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Condom Availability Programs and Their Effect on Student Sexual Behavior and Condom Use

July 3, 2003

The American Journal of Public Health recently released a study that analyzed the effect of condom availability programs in public high schools in Massachusetts.

Researchers compared students in schools with condom availability programs to students in schools without condom availability programs. They assessed participants' levels of sexual activity and condom use to determine how condom availability programs affected participants' sexual behavior. Researchers also wanted to know if condom availability programs affected participants' use of other contraceptive methods.


Methods

Researchers used the multistage cluster sampling from the 1995 Massachusetts Youth Risk Behavior Survey to obtain a representative sample of adolescents enrolled in public high schools. They randomly recruited 4,166 students from the 59 schools that participated in the study. Student participation was voluntary and researchers obtained parental consent before proceeding.

Participants completed anonymous surveys that asked them about the range of HIV/AIDS education they received in school and the extent of their sexual behavior, including how many sexual partners they had had and whether they had ever used condoms.


Results

District and School Characteristics


HIV-Related Instruction


Students' Sexual Behavior, Condom Availability, and Condom Use

The researchers point out that because pre-program and post-program data were not obtained in schools that had condom availability programs, they could not determine whether the existence or lack of condom availability programs affected participants' sexual behavior. Yet, they found that sexually active participants in schools with condom availability programs were more likely to use contraception at last intercourse than sexually active participants in schools without condom availability programs.

Additionally, the researchers determined that participants in schools with condom availability programs received a greater range of HIV/AIDS and condom instruction education than participants in schools without condom availability programs. The data revealed a significant, positive association with condom instruction education and participants who reported using condoms during sexual intercourse.

The researchers believe that skills-based prevention programs enhance the benefits of implementing condom availability programs by encouraging young people to use condoms consistently and correctly. They recommend implementing such complementary programs in order to delay the onset of sexual activity, and reduce the rates of unintended pregnancy and the spread of HIV/AIDS and STDs.


For More Information

Susan M. Blake, Ph.D. et al., "Condom Availability Programs in Massachusetts High Schools: Relationships With Condom Use and Sexual Behavior," American Journal of Public Health, vol. 93, no. 6, pp. 955-961.




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