Blake SM, Ledsky R, Goodenow C, Sawyer R, Lohrmann D, Windsor R. Condom availability programs in Massachusetts high schools: relationships with condom use and sexual behavior.
Am J Public Health 2003;
93:955-62. [PMID:
12773362 PMCID:
PMC1447877 DOI:
10.2105/ajph.93.6.955]
[Citation(s) in RCA: 81] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES
This study assessed relationships between condom availability programs accompanied by community discussion and involvement and adolescent sexual practices.
METHODS
Sexual practice and condom use differences were assessed in a representative sample of 4166 adolescents enrolled in high schools with and without condom availability programs.
RESULTS
Adolescents in schools where condoms were available were more likely to receive condom use instruction and less likely to report lifetime or recent sexual intercourse. Sexually active adolescents in those schools were twice as likely to use condoms, but less likely to use other contraceptive methods, during their most recent sexual encounter.
CONCLUSIONS
The strategy of making condoms available, an indication of socioenvironmental support for condom use, may improve HIV prevention practices.
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