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Condom availability in schools: the need for improved program evaluations

J Stryker1, S E Samuels, M D Smith

  • 1Center for AIDS Prevention Studies, University of California at San Francisco.

American Journal of Public Health
|December 1, 1994
PubMed
Summary
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Local debates significantly impact school condom programs. Few programs collect data on effectiveness, highlighting the need for research to inform public health and values discussions.

Area of Science:

  • Public Health
  • Education Policy
  • Adolescent Health

Background:

  • School-based condom availability programs are often subjects of local debate.
  • These debates involve complex interactions between scientific, moral, and political considerations.
  • Understanding these dynamics is crucial for effective program implementation.

Purpose of the Study:

  • To examine how contentious local debates influence the design and implementation of school-based condom availability programs.
  • To identify challenges and opportunities in developing and executing these programs within diverse community contexts.

Main Methods:

  • A 1992 forum convened 50 leading educators and health officials to review information on school condom availability.
  • Expert discussions focused on existing program designs and implementation strategies.

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Main Results:

  • Existing condom availability programs rarely incorporated designs to collect definitive data on program effectiveness.
  • Key measures such as sexual risk-taking behavior were often not rigorously assessed.

Conclusions:

  • The debate surrounding school condom programs intertwines scientific evidence with deeply held moral and political values.
  • Behavioral research is essential to inform discussions on sexual decision-making, privacy, family integrity, parental autonomy, and public health.
  • Evidence-based approaches can help navigate these complex debates and improve adolescent health outcomes.