A Community-Based Intervention Designed to Increase Preventive Health Care Seeking Among Adolescents: The Gonorrhea Community Action Project

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Abstract:

Objectives. We evaluated the effectiveness of an intervention designed to increase preventive health care seeking among adolescents.

Methods. Adolescents and young adults aged 12 to 21 years, recruited from community-based organizations in 2 different communities, were randomized into either a 3-session intervention or a control condition. We estimated outcomes from 3-month follow-up data using logistic and ordinary least squares regression.

Results. Female intervention participants were significantly more likely than female control participants to have scheduled a health care appointment (odds ratio [OR]=3.04), undergone a checkup (OR=2.87), and discussed with friends or family members the importance of undergoing a checkup (OR=4.5). There were no differences between male intervention and male control participants in terms of outcomes.

Conclusions. This theory-driven, community-based group intervention significantly increased preventive health care seeking among female adolescents. Further research is needed, however, to identify interventions that will produce successful outcomes among male adolescents.

Authors

  • Amy Bleakley
  • Renee M. Cohall
  • Thomas L. Gift
  • Matthew Hogben
  • Rebecca Ledsky
  • C. Kevin Malotte
  • Cheryl R. Merzel
  • Peter Messeri
  • Susan E. Middlestadt
  • Janet S. St. Lawrence
  • Nancy L. VanDevanter