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Condom availability programs in Massachusetts high schools: relationships with condom use and sexual behavior
Susan M Blake1, Rebecca Ledsky, Carol Goodenow
1Department of Prevention and Community Health, George Washington University School of Public Health and Health Services, Washington, DC 20037, USA. smblake1@aol.com
American Journal of Public Health
|May 30, 2003
Summary
Condom availability programs in schools, coupled with community engagement, were linked to reduced adolescent sexual activity and increased condom use among sexually active teens. This approach may enhance HIV prevention strategies.
Area of Science:
- Public Health
- Adolescent Health
- Sexual Health Education
Background:
- Adolescent sexual practices and associated risks remain a significant public health concern.
- Understanding the impact of school-based interventions on sexual behaviors is crucial for effective prevention strategies.
Purpose of the Study:
- To evaluate the association between condom availability programs (CAPs) with community involvement and adolescent sexual practices.
- To determine if CAPs influence sexual initiation, condom use, and contraceptive choices.
Main Methods:
- A representative sample of 4,166 adolescents from high schools with and without CAPs were surveyed.
- Data collected included sexual practices, condom use, and other contraceptive method usage.
Main Results:
- Adolescents in schools with CAPs were more likely to receive condom use instruction.
- These adolescents reported lower rates of lifetime and recent sexual intercourse.
- Sexually active adolescents in CAP schools were twice as likely to use condoms during their most recent encounter, but less likely to use other contraceptive methods.
Conclusions:
- School-based condom availability programs, especially when integrated with community discussion, indicate socioenvironmental support for condom use.
- This strategy shows potential for improving HIV prevention practices among adolescents.