Recommendations for group-based behavioral interventions to prevent adolescent pregnancy, human immunodeficiency virus, and other sexually transmitted infections: Comprehensive risk reduction and abstinence education

摘要

The Community Preventive Services Task Force (Task Force) recommends group-based comprehensive risk reduction delivered to adolescents to promote behaviors that prevent or reduce the risk of pregnancy, HIV, and other sexually transmitted infections (STIs). The recommendation is based on suff?cient evidence of effectiveness in: ? reducing a number of self-reported risk behaviors, including engagement in any sexual activity, frequency of sexual activity, number of sex partners, and frequency of unprotected sexual activity; ? increasing the self-reported use of protection against pregnancy and STIs; and ? reducing the incidence of self-reported or clinically documented STIs. Direct evidence of effectiveness for reducing pregnancy and HIV is, however, limited. The Task Force f?nds insuff?cient evidence to determine the effectiveness of group-based abstinence education delivered to adolescents to prevent pregnancy, HIV, and other STIs. Evidence was considered insuff?cient because of inconsistent results across studies.