SEXUAL HEALTH PRACTICES OF HOMELESS ADOLESCENTS

Summary

Principal Investigator: L Rew
Abstract: The proposed study, a continuation o fRO1NS04820, will test the effectiveness of a brief, empirically based, culturally relevant intervention to promote sexual health in homeless adolescents. Specific aims are to 1) examine the effects of a street-based intervention on cognitive-perceptual outcomes (i.e., knowledge, future time perspective, intention to use condoms, self-efficacy to perform breast or testicular self-examination) and behavioral outcomes (i.e., assertive communication, sexual self-care strategies, and safe sex behaviors); and 2) explore gender differences in cognitive perceptual and behavioral outcomes for participants in gender-specific comparison and intervention. A quasi-experimental repeated measures design will be used because the shared living space of potential participants renders a randomized clinical trial unfeasible. Interviews will be conducted with 444 homeless adolescents aged 16-20 years (comparison group) at three times during the first year of the study, using audio-computer-assisted survey. In the second year, an additional 444 homeless adolescents will be enrolled in a 4-week intervention, the content of which will be based on findings from the current study of sexual health practices of homeless adolescents and modified by a pilot-test of the intervention. Pre- and post-intervention data will be collected (post-tests immediately and 6 weeks following the conclusion of the intervention) and analyzed using multi-variate (MANCOVA) and univariate (general linear mixed model/GLMM) analysis of covariance models. The expected outcome is an effective, brief intervention for promoting sexual health that can be delivered to homeless adolescents in an unsheltered environment.
Funding Period: 1999-01-01 - 2006-12-31
more information: NIH RePORT

Top Publications

  1. ncbi Interaction of duration of homelessness and gender on adolescent sexual health indicators
    Lynn Rew
    School of Nursing, Department of Educational Psychology, The University of Texas at Austin, Austin, TX 78701, USA
    J Nurs Scholarsh 40:109-15. 2008
  2. ncbi Sexual health promotion in adolescents with chronic health conditions
    Lynn Rew
    School of Nursing, University of Texas at Austin, USA
    Fam Community Health 29:61S-9S. 2006
  3. pmc Enhancing intervention fidelity: a means of strengthening study impact
    Sharon Horner
    University of Texas at Austin, School of Nursing, Austin, TX, USA
    J Spec Pediatr Nurs 11:80-9. 2006
  4. ncbi Gender differences in victimized homeless adolescents
    Regina Jones Johnson
    School of Nursing, The University of Texas at Austin, School of Nursing, 1700 Red River St, Austin TX 78701 1499, USA
    Adolescence 41:39-53. 2006
  5. ncbi The relationship between childhood sexual abuse and sexual health practices of homeless adolescents
    Regina Jones Johnson
    School of Nursing, The University of Texas at Austin, Austin, TX 78701 1499, USA
    Adolescence 41:221-34. 2006
  6. ncbi Outcomes of a brief sexual health intervention for homeless youth
    Lynn Rew
    School of Nursing, University of Texas at Austin, Austin, TX 78701, USA
    J Health Psychol 12:818-32. 2007
  7. pmc Health educators' perceptions of a sexual health intervention for homeless adolescents
    Lynn Rew
    School of Nursing, The University of Texas at Austin, Austin, TX 78710, United States
    Patient Educ Couns 72:71-7. 2008

Detail Information

Publications7

  1. ncbi Interaction of duration of homelessness and gender on adolescent sexual health indicators
    Lynn Rew
    School of Nursing, Department of Educational Psychology, The University of Texas at Austin, Austin, TX 78701, USA
    J Nurs Scholarsh 40:109-15. 2008
    ..The purpose of this analysis was to determine the effects of duration of homelessness and gender on personal and social resources, cognitive-perceptual factors, and sexual health behaviors among homeless youth...
  2. ncbi Sexual health promotion in adolescents with chronic health conditions
    Lynn Rew
    School of Nursing, University of Texas at Austin, USA
    Fam Community Health 29:61S-9S. 2006
    ..The article concludes with several suggestions for healthcare professionals, parents, and teachers in addressing sexual health promotion in this vulnerable population...
  3. pmc Enhancing intervention fidelity: a means of strengthening study impact
    Sharon Horner
    University of Texas at Austin, School of Nursing, Austin, TX, USA
    J Spec Pediatr Nurs 11:80-9. 2006
    ..The purpose of this paper is to present strategies and discuss the rationale for including intervention fidelity in study design...
  4. ncbi Gender differences in victimized homeless adolescents
    Regina Jones Johnson
    School of Nursing, The University of Texas at Austin, School of Nursing, 1700 Red River St, Austin TX 78701 1499, USA
    Adolescence 41:39-53. 2006
    ..history of sexual abuse influence cognitive-perceptual and behavioral factors associated with sexual health practices of homeless adolescents. This study was a secondary analysis of data collected for a cross-sectional study of the ..
  5. ncbi The relationship between childhood sexual abuse and sexual health practices of homeless adolescents
    Regina Jones Johnson
    School of Nursing, The University of Texas at Austin, Austin, TX 78701 1499, USA
    Adolescence 41:221-34. 2006
    ..Adolescents who report sexual abuse should receive risk counseling and be screened regularly for the development of sexual risk behaviors...
  6. ncbi Outcomes of a brief sexual health intervention for homeless youth
    Lynn Rew
    School of Nursing, University of Texas at Austin, Austin, TX 78701, USA
    J Health Psychol 12:818-32. 2007
    ..Females scored significantly higher on cognitive and behavioral outcomes while males reported significantly more sexual risk-taking behaviors. Findings support gender-specific interventions...
  7. pmc Health educators' perceptions of a sexual health intervention for homeless adolescents
    Lynn Rew
    School of Nursing, The University of Texas at Austin, Austin, TX 78710, United States
    Patient Educ Couns 72:71-7. 2008
    ..The purpose of this qualitative descriptive study was to explore the perceptions and experiences of health educators in providing a brief, street-based intervention to homeless adolescents...