IN THIS issue of the ARCHIVES, Lonczak et al1 present data from the long-term follow-up of a multilevel youth development intervention, the Seattle Social Development Project (SSDP). The article documents the longitudinal effects of an elementary school–based intervention on sexual behavior, pregnancy, birth, and the acquisition of sexually transmitted diseases (STDs) at age 21 years. Earlier reports on this same program demonstrated its measurable beneficial effects on violent and nonviolent crime, substance use, sexual activity, pregnancy, school achievement, grade repetition, dropping out of school, suspension and expulsion, and delinquency.2,3 The current findings add to the earlier longitudinal follow-up and have significant research and policy implications for STDs and pregnancy prevention interventions with children and adolescents. First, the results of this program's broad focus on youth development provide evidence that strengthening social and psychological skills, rather than targeting specific risk behaviors, can protect against an array of health risks, including STDs, human immunodeficiency virus infection, and pregnancy in adolescents and young adults. Second, this study shows that early intervention can have an enduring impact as children grow and develop into young adults. Third, this report provides initial evidence that multilevel interventions can yield a synergistic and sustained impact throughout a lengthy follow-up period.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Pediatrics editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 9
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.