{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T02:02:32Z","timestamp":1784512952627,"version":"3.55.0"},"reference-count":42,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,17]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Honduras has the highest rates of teen pregnancy and HIV in Central America, which are disproportionately concentrated in rural, low-income communities with high school dropout rates and limited access to sexual health education. This study evaluated the \u2018Taking Care of You\u2019 (TCY) program, a community-based educational intervention designed to improve reproductive health knowledge and social risk awareness among adolescents aged 11\u201318 years in rural northwest Honduras.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a single-group, pre\u2013post quasi-experimental study in El Rosario, Locomapa, Honduras. Eighty-seven adolescents were recruited through community leaders and school networks and participated in eight 3-h sessions from April to July 2024, covering sexual and reproductive health and social risk behaviours. A structured questionnaire with quantitative and qualitative components was administered pre- and post-intervention. McNemar tests, Wilcoxon signed-rank tests, and logistic regression models were used for quantitative analysis; descriptive-interpretive thematic analysis was applied to qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Before TCY, only 35.6% of participants knew about sexually transmitted infections\u00a0(STIs), and fewer than half recognised risks of unprotected sex or substance use. Following TCY, there was increased knowledge on STIs, recognition of unprotected sex risks, self-assessed reproductive health knowledge, attitudes toward contraception,\u00a0and comfort discussing sexual health and behaviours. Equitable gains were made across sex and age groups. Qualitative findings revealed shifts from stigma and avoidance toward openness and protective intentions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Knowledge and attitudinal gains were observed across sex and age groups; however, sustained behavioural change will require longer follow-up and continued structural support. Controlled trials with extended follow-up are needed to assess long-term behavioural impact<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh26072","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T01:37:08Z","timestamp":1784511428000},"source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of a community-based intervention to improve adolescent reproductive health knowledge and social risk outcomes in rural Honduras: a mixed-methods pre\u2013post evaluation"],"prefix":"10.1071","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4183-9104","authenticated-orcid":true,"given":"C\u00e9sar","family":"Alas-Pineda","sequence":"first","affiliation":[{"name":"AQuantitative Biomedical Sciences Doctoral Program, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA."},{"name":"BAmericans Caring, Teaching and Sharing (ACTS) in Honduras, Norwich, VT, USA."},{"name":"CFaculty of Medicine and Surgery, Catholic University of Honduras \u2013 San Pedro y San Pablo Campus, San Pedro Sula, Cort\u00e9s, Honduras."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anahita","family":"Tewari Kodali","sequence":"additional","affiliation":[{"name":"BAmericans Caring, Teaching and Sharing (ACTS) in Honduras, Norwich, VT, USA."},{"name":"DColumbia University Vagelos College of Physicians and Surgeons, New York, NY, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine M.","family":"Gunn","sequence":"additional","affiliation":[{"name":"EThe Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, Dartmouth Cancer Center, Dartmouth College, Lebanon, NH, USA."},{"name":"FDartmouth Cancer Center, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla","family":"Molinero","sequence":"additional","affiliation":[{"name":"BAmericans Caring, Teaching and Sharing (ACTS) in Honduras, Norwich, VT, USA."},{"name":"CFaculty of Medicine and Surgery, Catholic University of Honduras \u2013 San Pedro y San Pablo Campus, San Pedro Sula, Cort\u00e9s, Honduras."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sendy Ruiz","family":"Zald\u00edvar","sequence":"additional","affiliation":[{"name":"CFaculty of Medicine and Surgery, Catholic University of Honduras \u2013 San Pedro y San Pablo Campus, San Pedro Sula, Cort\u00e9s, Honduras."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Emond","sequence":"additional","affiliation":[{"name":"FDartmouth Cancer Center, Geisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA."},{"name":"GDepartment of Biomedical Data Science, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8081-0844","authenticated-orcid":true,"given":"Linda Skewes","family":"Kennedy","sequence":"additional","affiliation":[{"name":"BAmericans Caring, Teaching and Sharing (ACTS) in Honduras, Norwich, VT, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"issue":"1","key":"2026071921370147700_R1","doi-asserted-by":"publisher","DOI":"10.7189\/jogh.10.010706","article-title":"Social normative and social network factors associated with adolescent pregnancy: a cross-sectional study of 176 villages in rural Honduras.","volume":"10","author":"Shakya","journal-title":"J Glob Health"},{"issue":"6","key":"2026071921370147700_R2","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1016\/S2352-4642(23)00077-9","article-title":"Trends and inequities in adolescent childbearing in Latin American and Caribbean countries across generations and over time: a population-based study.","volume":"7","author":"Sanhueza","year":"2023","journal-title":"Lancet Child Adolesc Health"},{"issue":"3","key":"2026071921370147700_R3","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1089\/aid.2012.0032","article-title":"Short Communication: HIV incidence among vulnerable populations in Honduras: results from an integrated behavioral and biological survey among female sex workers, men who have sex with men, and Garifuna in Honduras, 2006.","volume":"29","author":"Kim","year":"2013","journal-title":"AIDS Res Hum Retroviruses"},{"key":"2026071921370147700_R4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijedudev.2020.102329","article-title":"Examining school dropout among rural youth in Honduras: evidence from a mixed-methods longitudinal study.","volume":"82","author":"Murphy-Graham","year":"2021","journal-title":"Int J Educ Dev"},{"key":"2026071921370147700_R5","doi-asserted-by":"crossref","unstructured":"Adelman M, Haimovich F, Ham A, Vazquez E. 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