Interventions to prevent substance use and risky sexual behaviour in young people: a systematic review

Jackson, Caroline, Geddes, Rosemary, Haw, Sally and Frank, John (2012) Interventions to prevent substance use and risky sexual behaviour in young people: a systematic review. Addiction, 107 4: 733-747. doi:10.1111/j.1360-0443.2011.03751.x

Author Jackson, Caroline
Geddes, Rosemary
Haw, Sally
Frank, John
Title Interventions to prevent substance use and risky sexual behaviour in young people: a systematic review
Language of Title eng
Journal name Addiction   Check publisher's open access policy
Language of Journal Name eng
ISSN 0965-2140
Publication date 2012-04
Sub-type Article (original research)
DOI 10.1111/j.1360-0443.2011.03751.x
Open Access Status
Volume 107
Issue 4
Start page 733
End page 747
Total pages 15
Place of publication Oxford, United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2013
Language eng
Formatted abstract
Aims To identify and assess the effectiveness of experimental studies of interventions that report on multiple risk behaviour outcomes in young people.

Methods A systematic review was performed to identify experimental studies of interventions to reduce risk behaviour in adolescents or young adults and that reported on both any substance (alcohol, tobacco and illicit drug) use and sexual risk behaviour outcomes.Two authors reviewed studies independently identified through a comprehensive search strategy and assessed the quality of included studies. The report was prepared in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

From 1129 papers, 18 experimental studies met our inclusion criteria, 13 of whichwere assigned a strong or moderate quality rating. The substantial heterogeneity between studies precluded the pooling of results to give summary estimates. Intervention effects were mixed, with most programmes having a significant effect on some outcomes, but not others. The most promising interventions addressed multiple domains (individual and peer, family, school and community) of risk and protective factors for risk behaviour. Programmes that addressed just one domain were generally less effective in preventingmultiple risk behaviour.

There is some, albeit limited, evidence that programmes to reduce multiple risk behaviours in school children can be effective, the most promising programmes being those that address multiple domains of influence on risk behaviour. Intervening in the mid-childhood school years may have an impact on later risk behaviour, but further research is needed to determine the effectiveness of this approach.
Keyword Adolescence
Complex interventions
Multiple risk behaviour
Sexual behaviour
Substance use
Systematic review
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Public Health Publications
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Created: Thu, 08 Mar 2012, 11:01:26 EST by Caroline Jackson on behalf of School of Public Health