Carol Roye, EdD, CPNP, Hunter College - City University of New York, 209 Bear Ridge Road, Pleasantville, NY 10570, 212-481-4332, croye1@earthlink.net, Paula L Perlmutter, MPH, Hunter College - Center on AIDS, Drugs, and Community Health, 39 Donna Road, Framingham, MA 01701, and Beatrice Krauss, PhD, Hunter College Center on AIDS, Drugs, and Community Health, 425 East 25th street 8th floor, New York, NY 10010.

Background: Young women of color represent a growing population of HIV/AIDS patients. Teens who use hormonal contraceptives are less likely to use condoms than other teens.

Methods: Data were collected at two Planned Parenthood Centers in New York City. Subjects were Black and Latina women, aged 15 – 21 years, who used or were starting use of a hormonal contraceptive (N = 331). After completing a questionnaire, adapted from the CDC’s Project RESPECT, using Computer Administered Self Interview with Audio (ACASI) , young women were randomized to one of 4 intervention groups: 1) Video: watching a 20-minute video, made for this population, featuring 2 young HIV-positive women and 2 young men; 2) Counseling: A 10-20-minute interactive counseling session with Planned Parenthood employees, based on Project RESPECT; 3) Video and counseling; 4) Usual Care. The young women completed the same questionnaire 3 months later. Data were analyzed using Chi Square.

Results: Teens who received both interventions were significantly more likely [Chi squared = 3.9; (df=1) p=.04] to have used a condom at last intercourse with their main partner than teens in the usual care group. Teens who received only video or only counseling did not differ significantly in condom use from those in the usual care group.

Recommendations: This study suggests that brief, low-cost interventions which can be implemented in any clinical setting may be effective at improving condom use by teens who use hormonal contraceptives. It should therefore be tried in settings that provide health care to adolescents.

Learning Objectives:

• Describe the reasons that teens who use hormonal contraceptives are at increased risk for HIV.
• Describe two brief interventions that may improve condom use among teens who use hormonal contraceptives.
• Demonstrate ways of implementing these interventions in clinical settings.

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.