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Geographic Variation in Condom Availability and Accessibility.

Enbal Shacham1, Erik J Nelson2, Lauren Schulte3

  • 1Department of Behavioral Science and Health Education, College for Public Health and Social Justice, Saint Louis University, 3545 Lafayette Avenue, Office 315, St. Louis, MO, 63104, USA. eshacham@slu.edu.

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Summary
This summary is machine-generated.

Geographic disparities in condom availability were identified in St. Louis, with fewer stores selling condoms in the northern city. This spatial relationship may influence sexually transmitted infection (STI) rates.

Keywords:
CondomsGeographic information systemsHealth status disparitiesSexually transmitted diseaseSexually transmitted diseases

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Area of Science:

  • Public Health
  • Spatial Epidemiology
  • Health Disparities

Background:

  • Geographic disparities in sexually transmitted infections (STIs) necessitate identifying contributing factors.
  • Understanding the spatial relationship between condom availability and STI rates is crucial for targeted interventions.

Purpose of the Study:

  • To assess the spatial relationship between condom availability and accessibility and its potential impact on geographic disparities in STIs.
  • To identify geographic patterns in condom sales and distribution within St. Louis city.

Main Methods:

  • A telephone-based audit of 850 potential condom-selling establishments in St. Louis city.
  • Descriptive analyses to compare condom-selling characteristics by store type.
  • Geocoding, mapping, and spatial analysis to determine condom availability and identify geographic clusters.

Main Results:

  • Only 29% of audited establishments sold condoms.
  • Significant geographic clusters of condom-selling stores were identified.
  • Convenience stores and gas stations were less likely to sell condoms in northern St. Louis, while non-convenience stores sold fewer condoms in southwestern and central areas.
  • Free condom distribution clustered in the city center.
  • Areas with the highest condom sales lacked businesses other than convenience stores and gas stations.

Conclusions:

  • Condom availability and accessibility vary significantly by geographic region within St. Louis.
  • These spatial variations in condom access are likely determinants of social norms and impact STI rates.
  • Further research is needed to confirm the direct link between condom access disparities and STI rates.