St Lawrence J S, Brasfield T L, Jefferson K W, Alleyne E, O'Bannon R E, Shirley A
Community Health Program, Jackson State University, Mississippi 39217-0105, USA.
J Consult Clin Psychol. 1995 Apr;63(2):221-37. doi: 10.1037//0022-006x.63.2.221.
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.
246名非裔美国青少年被随机分配到一个教育项目或一个为期8周的干预项目中，该干预项目将教育与行为技能培训相结合，包括正确使用避孕套、性主张、拒绝、信息提供、自我管理、问题解决和风险识别。接受技能培训的参与者（a）减少了无保护性行为，（b）增加了有避孕套保护的性行为，并且（c）与仅接受信息的参与者相比，在更大程度上表现出行为技能的提高。变化模式因性别而异。技能培训的青少年在1年后仍保持风险降低。研究发现，在教育项目中基线时禁欲的青少年中，31.1%在1年后开始了性活动，而技能培训参与者中只有11.5%有性活动。结果表明，与仅接受信息的青少年相比，具备信息和特定技能的青少年在更大程度上降低了风险，更好地维持了风险降低的变化，并且在更大程度上推迟了性活动的开始。
