Evidence map›Paper›PMID 16682420›Full record

Trial reportBMJ (Clinical research ed.)2006

HIV prevention in Mexican schools: prospective randomised evaluation of intervention.

Dilys Walker, Juan Pablo Gutierrez, Pilar Torres, Stefano M Bertozzi

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 10 pooled it
9.3field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 10 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. School-based interventions for improving contraceptive use in adolescents.The Cochrane database of systematic reviews · 2016
    Pooled it
  4. Interventions for preventing unintended pregnancies among adolescents.The Cochrane database of systematic reviews · 2016
    Pooled it
  5. Behavioral interventions for improving dual-method contraceptive use.The Cochrane database of systematic reviews · 2014
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Pooled it
  11. Review
  12. Article
  13. Article
  14. Review
  15. Adolescent pregnancy, public policies, and targeted programs in Latin America and the Caribbean: a systematic review.Revista panamericana de salud publica = Pan American journal of public health · 2021
    Article
  16. Article
  17. Improving Adolescent Sexual and Reproductive Health: A Systematic Review of Potential Interventions.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2016
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Dilys WalkerDivision of Reproductive Health, National Institute of Public Health, Cuernavaca, Morelos, Mexico.
Juan Pablo Gutierrez
Pilar Torres
Stefano M Bertozzi
Instituto Nacional de Salud Pública · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess effects on condom use and other sexual behaviour of an HIV prevention programme at school that promotes the use of condoms with and without emergency contraception.

designCluster randomised controlled trial.

setting40 public high schools in the state of Morelos, Mexico.

participants10 954 first year high school students.

interventionSchools were randomised to one of three arms: an HIV prevention course that promoted condom use, the same course with emergency contraception as back-up, or the existing sex education course. Self administered anonymous questionnaires were completed at baseline, four months, and 16 months. Students at intervention schools received a 30 hour course (over 15 weeks) on HIV prevention and life skills, designed in accordance with guidelines of the joint United Nations programme on HIV/AIDS. Two extra hours of education on emergency contraception were given to students in the condom promotion with contraception arm.

main outcome measuresPrimary outcome measure was reported condom use. Other outcomes were reported sexual activity; knowledge and attitudes about HIV and emergency contraception; and attitudes and confidence about condom use.

resultsIntervention did not affect reported condom use. Knowledge of HIV improved in both intervention arms and knowledge of emergency contraception improved in the condom promotion with contraception arm. Reported sexual behaviour was similar in the intervention arms and the control group.

conclusionA rigorously designed, implemented, and evaluated HIV education course based in public high schools did not reduce risk behaviour, so such courses need to be redesigned and evaluated. Addition of emergency contraception did not decrease reported condom use or increase risky sexual behaviour but did increase reported use of emergency contraception.

Indexed as

AdolescentCluster AnalysisCondomsContraceptives, PostcoitalFemaleHealth EducationHIV InfectionsHumansLogistic ModelsMaleMexicoProspective StudiesSafe SexSchool Health ServicesSexual PartnersUnsafe SexContraceptives, Postcoital

Identifiers

PMID16682420
PMCPMC1463960
OpenAlexW2136120353

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.