Interventions Promoting Condom Use Among Youth: A Systematic Review
Alcira de Vries1, Chantal den Daas2, Inge J M Willemstein1
1Centre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
Summary
Condom use is declining among youth in Western countries. Interventions specifically targeting males or females were more effective at increasing condom use than those targeting both sexes.
Area of Science:
- Public Health
- Adolescent Health
- Sexual Health Education
Background:
- Youth condom use is decreasing in high-income Western nations.
- Effective strategies are needed to promote safer sexual practices among adolescents.
- Sexually transmitted infections (STIs) remain a significant public health concern.
Approach:
- Systematic review of intervention studies (2010-2021) in Western, high-income countries.
- Focused on interventions promoting condom use among youth.
- Analyzed effectiveness based on condom use and STI diagnoses.
Key Points:
- Interventions targeting males or females specifically showed higher effectiveness in increasing condom use compared to gender-neutral approaches.
- Overall median effectiveness for increasing condom use was 33.3%.
- Median effectiveness for decreasing STI diagnoses was 0%.
Conclusions:
- Designing effective youth condom use interventions is challenging.
- Tailoring interventions to specific genders may enhance efficacy.
- Further research into targeted sexual health strategies for adolescents is warranted.
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