Project ORE: A friendship-based intervention to prevent HIV/STI in urban African American adolescent females

Health Educ Behav. 2010 Feb;37(1):115-32. doi: 10.1177/1090198109333280. Epub 2009 Jun 17.


There is an urgent need for continued innovation in the design of HIV/STI prevention interventions for African American females, a group at high risk for STIs and HIV. In particular, attention to social development and to culture is needed. The present study reports on a group randomized controlled trial of a friendship-based HIV/STI prevention intervention delivered at community-based centers in four San Francisco neighborhoods (n = 2, experimental; n = 2, control). This brief program focuses on youth and their friendship group (N = 264). Program outcomes vary by age at 3-month follow-up, evidencing decreases in risky sex in the oldest group (p < or = .05), decreases in multiple partners in the middle age group (p < or = .05), and increases in HIV testing in the youngest group (p = .05). Findings extend recent work on the efficacy of interventions to reduce sexual risk for racial and ethnic minority youth.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Black or African American*
  • Female
  • Friends*
  • HIV Infections / prevention & control
  • Health Education / organization & administration
  • Health Knowledge, Attitudes, Practice
  • Health Promotion / organization & administration*
  • Humans
  • Religion
  • Sexual Behavior
  • Sexually Transmitted Diseases / prevention & control*
  • Socioeconomic Factors
  • Substance-Related Disorders
  • Urban Population*