TY - JOUR
T1 - Baseline results from NenŨnkUmbi/EdaHiYedo
T2 - A randomized clinical trial to improve sexual and reproductive health among American Indian adolescents
AU - Rink, Elizabeth
AU - Anastario, Mike
AU - Peterson, Malory
AU - FireMoon, Paula
AU - Johnson, Olivia
AU - GrowingThunder, Ramey
AU - Ricker, Adriann
AU - Cox, Genevieve
AU - Holder, Shannon
AU - Baldwin, Julie A.
N1 - Funding Information:
The authors would like to thank the many adolescents living on the Fort Peck Reservation who participated in our baseline data collection for as well as their parents/legal guardians who agreed to their participation. We are also thankful for the cooperation of and collaboration with the teachers and administrators at our school study sites in the implementation of . We are grateful for the contributions, insights, and guidance of our community advisory board. We acknowledge that is possible through the support of the Fort Peck Tribal Council and their belief in the importance of our research. is funded by the National Institute of Minority Health and Health Disparities (R01MD012761, Principal Investigator – Elizabeth Rink). Clinical trials number: NCT03694418. NenUnkUmbi/EdaHiYedo NenUnkUmbi/EdaHiYedo NenUnkUmbi/EdaHiYedo NenUnkUmbi/EdaHiYedo
Publisher Copyright:
© 2023 Foundation for Professionals in Services for Adolescents.
PY - 2023
Y1 - 2023
N2 - We report on baseline findings from NenUnkUmbi/EdaHiYedo, a community based participatory research randomized controlled trial with American Indian adolescents to reduce sexual and reproductive health disparities. American Indian adolescents aged 13−19 years participated in a baseline survey that was administered in five schools. We used zero-inflated negative binomial regression to evaluate how the count of protected sexual acts was associated with independent variables of interest. We stratified models by self-reported gender of adolescents and tested for a two-way interaction effect between gender and the independent variable of interest. Two hundred twenty-three girls and 222 boys (n = 445) were sampled. The average number of lifetime partners was 1.0 (standard deviation = 1.7). Each additional lifetime partner was associated with a 50% increase in the number of protected sexual acts incident rate ratio (IRR = 1.5, 95% confidence interval [CI] 1.1−1.9) and more than a twofold increase in the likelihood of not having protected sexual acts (adjusted odd ratio [aOR] = 2.6, 95% CI 1.3−5.1). Each additional number of substances used in adolescentss' lifetime was associated with an increased likelihood of not having protected sexual acts (aOR = 1.2, 95% CI 1.0−1.5). In boys, each one standard deviation increase in depression severity was associated with a 50% reduction in the number of times a condom was used adjusted IRR (aIRR = 0.5, 95% CI 0.4−0.6, p <.001). Each 1-unit increase in positive prospections of pregnancy was associated with a pronounced decrease likelihood of not having protected sexual acts (aOR = 0.01, 95% CI 0.0−0.1). Findings support the importance of tribally driven tailoring of sexual and reproducive health interventions and services for American Indian adolescents.
AB - We report on baseline findings from NenUnkUmbi/EdaHiYedo, a community based participatory research randomized controlled trial with American Indian adolescents to reduce sexual and reproductive health disparities. American Indian adolescents aged 13−19 years participated in a baseline survey that was administered in five schools. We used zero-inflated negative binomial regression to evaluate how the count of protected sexual acts was associated with independent variables of interest. We stratified models by self-reported gender of adolescents and tested for a two-way interaction effect between gender and the independent variable of interest. Two hundred twenty-three girls and 222 boys (n = 445) were sampled. The average number of lifetime partners was 1.0 (standard deviation = 1.7). Each additional lifetime partner was associated with a 50% increase in the number of protected sexual acts incident rate ratio (IRR = 1.5, 95% confidence interval [CI] 1.1−1.9) and more than a twofold increase in the likelihood of not having protected sexual acts (adjusted odd ratio [aOR] = 2.6, 95% CI 1.3−5.1). Each additional number of substances used in adolescentss' lifetime was associated with an increased likelihood of not having protected sexual acts (aOR = 1.2, 95% CI 1.0−1.5). In boys, each one standard deviation increase in depression severity was associated with a 50% reduction in the number of times a condom was used adjusted IRR (aIRR = 0.5, 95% CI 0.4−0.6, p <.001). Each 1-unit increase in positive prospections of pregnancy was associated with a pronounced decrease likelihood of not having protected sexual acts (aOR = 0.01, 95% CI 0.0−0.1). Findings support the importance of tribally driven tailoring of sexual and reproducive health interventions and services for American Indian adolescents.
KW - American Indian adolescents
KW - community based participatory research
KW - randomized control trial
KW - sexual and reproductive health
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U2 - 10.1002/jad.12158
DO - 10.1002/jad.12158
M3 - Article
C2 - 36890753
AN - SCOPUS:85150530079
SN - 0140-1971
JO - Journal of Adolescence
JF - Journal of Adolescence
ER -