1. SexTalks: How to Experience Pleasure without the Pain An STD/STI Prevention Plan for Students at Southeastern Universities Presented by: Kathleen Lata, Rosaria Trichilo & Brad Weisberg 2. Problem Statement Highlights 10 million new sexually transmitted infections occur among young people ages 1524 annually.1 This accounts for about 16 billion dollars in annual health care costs. Lifetime treatment cost of an HIV infection is estimated to be $379,668 2 Among 10 southern colleges, chlamydia occurrence rate for African American students was 11% as compared to only 1% among their white peers. 3 Since 2003, there has been a significant increase of HIV incidence among AA college males in the state of North Carolina and other Southeastern states. 3 Barriers to STDs care include lack of knowledge and available services, long clinic waiting times, discrimination, and fear of testing methods.4 3. Target Population University of Mississippi, University of Alabama and Louisiana State University Large, public, secular, state universities University age students, both males and females of all races 4. Goals & Objectives Overall Goal: To reduce the rate of STI/STDs on large public university campuses in the Southeastern portion of the USA Behavioral Objectives SMART 1. Students will use safe sex practices 1. 80% of students will be able to demonstrate how to use a condom by the end of the health education seminar. 2. 60% of students will express increased confidence in their ability to have a conversation about condom use with partner. 2. Avoid high risk of behavior. 1. 80% of students will be able to identify 5 alternative late night activities by the end of the semester 2. 60% of students display increased positive attitude towards engaging in alternative late night activities Environmental Obj. SMART 3. Trained health clinic personnel are available 1. 80% of heads of student health will display positive attitudes towards implementing a mandate after the presentation. 5. Program Theory & Methods Theory Methods Outcome Application Social-Cognitive Theory 1. Building self efficacy 2. Consciousness Raising 3. Modeling Effective condom use Health Education Seminar Theory of Planned Behavior 1. Modeling 2. Heightening resistance to social pressure Decreasing high risk behavior Alternative low-risk, late night activities Social Cognitive Theory Transtheoretical Model of Behavior Change 1. Consciousness Raising 2. Environmental reevaluation Trained healthcare clinic personnel are available 1. Mandate directed towards heads of student health 2. Standardized Training 6. Program Activities & Location I. Health Care Professional Training Presentations to the Heads of Student Health Standardized Training Sessions II. Low Risk Alternative Programming RA/Student Leader Training Sessions Student Involvement Fair Late night alternative programming III. Student Educational Sessions Educational seminars (2x/month) At-home mandatory incoming freshmen online tutorial Freshmen Orientation (continuing module to online tutorial) 7. Participant Recruitment & Retention Online tutorial for incoming freshmen and transfer students is mandatory Promotion of SexTalks will begin at orientation via RAs/student leaders Flyers and poster campaign ads will be posted at main campus hubs. ie. Student Union, gym, dorms, etc. Giveaways, raffles, free food and refreshments will be offered at all SexTalks events https://s-media-cache- ak0.pinimg.com/236x/7d/42/cd/7d42cd07b2b 5dae0e81dba7c245c237d.jpg http://www.nationalcondomweek.com/ 8. Community & Cultural Involvement Educational materials take a non- moralizing approach Culturally relevant pamphlets Material accessible via hard copy and electronic via student service website quicklink #SafeIsSexy Programs will span academic departments, administration, res life, and student groups http://www.teensource.org/ 9. Key Staff Positions, Roles & Responsibilities 10. Long Term Goals . . . Program success measured through M&E Dissemination & Diffusion through ACHA Meet Healthy People 2020 Objectives: To promote healthy sexual behaviors, strengthen community capacity, and increase access to quality services to prevent STDs and their complications.5 11. References 1. Centers for Disease Control and Prevention. (2013). Sexually Transmitted Disease Surveillance. Retrieved from http://www.cdc.gov/std/stats13/surv2013-print.pdf. 2. Centers for Disease Control and Prevention. HIV Surveillance Report, 2009; vol. 21. http://www.cdc.gov/hiv/topics/surveillance/resources/reports/. Published February 2011. Access February 13, 2015. 3. Hightow, L. B., MacDonald, P. D., Pilcher, C. D., Kaplan, A. H., Foust, E., Nguyen, T. Q., & Leone, P. A. (2005). The unexpected movement of the HIV epidemic in the southeastern united states: Transmission among college students. Journal of Acquired Immune Deficiency Syndromes (1999), 38(5), 531-537. 4. Williams, J.R., Zenilman, J., Nanda, J.P., & Mark, H. (2008). Recruitment Strategies and Motivations for Sexually Transmitted Disease Testing Among College Students. Journal Of American College Health, 57(3), 357-360. 5. U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion. Healthy People 2020. Washington, DC. Available at [http://www.healthypeople.gov/2020/topics- objectives/topic/sexually-transmitted-diseases]. Accessed [January 23, 2015].