In the United States, an estimated 1.2 million people are living with HIV/AIDS, and approximately 50,000 new cases of HIV are diagnosed each year. Globally, it is estimated that 33.3 million people are living with HIV/AIDS. The role of mobile populations in the spread of STIs and HIV is well-documented in many countries around the world. Long-haul…

The United States has one of the highest unintended pregnancy rates of all industrialized nations in the world, with 13% of those occurring among the adolescent population. In 2005, the adolescent birthrate in the United States was 40.5 per 1,000 women and increased 3% in 2006 (Martin et al., 2009). Unintended pregnancy and motherhood can have a…

Project CHOICES developed an integrated behavioral intervention for prevention of prenatal alcohol exposure in women at high risk for alcohol-exposed pregnancies. Settings included primary care, university-hospital based obstetrical/gynecology practices, an urban jail, substance abuse treatment settings, and a media-recruited sample in three large…

This report addresses the problem of sexually active teenagers who either do not use contraception or use it inconsistently. Psychological and cognitive barriers to contraception use are briefly reviewed and the development of a cognitively oriented intervention designed to modify beliefs inimical to contraceptive use is discussed. The selection…

The reproductive health of American adolescents has been, and continues to be, a matter of serious concern. America's teen birth rate--already the highest among developed nations--is again on the rise, and rates of sexually transmitted diseases among American teens are very high. As such, the development and identification of effective…

This study examined prevalence of sexual risks among homeless adolescents and described factors associated with those risks. Community-based outreach methods were used successfully to access this difficult-to-reach population. The sample included 203 homeless youth aged 15-22 recruited from community sites. Questionnaire items addressed…

This article describes the process of implementing a community collaborative HIV prevention intervention research project targeting Asian and Pacific Islander (API) men who have sex with men (MSM). This article traces the genesis of the project--which linked university researchers with an API-focused community based organization--starting from its…

This paper describes the Young Adult and Adolescent Decision Making About Contraception program, an ongoing clinical research project designed to address the problem of unplanned adolescent pregnancy from a biopsychosocial perspective. The program is described as a peer-led intervention to promote the use of contraception by teenage girls at high…

The Safer Choices program, being tested in Texas and California, is a multicomponent program to change behaviors which lead to infection with HIV or other sexually transmitted diseases or pregnancy. Components include a School Health Promotion Council, curriculum and staff development activities, school environment activities implemented by peer…