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 Primary, secondary and tertiary prevention activities  Based on empowering choice.

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Presentation on theme: " Primary, secondary and tertiary prevention activities  Based on empowering choice."— Presentation transcript:

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2  Primary, secondary and tertiary prevention activities  Based on empowering choice

3  Norm setting  Branded condom distribution › 60,000 last year

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5  Free STI testing 2x a year  Healthy Sexuality Peer Educator Program  HSPEs lead: › Methods of Contraception classes › Healthy Sexuality workshops

6  Crisis counseling for students › STI diagnosis/referral › Pregnancy concerns › Relationship issues

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9 And you can buy one at the old Whataburger

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14 David Buss, Psychology Cindy Meston Psychology Mark Regnerus, Sociology Bob Jensen, Journalism

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18 › Does not assess knowledge › Does not assess previous education › Risk determination complicated by survey timing

19  Body of research on sex education highlights Texas  Texas #1 recipient of federal abstinence funding › Title V Grants › Community-Based Abstinence Education

20  94% of Texas public schools use Abstinence-Only education  Research on AOE is

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23  UT President Bill Powers, to me: › “Don’t they already know everything they need to know by the time they get here?”

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25 Data from the National Center for Education Statistics. Digest of Education Statistics. July 2009. Table 268. “Degrees conferred by degree-granting institutions, by level of degree and sex of student: Selected years, 1869-70 through 2018-19.” accessed: http://contexts.org/socimages/2010/05/22/sex-college-degrees-and-campus-equity/degreegap-2/ http://contexts.org/socimages/2010/05/22/sex-college-degrees-and-campus-equity/degreegap-2/

26  What do they know?  What are they doing?  Where did they learn it?

27  Questions from ADD Health, ETR, and custom questions for sexual behavior  Skip pattern in behavior section  Reused email list for AlcoholEdu  Random sample of 3000  Surveyed using Student Voice

28  Incentives: $500  Survey Administration: › Included in StudentVoice membership

29  731 complete surveys  58% female, 42% male  Responses collected 9/15- 9/23/09  Incentives: › 1 burnt orange iPod mini › 14 UT Snuggies › Condom tins for everyone

30 Response rate: 24%

31 Sexual HistoryMean Knowledge Score None65.73 Oral Only70.96 Vaginal Only68.60 Anal Only (n=1)28.26 Oral and Vaginal73.41 Oral and Anal68.78 Vaginal and Anal67.39 Oral, Vaginal and Anal71.68

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33 Source of InformationPercent of Respondents Neither school nor parent19.6% School (not parent)23.5% Parent (not school)26.9% Both school and parent30% Those who received information from both were significantly more likely to have engaged in some type of sex and to have gotten an STI test.

34 Source of InformationMean Score Neither school nor parent65.93 School (not parent)69.49 Parent (not school)70.24 Both school and parent71.02 Neither school nor parent significantly different from all other groups, but no difference between groups

35 STI test everMean Knowledge Score No71.75 Yes74.10 Statistically significant: F=4.167, p=.04 No other significant differences in behaviors based on knowledge

36  Correct answer: False. True or false: The most likely time for a woman to get pregnant is right before her period starts. FrequencyPercent Incorrect36850.2 Correct36549.8

37 Which of the following is true about emergency contraception/Plan B/the morning after pill? FrequencyPercent Incorrect37551.2 Correct35848.8 Correct answer: It prevents pregnancy by preventing ovulation (the release of an egg)

38 When used correctly, how effective are condoms at preventing pregnancy? FrequencyPercent Incorrect20127.7 Correct53272.6 Correct answer: 98%

39 True or false: In heterosexual sex, condoms fail to prevent HIV 31% of the time. FrequencyPercent Incorrect31643.1 Correct41756.0 Correct answer: False.

40 True or false: Vaseline can be used with condoms and they will work just as well. FrequencyPercent Incorrect29239.8 Correct44160.2 Correct answer: False.

41 True or false: Condoms break 15% of the time. FrequencyPercent Incorrect42457.8 Correct30942.2 Correct answer: False.

42 Which of the following about syphilis is not true? FrequencyPercent Incorrect39453.8 Correct33946.2 Correct answer: It is incurable.

43 Which of the following is true about Human Papillomavirus (HPV)? FrequencyPercent Incorrect42858.4 Correct30541.6 Correct answer: It can cause cervical cancer, but most infections go away without treatment. Notable incorrect answer: 22% selected “It is the leading cause of death in women 18-25. (25% female, 18% male respondents)

44 Which of the sexually transmitted infections (STI/STD) below is the most common? FrequencyPercent Incorrect56877.5 Correct16522.5 Correct answer: Chlamydia. 48% selected “herpes.” (51% female, 43% male)

45 Some methods of avoiding STI/STD are more effective than others. For each method listed below, mark how effective it is on the scale provided. –Using condoms. FrequencyPercent Incorrect46363.2 Correct27036.8 Correct answer: Very effective.

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47 Percent of population having had first intercourse, by age MalesFemales 25% by age 1526% by age 15 37% by age 1640% by age 16 46% by age 1749% by age 17 62% by age 1870% by age 18 69% by age 19 77% by age 19 85% by age 20-2181% by age 20-21 89% by age 22-2492% by age 22-24 Mosher WD, Chandra A, Jones J. Sexual behavior and selected health measures: Men and women 15–44 years of age, United States, 2002. Advance data from vital and health statistics; no 362. Hyattsville, MD: National Center for Health Statistics. 2005.

48 Sex of RespondentSex of Partner Oral Sex FemaleMale: 217 FemaleBoth: 9 FemaleFemale: 0 MaleFemale: 134 MaleBoth: 7 MaleMale: 17 Anal Sex FemaleMale: 38 FemaleBoth: 1 FemaleFemale: 0 MaleFemale: 20 MaleBoth: 2 MaleMale: 14

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50  don't feel like it  Finding someone who attracts you and you trust is difficult.  I don't believe in love and sex  I had a blood clot so can never take birth control (so more risky).  I haven't had the opportunity  I wasn't attracted to any of the girls who have offered.  I would lose respect for myself  I'm not in love with anyone.  It is not right in the eyes of God to fornicate  My girlfriend isn't ready yet  Sex is the ultimate expression of love between a man and a woman and should be saved for your marriage partner. Waiting only makes something that is already so special even better!  unlucky as hell  Waiting for it to feel right  We talk

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59  53.4% have had sex without a condom or other birth control method at some point.

60  27% of those who have had vaginal sex have used EC at some point

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62  condom slipped  condom wasn't fully at base and slipped off  Didn't have a condom  Didn't use a condom because we didn't want to  Drunk  Heat of the moment  I enjoy the feeling better without a condom  I just didn't use it  I thought birth control causes weight gain  I trusted my partner, and her judgment of her cycle.  I wanted it right then and there and didn't want to wait to go get a condom  I was not prepared.  I was somewhat forced into birth control in the first place, so I decided to rebel and not go get my shots anymore  In the moment  It feels way better without a condom.  It was for a short while and then we used a condom.  it was just a trial, we weren't really going to have sex.  no time  peer pressure  pull and pray method  Sex was unexpected/partner didn't plan on finishing  She was on her period, so it was safe.  Stupidity  wasn't in a relationship

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66  College sex is largely low risk  Contraception use is high  Condom use is not high enough

67  Emphasize consistent condom use  Access to non-condom contraceptives is important but knowledge levels are already high

68  Multi-campus implementation  Longitudinal design to measure sex college effect

69  g.fager@uhs.utexas.edu


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