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PASHA Program Archive PP04

Reducing the Risk
Richard P. Barth

Reducing the Risk is a high-school-level sexuality education curriculum designed to reduce the frequency of unprotected sexual intercourse through: (1) delaying or reducing the frequency of intercourse; or (2) increasing contraceptive and STD-protection awareness. The 16-session curriculum is intended to serve as one component of a family life education course, rather than as a comprehensive, stand-alone program. Based on social learning theory, the curriculum aims to change student norms about unprotected sex and perceptions of peer sexual activity, as well as to strengthen parent- child communication concerning abstinence and contraception. The curriculum explicitly emphasizes that students should avoid unprotected intercourse, either by not having sex or (for students who choose to have sex) by using contraceptives. Lessons are reinforced through role-plays, homework activities, quizzes, and skill-building activities. A field study of the program was conducted in 13 California high schools. Participation in the program significantly increased teens' knowledge and communication wit h parents regarding abstinence and contraception. In addition, the program significantly reduced the likelihood that students who had not had intercourse at the start of the program would become sexually active by the 18-month follow-up assessment. However, program participation did not affect the frequency of sexual intercourse or the use of contraceptives among teens who were already sexually active at the start of the program.
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