of a middle school intervention to reduce sexual risk behaviors. Am J Public Health. 2004;94:843–851
  10. Jemmott JB, Jemmott LS, Fong GT. Abstinence and safer sex HIV risk-reduction interventions for African-American adolescents. J Am Med Assoc. 1998;279:1529–1536
  11. Halperin DT. Heterosexual anal intercourse: Prevalence, cultural factors, and HIV infection and other health risks. Part I. AIDS Patient Care STDs. 1999;13:717–730
  12. Hawkins DA. Oral sex and HIV transmission. Sex Transm Infect. 2001;77:307–308
  13. Graham JW, Flay BR, Anderson Johnson C, et al. Group comparability: A multiattribute utility measurement approach to the use of random assignment with small numbers of aggregated units. Eval Rev. 1984;8:247–260
  14. Bartholomew LK, Parcel GS, Kok G, et al. Planning Health Promotion Programs: An Intervention Mapping Approach. 2nd ed.. San Francisco: Jossey-Bass; 2006;
  15. Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall; 1986;
  16. McGuire W. Social psychology. In:  Dodwell PC editors. New Horizons in Psychology. Middlesex, England: Penguin Books; 1972;p. 219–242
  17. Flay BR, Petratis J. The theory of triadic influence: A new theory of health behavior with implications for preventive interventions. Greenwich, CT: JAI Press; 1994;
  18. Turner CF, Ku L, Rogers SM, et al. Adolescent sexual behavior, drug use, and violence: Increased reporting with computer survey technology. Science. 1998;280:867–873
  19. Rew L, Horner SD, Riesch L, et al. Computer-assisted survey interviewing of school-age children. ANS Adv Nurs Sci. 2004;27:129–137
  20. Coyle K, Basen-Engquist K, Kirby D, et al. Safer choices: Reducing teen pregnancy, HIV, and STDs. Public Health Rep. 2001;116:82–93
  21. Basen-Engquist K, Coyle KK, Parcel GS, et al. Schoolwide effects of a multicomponent HIV, STD, and pregnancy prevention program for high school students. Health Educ Behav. 2001;28:166–185
  22. Ball J, Pelton J, Forehand R, et al. Methodological overview of the Parents Matter!. program. J Child Fam Stud. 2004;13:21–34
  23. Miller KS, Clark LF, Wendell DA, et al. Adolescent heterosexual experience: A new typology. J Adolesc Health. 1997;20:179–186
  24. Basen-Engquist K, Masse LC, Coyle K, et al. Validity of scales measuring the psychosocial determinants of HIV/STD-related risk behavior in adolescents. Health Educ Res. 1999;14:25–38
  25. Borawski EA, Trapl ES, Lovegreen LD, et al. Effectiveness of abstinence-until-marriage sex education among middle school adolescents. Am J Health Behav. 2005;29:423–434
  26. In:  Albert B,  Brown S,  Flanigan CM editor. 14 and Younger: The Sexual Behavior of Young Adolescents. Washington, DC: The National Campaign to Prevent Teen Pregnancy; 2003;
  27. Lindberg LD, Jones R, Santelli JS. Non-coital sexual activities among adolescents. J Adolesc Health. 2008;43:231–238
  28. Boekeloo BO, Howard DE. Oral sexual experience among young adolescents receiving general health examinations. Am J Health Behav. 2002;26:306–314
  29. Prinstein MJ, Meade CS, Cohen GL. Adolescent oral sex, peer popularity, and perceptions of best friends' sexual behavior. J Pediatr Psychol. 2003;28:243–249
  30. Brady SS, Halpern-Felsher BL. Adolescents' reported consequences of having oral sex versus vaginal sex. Pediatrics. 2007;119:229–236
  31. Cornell JL, Halpern-Felsher BL. Adolescents tell us why teens have oral sex. J Adolesc Health. 2006;38:299–301
  32. Markham CM, Peskin MF, Addy RC, et al. Patterns of vaginal, oral, and anal sexual intercourse in an urban seventh-grade population. J Sch Health. 2009;79:193–200
  33. Abma JC, Martinez GM, Mosher WD, et al. Teenagers in the United States: Sexual activity, contraceptive use. childbearing. Vital Health Stat. 2002;23:1–48
  34. Shegog R, Markham C, Peskin M, et al. “It's your game”: An innovative multimedia virtual world to prevent HIV/STI and pregnancy in middle school youth. Medinfo. 2007;12:983–987
  35. Halpern-Felsher BL, Cornell JL, Kropp RY, et al. Oral versus vaginal sex among adolescents: Perceptions, attitudes, and behavior. Pediatrics. 2005;115:845–851

PII: S1054-139X(09)00247-X

doi: 10.1016/j.jadohealth.2009.06.008

Journal of Adolescent Health
Volume 46, Issue 2 , Pages 169-179 , February 2010