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A community-based intervention designed to increase preventive health care seeking among adolescents: the Gonorrhea Community Action Project
Authors:VanDevanter Nancy L  Messeri Peter  Middlestadt Susan E  Bleakley Amy  Merzel Cheryl R  Hogben Matthew  Ledsky Rebecca  Malotte C Kevin  Cohall Renee M  Gift Thomas L  St Lawrence Janet S
Affiliation:Center for Applied Public Health, Mailman School of Public Health, Columbia University, 722 W 168th St, 12th Floor, New York, NY 10032, USA. nlv1@columbia.edu
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.
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