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Effectiveness of Circle of Life, an HIV-Preventive Intervention for American Indian Middle School Youths: A Group Randomized Trial in a Northern Plains Tribe
Kaufman, C. E.,
Whitesell, N. R.,
Keane, E. M.,
Desserich, J. A.,
Mitchell, C. M.
Published: June, 2014
American Journal of Public Health
American Public Health Association
These authors assessed the effectiveness of Circle of Life (COL), a theory-based HIV-preventive intervention developed specifically for American Indian and Alaska Native (AI/AN) middle school youths. In partnership with a tribal community, they conducted a longitudinal, wait-listed, group randomized trial with 635 seventh and eighth graders in 13 schools of a Northern Plains tribe. Participants completed surveys at baseline, 3 months, and 12 months from 2006 to 2007. COL was found to increase HIV knowledge at 3 months, and this effect was stronger for boys and for older youth. COL had no effect overall, by gender or by age, on sexual activity or condom use. However, COL was effective for delaying the onset of sexual activity, with the greatest reduction in risk found for younger students. Findings confirm the importance of the timing of interventions in early adolescence, and suggest that COL may be a key resource for reducing sexual risk among AI/AN youths. Modified Author Abstract.
Correspondence to: Carol E. Kaufman, Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, MS F800, 13055 East 17th Avenue, Aurora, CO 80045; E-mail: email@example.com, Website: http://ajph.aphapublications.org/toc/ajph/104/6