This study is in response to the program announcement, Health Risk Reduction: Community-Based Strategies, and is an essential step in developing culturally relevant interventions to promote positive sexual health practices and outcomes among homeless adolescents.
The specific aims are to 1) describe the sexual health practices, including prevalence and incidence of STD testing, diagnosis, and treatment as well as the prevalence and incidence of immunizations for hepatitis B, of homeless adolescents; 2) examine the relationships among variables in the conceptual model of sexual health practices: sociodemographics, sexual history, culture of homelessness, cognitive perceptual factors, behavioral factors, and individual sexual health practices of homeless adolescents; 3) determine the indirect effects of sociodemographics, sexual history, and culture of homelessness, and the direct effects of cognitive perceptual factors and behavioral factors on individual sexual health practices of homeless adolescents; and 4) explore with homeless adolescents the feasibility of developing culturally relevant interventions to promote positive sexual practices in this population through (a) focus groups that explore their perceptions of factors that are culturally relevant, and (b) comparing characteristics of those subjects who remain connected to the project site for periods of 3, 6, 9, and 12 months and characteristics of those who leave the area during these time intervals. A convenience sample of 460 homeless youth will be surveyed to describe their sexual health practices and to examine relationships among theoretical variables through structural equation modeling. A subsample of 40 homeless youth will participate in focus groups to provide their perspectives on community-based interventions to reduce the risk of sexually transmitted diseases (STDs) that would be culturally relevant and feasible for them. The expected outcomes of the study are the refinement of a theoretical model of sexual health practices that will provide a framework for interventions to reduce the prevalence and incidence of STDs in vulnerable homeless adolescents.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Research Project (R01)
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Study Section
Nursing Research Study Section (NURS)
Program Officer
Hare, Martha L
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University of Texas Austin
Schools of Nursing
United States
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Rew, Lynn; Rochlen, Aaron B; Murphey, Christina (2008) Health educators'perceptions of a sexual health intervention for homeless adolescents. Patient Educ Couns 72:71-7
Rew, Lynn; Grady, Matthew; Whittaker, Tiffany A et al. (2008) Interaction of duration of homelessness and gender on adolescent sexual health indicators. J Nurs Scholarsh 40:109-15
Rew, Lynn; Fouladi, Rachel T; Land, Lee et al. (2007) Outcomes of a brief sexual health intervention for homeless youth. J Health Psychol 12:818-32
Horner, Sharon; Rew, Lynn; Torres, Rosamar (2006) Enhancing intervention fidelity: a means of strengthening study impact. J Spec Pediatr Nurs 11:80-9
Rew, Lynn (2006) Sexual health promotion in adolescents with chronic health conditions. Fam Community Health 29:61S-9S
Johnson, Regina Jones; Rew, Lynn; Sternglanz, R Weylin (2006) The relationship between childhood sexual abuse and sexual health practices of homeless adolescents. Adolescence 41:221-34
Johnson, Regina Jones; Rew, Lynn; Kouzekanani, Kamiar (2006) Gender differences in victimized homeless adolescents. Adolescence 41:39-53
Rew, Lynn; Johnson, Regina J; Jenkins, Sandra K et al. (2004) Developing holistic nursing interventions to improve adolescent health. J Holist Nurs 22:303-19; quiz 298-302
Rew, Lynn; Chambers, Kathryn B; Kulkarni, Shanti (2002) Planning a sexual health promotion intervention with homeless adolescents. Nurs Res 51:168-74
Rew, Lynn; Fouladi, Rachel T; Yockey, Ronald D (2002) Sexual health practices of homeless youth. J Nurs Scholarsh 34:139-45

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