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Condom availability programs in U.S. schools

D B Kirby1, N L Brown

  • 1American Institutes for Research, Palo Alto, Calif, USA.

Family Planning Perspectives
|September 1, 1996
PubMed
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School condom availability programs aim to increase condom use and reduce STDs. Data from 1995 shows over 400 public schools offered condoms, with higher usage in alternative or clinic-based settings.

Area of Science:

  • Public Health
  • Adolescent Health
  • Epidemiology

Background:

  • School condom availability programs are promoted to enhance condom use among students.
  • These programs aim to reduce risks of human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs).
  • Preventing unintended pregnancies is another key objective of these initiatives.

Purpose of the Study:

  • To assess the prevalence of school condom availability programs in the U.S. as of January 1995.
  • To identify factors associated with higher condom distribution rates in schools.

Main Methods:

  • A telephone survey was conducted with key individuals involved in school condom programs nationwide.
  • Data collected focused on the number of schools offering condoms and distribution patterns.
Keywords:
AdolescentsAge FactorsAmericasBarrier MethodsCondomContraceptionContraceptive AvailabilityContraceptive MethodsDemographic FactorsDeveloped CountriesDiseasesDistributional ActivitiesEducationFamily PlanningFamily Planning SurveysHiv Infections--prevention and controlNonclinical DistributionNorth AmericaNorthern AmericaOrganization And AdministrationPopulationPopulation CharacteristicsProgram ActivitiesProgramsSchool-based ServicesSchoolsSecondary SchoolsUnited StatesViral DiseasesYouth

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Main Results:

  • As of January 1995, at least 431 public schools in 50 U.S. school districts provided condoms.
  • This represented 2.2% of all public high schools and 0.3% of high school districts.
  • In approximately half of surveyed schools, students obtained over one condom per year; 14% saw over six condoms distributed per student annually. Higher distribution was noted in alternative schools, smaller schools, those with "basket" distribution, and schools with health clinics.

Conclusions:

  • School condom availability programs were implemented in a small percentage of U.S. public high schools by 1995.
  • Specific school characteristics, such as alternative settings or the presence of health clinics, were linked to higher condom distribution rates.