Zimmerman Rick S, Cupp Pamela K, Donohew Lewis, Sionéan C Kristin, Feist-Price Sonja, Helme Donald
University of Kentucky, Louisville, KY, USA.
Perspect Sex Reprod Health. 2008 Mar;40(1):42-51. doi: 10.1363/4004208.
Although a number of interventions are effective at reducing risky adolescent sexual behavior, it may be possible to make them even more effective by addressing adolescents' approaches to risk-taking.
Schools were assigned to teach one of three curricula in a quasi-experimental intervention study: the school's standard pregnancy and HIV prevention curriculum; the Reducing the Risk curriculum; or a modified Reducing the Risk curriculum, adapted for high sensation seekers and impulsive decision makers. A sample of 1,944 students from 17 schools was surveyed at three time points between 1995 and 1997. Mixed models regression and logistic regression were used to examine the difference in impact among curricula.
Differences in the impact of the original and modified Reducing the Risk interventions were not significant for the total sample or for high sensation seekers and impulsive decision makers separately. Students from both intervention groups demonstrated short-term improvements in knowledge; students who received their schools' standard curriculum were significantly more likely than those assigned to either intervention to have initiated sexual intercourse by the third time point (odds ratio, 2.4).
More work is necessary to understand the best ways to design classroom messages that will be effective in reducing the risk behaviors of high sensation seekers and impulsive decision makers.
尽管有一些干预措施在减少青少年危险的性行为方面是有效的，但通过解决青少年的冒险方式，可能会使这些措施更加有效。
在一项准实验性干预研究中，学校被分配教授三种课程中的一种：学校的标准怀孕和艾滋病毒预防课程；降低风险课程；或为高感觉寻求者和冲动决策者改编的降低风险课程。在1995年至1997年期间的三个时间点，对来自17所学校的1944名学生进行了抽样调查。使用混合模型回归和逻辑回归来检验课程之间的影响差异。
对于总样本或分别对于高感觉寻求者和冲动决策者而言，原始和修改后的降低风险干预措施的影响差异不显著。两个干预组的学生在知识方面都有短期改善；接受学校标准课程的学生比分配到任何一种干预措施的学生在第三个时间点开始性行为的可能性显著更高（优势比，2.4）。
有必要开展更多工作，以了解设计课堂信息的最佳方法，这些信息将有效地减少高感觉寻求者和冲动决策者的风险行为。
