Adolescent HIV risk reduction in The Bahamas Supplemental Table A. Descriptive characteristics at baseline on measures by group according to youth (BFOOY or HFLE) and parent (CImPACT or GFI) intervention exposure in grade-10 among 2564 students attending the eight government high schools in New Providence, The Bahamas HFLEBFOOYBFOOYBFOOYPost-hoc ONLY CImPACT GFI ONLY F/χ2 comparison Variable (1) (2) (3) (4) (772) (664) (559) (569) Sample size (n) Gender-males(%) 339 (43.9%) 277 (41.7%) 247 (44.2%) 254 (44.6%) (1,4) 0.75 (0.13) 0.76 (0.13) 0.77 (0.14) 0.78 (0.13) 3.31* HIV Knowledge(SD) (1,4) Condom-use Skills(SD) 0.64 (0.14) 0.66 (0.13) 0.66 (0.14) 0.66 (0.13) 3.49* Condom Use Self-Efficacy(SD) 3.61 (1.10) 3.61 (1.11) 3.59 (1.13) 3.68 (1.08) 0.68 Condom Use Intention(SD 4.29 (1.36) 4.19 (1.40) 4.18 (1.45) 4.31 (1.38) 1.50 Parent-Adolescent Communication(SD) 2.65 (1.18) 2.67 (1.22) 2.72 (1.16) 2.66 (1.19) 0.39 Condom-use Consistency(%) 126 (61.5) 112 (71.8) 91 (70.5) 121 (71.2) 6.24 (1,2) (1,3) Abstinence/Protection(%) 676 (89.5) 607 (93.2) 514 (93.1) 512 (91.3) 8.23* Note: *p<0.05, **p<0.01. BFOOY=Bahamian Focus on Older Youth; GFI=Goal for It; CImPACT= Caribbean Informed Parents and Children Together; HFLE= Health and Family Life Education (standard of care condition); ONLY=Parents did not receive an intervention 1 Adolescent HIV risk reduction in The Bahamas Supplemental Table B. Condom use consistency and abstinence/protected sex rates (percentages) up to 24 months follow-up by BFOOY and parent intervention exposure in grade-10 among 2564 students attending the eight government high schools in New Providence, The Bahamas Gender Intervention Variables Total HFLEBFOOYBFOOYBFOOYMales Females ONLY CImPACT GFI ONLY 2 n % n % χ n % n % n % n % χ2 Consistent condom-use1 450 (68.2) 301 (65.3) 149 (74.9) 5.88* 126 (61.5) 112 (71.8) 91 (70.5) 121 (71.2) 6.24 Baseline 536 (72.9) 312 (72.2) 224 (73.9) 0.26 155 (72.1) 142 (74.7) 111 (74.5) 128 (70.7) 1.02 6 months 580 (67.7) 323 (70.5) 257 (64.4) 3.64 161 (64.9) 155 (69.5) 133 (73.9) 131 (63.6) 5.95 12 months 614 (67.0) 332 (69.3) 282 (64.4) 2.51 173 (62.9) 170 (69.7) 135 (71.8) 136 (64.8) 5.31 18 months ** 24 months 682 (65.2) 350 (69.3) 332 (61.4) 7.26 190 (60.1) 180 (68.7) 163 (71.2) 149 (62.3) 9.47* 2 Abstinence/protected sex Baseline 2309 (91.7) 932 (85.4) 1377 (96.5) 100.61** 676 (89.5) 607 (93.2) 514 (93.1) 512 (91.3) 8.23* 6 months 1920 (90.6) 761 (86.4) 1159 (93.6) 31.70** 569 (90.5) 520 (91.6) 424 (91.8) 407 (88.5) 3.80 12 months 1704 (86.0) 669 (83.2) 1035 (87.9) 8.87** 490 (84.9) 457 (87.1) 401 (89.5) 356 (82.6) 9.77* ** 18 months 1675 (84.7) 664 (81.9) 1011 (86.6) 8.35 482 (82.5) 453 (86.0) 391 (88.1) 349 (82.5) 8.20* 24 months 1626 (81.7) 659 (81.0) 967 (82.2) 0.52 450 (78.1) 454 (84.7) 382 (85.3) 340 (79.1) 13.96** Note: BFOOY=Bahamian Focus on Older Youth; GFI=Goal for It; CImPACT= Caribbean Informed Parents and Children Together; HFLE= Health and Family Life Education (standard of care condition); ONLY=Parents did not receive an intervention. 1Rates of consistent condom-use represent the number of youth who report always using a condom (numerator) divided by the number of youth who reported being sexually active (denominator); 2Rates of abstinence/protection are based on the number of youth who report either no sexual activity OR if sexually active, always using a condom (numerator) divided by the number of all youth who reported their sexual activity and, if sexually active, their condom-use practice. *p<0.05, **p<0.01. 2 Adolescent HIV risk reduction in The Bahamas Supplemental Table C. Means and Standard Deviations by Intervention Exposure for Youth Not Exposed to FOYC in grade-6 among 1579 grade-10 students attending the eight government high schools in New Providence, The Bahamas HFLEBFOOYBFOOYBFOOYOverall ONLY CImPACT GFI ONLY Sample (%) 1579 458 422 336 363 Gender males (%) 662 (41.93) 196 (42.79) 176 (41.71) 139 (41.37) 151 (41.60) Condom-use Skills(SD) 0.64 (0.13) 0.63 (0.14) 0.65 (0.13) 0.64 (0.14) 0.65 (0.13) Baseline 0.71 (0.14) 0.68 (0.13) 0.74 (0.15) 0.70 (0.15) 0.72 (0.13) 6 months 0.73 (0.14) 0.70 (0.14) 0.75 (0.14) 0.72 (0.14) 0.73 (0.14) 12 months 0.73 (0.14) 0.69 (0.14) 0.77 (0.14) 0.72 (0.15) 0.73 (0.14) 18 months 0.75 (0.14) 0.71 (0.13) 0.77 (0.13) 0.74 (0.14) 0.75 (0.12) 24 months HIV Knowledge (SD) 0.76 (0.13) 0.75 (0.13) 0.76 (0.13) 0.76 (0.14) 0.77 (0.12) Baseline 0.81 (0.13) 0.79 (0.13) 0.81 (0.13) 0.81 (0.13) 0.82 (0.12) 6 months 0.83 (0.13) 0.81 (0.13) 0.83 (0.13) 0.83 (0.13) 0.83 (0.12) 12 months 0.83 (0.12) 0.81 (0.14) 0.84 (0.12) 0.83 (0.12) 0.84 (0.12) 18 months 0.84 (0.13) 0.82 (0.12) 0.84 (0.12) 0.84 (0.13) 0.84 (0.13) 24 months Condom Use Self-Efficacy(SD) 3.58 (1.08) 3.58 (1.07) 3.53 (1.08) 3.59 (1.10) 3.59 (1.10) Baseline 4.02 (0.93) 3.97 (0.97) 4.05 (0.79) 3.98 (0.98) 3.99 (1.05) 6 months 4.18 (0.84) 4.17 (0.79) 4.20 (0.81) 4.10 (0.94) 4.17 (0.90) 12 months 4.24 (0.82) 4.23 (0.81) 4.28 (0.79) 4.18 (0.94) 4.21 (0.86) 18 months 4.36 (0.78) 4.31 (0.83) 4.39 (0.75) 4.37 (0.78) 