TY - JOUR
T1 - Texting 4 Sexual Health
T2 - Improving Attitudes, Intention, and Behavior Among American Indian and Alaska Native Youth
AU - Yao, Patricia
AU - Fu, Rongwei
AU - Craig Rushing, Stephanie
AU - Stephens, David
AU - Ash, Joan S.
AU - Eden, Karen B.
N1 - Funding Information:
1Oregon Health & Science University, Portland, OR, USA 2Northwest Portland Area Indian Health Board, Portland, OR, USA Authors’ Note: Research was supported by the National Library of Medicine of the National Institutes of Health under Award No. T15LM007088, the Indian Health Service HIV Program, and the Tartar Trust Fellowship Award. Address correspondence to Patricia Yao, 11260 Chestnut Grove Square No. 139, Reston, VA 20190, USA; e-mail: patricia.yao@icloud.com.
Publisher Copyright:
© 2018 Society for Public Health Education.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - Purpose. To design and test the effectiveness of a text messaging intervention to promote condom use and STI/HIV testing among American Indian and Alaska Native youth. Method. A total of 408 study participants, 15 to 24 years old, were recruited, consented, surveyed, were sent intervention messages, and were incentivized via text message over a 9-month period. Complete pre- and postsurvey data were collected from 192 participants using SMS short codes. A mixed-effects logistic regression model was used to analyze before–after change in responses assessing sexual health knowledge, attitude, self-efficacy, intention, and behavior. Results. Participants’ condom use attitude, condom use behavior, and STI/HIV testing intention improved after the intervention (p <.05). Frequent condom use increased from 30% to 42% and was retained by participants at least 3 months postintervention, and the intervention improved participants’ intention to get tested for STI/HIV after changing sexual partners, increasing from 46% to 58% postintervention. Conclusions. Given the widespread use of cell phones by youth, text-based interventions may offer a feasible and effective tool to promote condom use and STI/HIV testing.
AB - Purpose. To design and test the effectiveness of a text messaging intervention to promote condom use and STI/HIV testing among American Indian and Alaska Native youth. Method. A total of 408 study participants, 15 to 24 years old, were recruited, consented, surveyed, were sent intervention messages, and were incentivized via text message over a 9-month period. Complete pre- and postsurvey data were collected from 192 participants using SMS short codes. A mixed-effects logistic regression model was used to analyze before–after change in responses assessing sexual health knowledge, attitude, self-efficacy, intention, and behavior. Results. Participants’ condom use attitude, condom use behavior, and STI/HIV testing intention improved after the intervention (p <.05). Frequent condom use increased from 30% to 42% and was retained by participants at least 3 months postintervention, and the intervention improved participants’ intention to get tested for STI/HIV after changing sexual partners, increasing from 46% to 58% postintervention. Conclusions. Given the widespread use of cell phones by youth, text-based interventions may offer a feasible and effective tool to promote condom use and STI/HIV testing.
KW - American Indian
KW - adolescent
KW - before–after design
KW - mobile health
KW - sexual health
KW - text messaging intervention
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U2 - 10.1177/1524839918761872
DO - 10.1177/1524839918761872
M3 - Article
C2 - 29557176
AN - SCOPUS:85044345344
VL - 19
SP - 833
EP - 843
JO - Health Promotion Practice
JF - Health Promotion Practice
SN - 1524-8399
IS - 6
ER -