Effects of a School-Based Drug Abuse Prevention Program for Adolescents on HIV Risk Behavior in Young Adulthood
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Early onset of substance use among adolescents has been found to be associated with later risky sexual behaviors. This study examined long-term follow-up data from a large randomized school-based drug prevention trial to (1) investigate the long-term impact of the prevention program on drug use and sexual behaviors that put one at elevated risk for HIV infection; and (2) use growth modeling procedures to examine potential mechanisms of intervention effects. Self-report survey data were collected from students in the 7th grade, prior to the intervention in 1985, and in grades 8, 9, 10, and 12. Participants in the intervention condition received a 30-session drug prevention program in 7th through 9th grades. Follow-up surveys were completed by 2042 young adults (mean age = 24) in 1998. As young adults, participants were considered to be engaging in high-risk behavior for HIV infection if they reported having multiple sex partners, having intercourse when drunk or very high, and recent high-risk substance use. The intervention had a direct protective effect on HIV risk behavior in the overall sample in young adulthood. Furthermore, among participants receiving 60% or more of the prevention program, analyses showed that the intervention significantly reduced growth in alcohol and marijuana intoxication over the course of adolescence, which in turn was associated with a reduction in later HIV risk behavior. The behavioral effects of competence-enhancement drug prevention programs can extend to risk behaviors including those that put one at risk for HIV infection.
KEY WORDS:adolescence drug abuse prevention HIV risk behavior latent growth curve
This research was supported by grants DA07656 from the National Institute on Drug Abuse, National Institutes of Health. Dr. Botvin has a financial interest in the Life Skills Training (LST) program and his consulting company, National Health Promotion Associates (NHPA), provides teacher training and technical assistance for LST. Dr. Griffin is a consultant to NHPA.
- Botvin, G. J., & Griffin, K. W. (2003). Drug abuse prevention curricula in schools. In Z. Sloboda & W. J. Bukoski (Eds.), Handbook of drug abuse prevention: Theory, science, and practice (pp. 45–74). New York: Kluwer Academic/Plenum Publishers.Google Scholar
- Botvin, G. J., Schinke, S. P., Epstein, J. A., Diaz, T., & Botvin, E. M. (1995b). Effectiveness of culturally focused and generic skills training approaches to alcohol and drug abuse prevention among minority adolescents: Two-year follow-up results. Psychology of Addictive Behaviors, 9, 183–194.CrossRefGoogle Scholar
- Centers for Disease Control and Prevention. (2002). Young People at Risk: HIV/AIDS Among America's Youth. Available online at http://www.cdc.gov/hiv/pubs/facts/youth.htm; Accessed December 10, 2003.
- Centers for Disease Control and Prevention. (2003). HIV/AIDS Surveillance Report, 14, 1 40. Atlanta, GA: U.S. Department of Health and Human Services.Google Scholar
- Grunbaum, J., Kann, L., Kinchen, S. A., Williams, B. I., Ross, J. G., Lowry, R., & Kolbe, L. J. (2002). Youth Risk Behavior Surveillance—United States, 2001. Morbidity and Mortality Weekly Report, 51 (No. SS-4), 1–65.Google Scholar
- Hoyert, D. L., Kochanek, K. D., & Murphy, S. L. (1999). Deaths: Final data for 1997. National Vital Statistics Report, 47, 1–104.Google Scholar
- Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.Google Scholar
- Johnston, L. D., O’Malley, P. M., & Bachman, J. G. (2003). Monitoring the Future National Survey Results on Drug Use, 1975-2002: Vol. I. Secondary school Students (NIH Publication No. 03-5375). Bethesda, MD: National Institute on Drug Abuse.Google Scholar
- Kirby, D. (2000). School-based interventions to prevent unprotected sex and HIV among adolescents. In J. L. Peterson, & R. J. DiClemente (Eds.), Handbook of HIV prevention. AIDS prevention and mental health (pp. 83–101). Dordrecht, Netherlands: Kluwer Academic Publishers.Google Scholar
- Morbidity & Mortality Weekly Report [MMWR]. (2002). Trends in sexual risk behaviors among high school students—United States, 1991–2001. MMWR, 51(38), 856–859.Google Scholar
- Muthén, L. K., & Muthén, B. O. (2004). Mplus user's guide (3rd ed.). Los Angeles, CA: Muthén & Muthén.Google Scholar
- Substance Abuse and Mental Health Services Administration. (2003). Overview of Findings from the 2002 National Survey on Drug Use and Health. Office of Applied Studies, NHSDA Series H-21, DHHS Publication No. SMA 03-3774), Rockville, MD.Google Scholar
- Weissberg, R. P., Barton, H. A., & Shriver, T. P. (1997). The social-competence promotion program for young adolescents. In G. W. Albee, T. P. Gullotta, et al. (Eds.), Primary prevention works: Issues in children's and families’ lives (pp. 268–290). Thousand Oaks, CA: Sage.Google Scholar
- Zins, J. E., Elias, M. J., Greenberg, M. T., & Weissberg, R. P. (2000). Promoting social and emotional competence in children. In K. Minke & G. Bear (Eds.), Preventing school problems: Promoting school success: Strategies and programs that work (pp. 71–99). Bethesda, MD: National Association of School Psychologists.Google Scholar