1. HIV/AIDS Education Impact on Risky Adolescent Sexual Behaviors across Racial Groups Seventh National Conference on Quality Health Care for Culturally Diverse Populations Baltimore, MD October 18-21, 2010 Paul DuongTran, Ph.D. Edgar H. Tyson, Ph.D. Fordham University Graduate School of Social Service New York, New York

2. Impact of Sexual Behaviors 870,000 pregnancies occur each year among 15-19 year olds 490,000 live births occur each year to teen mothers aged 15-19 years 3 million sexually transmitted diseases occur each year among 13-19 year olds 2Dr. DuongTran 10/21/10

3. Purposes of the YRBSS Focus the nation on behaviors among youth causing the most important health problems Assess how risk behaviors change over time Provide comparable data Dr. DuongTran 10/21/103

4. Methodology Youth Risk Behavioral Surveillance System (YRBSS) U.S. Center for Disease Control and Prevention (CDC) 50 states and U.S. Territories (Guam, Virgin Island, Puerto Rico, etc.) Survey data collected every two years in schools Dr. DuongTran 10/21/104

5. Characteristics of the National, State, and Local School-Based YRBS 9 th – 12th grade students Probability samples of schools and students Anonymous Self-administered, computer-scannable questionnaire or answer sheet Completed in one class period (45 minutes) Conducted biennially usually during the spring Dr. DuongTran 10/21/105

6. Research Questions What effects do HIV/AIDS education have on adolescent risky sexual behaviors? Are there racial differences in behaviors and prevention effects? Dr. DuongTran 10/21/106

7. Research Variables: Risky Behaviors HIV/AIDS Education at School Ever Had Sex Had Sex Before 13 Years of Age Had 4 + Partners, Ever More than 1 + Partners, in Past 3 Months Used Alcohol or Drug during Last Sexual Intercourse Used Condom in Recent Sexual Intercourse Dr. DuongTran 10/21/107

8. HIV/AIDS Education Dr. DuongTran 10/21/108 The 2006 School Health Policies and Programs Study indicated that among U.S. high schools: 85% teach, as part of required courses, how HIV is transmitted. 77% teach how HIV is diagnosed and treated. 76% teach how to find valid information or services

9. What do Teens Think? * (2003 Gallup Youth Survey) Dr. DuongTran 10/21/109

10. 10

11. What Do the YRBSS Data Tell? Dr. DuongTran 10/21/1011

12. Table 1. Students Ever Had Sex, by Race and AIDS/HIV Education 12Dr. DuongTran 10/21/10

13. Table 2. Students Had Sex Before 13 Years of Age, Race and AIDS/HIV Education 13Dr. DuongTran 10/21/10

14. Table 3. Students Had 4+ Sex Partners Ever, Race and AIDS/HIV Education 14Dr. DuongTran 10/21/10

15. Table 4. Students Had 1+ Sex Partners in Past 3 Months, Race and AIDS/HIV Education 15Dr. DuongTran 10/21/10

16. Table 5. Used Alcohol/Drug in Recent Sexual Intercourse, Race and AIDS/HIV Education 16Dr. DuongTran 10/21/10

17. Table 6. Used Condoms in Recent Sexual Intercourse, Race and AIDS/HIV Education 17Dr. DuongTran 10/21/10

18. What Else Do Teens Think (based on Gallup Surveys) ? Dr. DuongTran 10/21/1018

19. Dr. DuongTran 10/21/1019

20. Dr. DuongTran 10/21/1020

21. Dr. DuongTran 10/21/1021

22. Questions? Please contact authors: Dr. Paul DuongTran duongtran@fordham.edu Dr. Edgar H. Tyson tyson@fordham.edu Dr. DuongTran 10/21/1022