Volume 45, Issue 1
Pages 33 - 40

Effectiveness of a Brief Curriculum to Promote Condom and Health Care Use Among Out-of-School Young Adult Males


: Out-of-school black males aged 15–24 have higher levels of sexual risk-taking than in-school black males of the same age. However, few sexual risk reduction curricula are focused on out-of-school male youth.


: A sexual and reproductive health intervention conducted at a Baltimore youth employment and training program in 2008–2010 was evaluated in a study involving 197 youth aged 16–24 from a predominantly black population. Ninety-eight participants received three one-hour curriculum sessions on consecutive days; 99 served as controls. At baseline and three months later, participants completed a survey assessing demographic characteristics and various knowledge, attitude and behavior measures. Regression analysis with random effects was used to assess differences between intervention participants and controls in changes in outcomes over time.


: In analyses adjusting for baseline characteristics, intervention participants showed greater improvements in outcomes between baseline and follow-up than did controls. Specifically, a male who received the intervention was more likely than a control male to report increases in knowledge of STDs and health care use (odds ratio, 1.6 for each), frequency of condom use (1.8), use of lubricant with condoms (23.6), communication with a provider about STDs (12.3) and STD testing (16.6).


: These findings suggest the potential benefits of integrating safer-sex and health care information into a sexual and reproductive health curriculum for out-of-school male youth.

Authors' Affiliations

Arik V. Marcell is assistant professor, Department of Pediatrics, School of Medicine, and Department of Population, Family and Reproductive Health; and Freya L. Sonenstein is professor and director, Center for Adolescent Health—both at the Johns Hopkins Bloomberg School of Public Health, Baltimore. Elizabeth Allan is a medical student, School of Medicine, University of Maryland, Baltimore; Eric A. Clay is director, Youth Opportunities Program, Historic East Baltimore Community Action Coalition, Baltimore; and Catherine Watson is chief, Bureau of Adolescent and Reproductive Health, Baltimore City Health Department.

The views expressed in this publication do not necessarily reflect those of the Guttmacher Institute.

Perspectives on Sexual and Reproductive Health

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