4.36 (0.82) 24 months Condom Use Intention(SD) 4.22 (1.43) 4.30 (1.36) 4.19 (1.40) 4.16 (1.47) 4.27 (1.42) Baseline 4.41 (1.26) 4.39 (1.26) 4.38 (1.30) 4.51 (1.18) 4.36 (1.31) 6 months 4.45 (1.21) 4.44 (1.23) 4.42 (1.25) 4.44 (1.26) 4.47 (1.15) 12 months 4.36 (1.29) 4.33 (1.33) 4.35 (1.33) 4.46 (1.20) 4.30 (1.34) 18 months 4.46 (1.19) 4.52 (1.14) 4.42 (1.25) 4.50 (1.19) 4.40 (1.20) 24 months Parent-Adolescent Communication(SD) 2.66 (1.18) 2.57 (1.18) 2.74 (1.22) 2.78 (1.15) 2.61 (1.16) Baseline 2.68 (1.22) 2.62 (1.20) 2.86 (1.23) 2.66 (1.18) 2.60 (1.25) 6 months 2.63 (1.23) 2.65 (1.21) 2.83 (1.23) 2.59 (1.18) 2.43 (1.23) 12 months 2.66 (1.26) 2.61 (1.25) 2.85 (1.28) 2.63 (1.26) 2.53 (1.24) 18 months 2.69 (1.29) 2.61 (1.27) 2.88 (1.34) 2.72 (1.22) 2.52 (1.25) 24 months Condom Use Consistency(%) Baseline 262 (68.05) 66 (58.41) 66 (69.47) 55 (73.33) 75 (73.53) 6 months 331 (73.88) 995 (77.24) 98 (75.38) 69 (77.53) 69 (65.09) 12 months 361 (66.85) 94 (92.67) 106 (69.74) 79 (74.53) 82 (62.12) 18 months 383 (66.84) 112 (64.74) 105 (69.08) 79 (73.15) 87 (62.14) 24 months 443 (66.31) 116 (61.70) 127 (71.35) 93 (69.40) 97 (63.40) 3 Adolescent HIV risk reduction in The Bahamas Abstinence/Protection(%) Baseline 6 months 12 months 18 months 24 months 1430 1210 1065 1051 1024 (92.08) (91.18) (85.61) (84.69) (82.32) 400 349 289 290 270 (89.49) (92.57) (83.77) (82.62) (78.95) 385 342 297 290 301 (93.00) (91.44) (86.59) (86.05) (85.51) 313 257 241 241 228 (93.99) (92.78) (89.93) (89.26) (84.76) 332 262 238 230 225 (92.48) (87.63) (82.64) (81.27) (80.07) Note: BFOOY=Bahamian Focus on Older Youth; GFI=Goal for It; CImPACT= Caribbean Informed Parents and Children Together; HFLE= Health and Family Life Education (standard of care condition); ONLY=Parents did not receive an intervention 4 Adolescent HIV risk reduction in The Bahamas Supplemental Table D. Means and Standard by Intervention Exposure for Youth Exposed to FOYC in grade-6 among 530 grade-10 students attending the eight government high schools in New Providence, The Bahamas HFLEONLY 530 129 252 (47.55) 66 (51.16) Overall Sample (N) Gender males (%) Condom-use Skills (SD) 0.64 (0.13) Baseline 0.71 (0.14) 6 months 0.72 (0.14) 12 months 0.73 (0.14) 18 months 0.74 (0.14) 24 months HIV Knowledge(SD) 0.76 (0.13) Baseline 0.81 (0.13) 6 months 0.82 (0.13) 12 months 0.83 (0.12) 18 months 0.84 (0.12) 24 months Condom Use Self-Efficacy(SD) 3.57 (1.09) Baseline 4.00 (0.95) 6 months 4.17 (0.85) 12 months 4.23 (0.84) 18 months 4.36 (0.79) 24 months Condom Use