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- Title
Texting 4 Sexual Health: Improving Attitudes, Intention, and Behavior Among American Indian and Alaska Native Youth.
- Authors
Yao, Patricia; Fu, Rongwei; Craig Rushing, Stephanie; Stephens, David; Ash, Joan S.; Eden, Karen B.
- Abstract
Purpose. To design and test the effectiveness of a text messaging intervention to promote condom use and STI/HIV testing among American Indian and Alaska Native youth. Method. A total of 408 study participants, 15 to 24 years old, were recruited, consented, surveyed, were sent intervention messages, and were incentivized via text message over a 9-month period. Complete pre- and postsurvey data were collected from 192 participants using SMS short codes. A mixed-effects logistic regression model was used to analyze before–after change in responses assessing sexual health knowledge, attitude, self-efficacy, intention, and behavior. Results. Participants’ condom use attitude, condom use behavior, and STI/HIV testing intention improved after the intervention (p < .05). Frequent condom use increased from 30% to 42% and was retained by participants at least 3 months postintervention, and the intervention improved participants’ intention to get tested for STI/HIV after changing sexual partners, increasing from 46% to 58% postintervention. Conclusions. Given the widespread use of cell phones by youth, text-based interventions may offer a feasible and effective tool to promote condom use and STI/HIV testing.
- Subjects
ALASKA; HIV prevention; PREVENTION of sexually transmitted diseases; ALASKA Natives; CHI-squared test; CONDOMS; CONFIDENCE intervals; HEALTH promotion; SEXUAL health; NATIVE Americans; MEDICAL screening; QUESTIONNAIRES; SELF-efficacy; CELL phones; LOGISTIC regression analysis; TEXT messages; PRE-tests &; post-tests; HEALTH literacy; DATA analysis software; ATTITUDES toward sex; DESCRIPTIVE statistics; ODDS ratio
- Publication
Health Promotion Practice, 2018, Vol 19, Issue 6, p833
- ISSN
1524-8399
- Publication type
Article
- DOI
10.1177/1524839918761872