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Association of sexual health interventions with sexual health outcomes in black adolescents: A systematic review and meta-analysis

JAMA Apr 23, 2020

Evans R, Widman L, Stokes MN, et al. - In this systematic review and meta-analysis, researchers intended to determine if there is a connections between sexual health interventions and behavioral, biological, and psychological outcomes. The data presented in this work showed a significant weighted mean association of sexual health interventions with improvements in abstinence and condom use across 29 studies including 11,918 black adolescents (weighted mean age, 12.43 years). There has been no significant mean correlation of such interventions with number of sex partners, pregnancy, or contraction of sexually transmitted infection. Findings suggested a significant association of sexual health interventions with improvements in psychological outcomes: sexual health intentions, knowledge, and self-efficacy. Intervention effect sizes were consistent across factors like sex and age of participants and the dosage of intervention. An association was found between sexual health interventions and improvements in sexual well-being among black adolescents. Wide-scale dissemination of these programs seems to be needed to address racial disparities in sexual health across the US.

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