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Structural impediments to condom access in a High HIV/STI-risk area
Christine Rizkalla1, Laurie J Bauman, Jeffrey R Avner
1Division of Pediatric Emergency Medicine, Department of Pediatrics, Albert Einstein College of Medicine, The Children's Hospital at Montefiore, Bronx, NY 10467, USA. crizkalla@maimonidesmed.org
Journal of Environmental and Public Health
|October 2, 2010
Summary
Condoms are often inaccessible in stores, requiring staff help, which discourages purchases. This barrier is worse in lower socioeconomic areas with high HIV/STI rates.
Area of Science:
- Public Health
- Sexual Health
- Health Equity
Background:
- Embarrassment during condom acquisition is a known barrier.
- Selling condoms in inaccessible locations requiring assistance further impedes access.
Purpose of the Study:
- To investigate the extent of physical inaccessibility of condoms in the Bronx, New York.
- To identify factors associated with condom physical inaccessibility.
Main Methods:
- A random sample of 75 pharmacies in the Bronx was selected.
- Condom placement and accessibility were coded in sampled pharmacies and 140 surrounding stores.
- Statistical analysis, including odds ratios, was used to assess inaccessibility factors.
Main Results:
- 91% of surveyed sites sold condoms, but 82% required staff assistance for access.
- Condoms were significantly more inaccessible in grocery stores compared to pharmacies (OR=15).
- Inaccessibility was higher in independent pharmacies versus chain pharmacies (OR=32) and in low SES/high HIV prevalence areas (OR=4.3).
Conclusions:
- Physical inaccessibility of condoms is a significant issue in the Bronx, particularly in certain retail settings and socioeconomically disadvantaged areas.
- Findings suggest a need to improve condom accessibility through better placement and alternative distribution strategies.
- This study highlights disparities in access to sexual health resources and calls for similar research in other high-risk communities.
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