Intention(SD) 4.23 (1.41) Baseline 4.41 (1.27) 6 months 4.44 (1.22) 12 months 4.36 (1.30) 18 months 4.46 (1.19) 24 months Parent-Adolescent Communication(SD) 2.67 (1.18) Baseline 2.69 (1.22) 6 months 2.63 (1.22) 12 months 2.66 (1.26) 18 months 2.69 (1.28) 24 months Condom Use Consistency(%) Baseline 103 (69.13) 6 months 111 (71.61) 12 months 120 (68.18) 18 months 121 (65.76) 24 months 129 (62.32) BFOOYBFOOYBFOOYCImPACT GFI ONLY 143 140 118 57 (39.86) 71 (50.71) 58 (49.15) 0.70 0.73 0.76 0.77 0.77 (0.14) (0.14) (0.14) (0.14) (0.12) 0.69 0.76 0.80 0.77 0.80 (0.15) (0.16) (0.13) (0.13) (0.13) 0.70 0.76 0.76 0.77 0.78 (0.14) (0.14) (0.15) (0.15) (0.14) 0.72 0.75 0.77 0.76 0.77 (0.13) (0.12) (0.11) (0.10) (0.11) 0.78 0.81 0.84 0.83 0.86 (0.13) (0.12) (0.11) (0.13) (0.10) 0.78 0.84 0.84 0.85 0.86 (0.14) (0.11) (0.12) (0.14) (0.13) 0.78 0.84 0.84 0.84 0.84 (0.14) (0.13) (0.13) (0.12) (0.14) 0.8 0.84 0.87 0.86 0.85 (0.14) (0.11) (0.09) (0.11) (0.14) 3.92 4.20 4.35 4.36 4.46 (1.05) (0.91) (0.70) (0.84) (0.70) 3.83 4.13 4.34 4.38 4.50 (1.17) (0.89) (0.68) (0.69) (0.62) 3.69 4.16 4.28 4.34 4.47 (1.18) (0.86) (0.75) (0.70) (0.68) 3.85 4.18 4.16 4.37 4.35 (1.05) (0.85) (0.81) (0.71) (0.79) 4.42 4.47 4.46 4.35 4.36 (1.25) (1.21) (1.21) (1.28) (1.27) 4.33 4.35 4.65 4.50 4.41 (1.25) (1.29) (0.96) (1.14) (1.26) 4.15 4.66 4.49 4.56 4.53 (1.44) (0.98) (1.11) (1.06) (1.12) 4.32 4.55 4.45 4.33 4.24 (1.37) (1.07) (1.24) (1.30) (1.43) 2.68 2.62 2.71 2.52 2.64 (1.21) (1.28) (1.26) (1.21) (1.33) 2.56 2.67 2.85 2.87 2.89 (1.22) (1.19) (1.22) (1.23) (1.28) 2.46 2.60 2.54 2.58 2.63 (1.18) (1.21) (1.19) (1.27) (1.30) 2.56 2.49 2.56 2.56 2.44 (1.26) (1.28) (1.24) (1.17) (1.29) 25 29 32 26 27 (62.50) (70.73) (72.73) (59.09) (52.94) 5 31 29 30 38 31 (77.50) (72.50) (66.67) (70.37) (62.00) 25 26 34 33 44 (71.43) (74.29) (70.73) (68.75) (74.58) 22 27 24 24 27 (64.71) (69.23) (61.54) (63.16) (57.45) Adolescent HIV risk reduction in The Bahamas Abstinence/Protection(%) Baseline 478 (91.22) 111 (88.10) 131 (93.57) 130 (92.86) 106 (89.83) 6 months 385 (89.74) 93 (88.57) 105 (90.52) 107 (92.24) 80 (86.96) 12 months 337 (85.75) 82 (87.23) 91 (85.85) 98 (87.50) 66 (81.48) 18 months 328 (83.89) 78 (81.25) 96 (85.71) 91 (85.85) 63 (81.82) 24 months 318 (80.30) 68 (73.91) 88 (82.24) 95 (86.36) 67 (77.01) Note: BFOOY=Bahamian Focus on Older Youth; GFI=Goal for It; CImPACT= Caribbean Informed Parents and Children Together; HFLE= Health and Family Life Education (standard of care condition); ONLY=Parents did not receive an intervention 6