Condom Availability Programs in Schools: a Review of the Literature
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Condom Availability Programs in Schools: a Review of the Literature

  • Published Date:

    August 01 2018

  • Source:
    Am J Health Promot. 33(3):457-467
  • Language:
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  • Alternative Title:
    Am J Health Promot
  • Description:
    Objective: This review synthesizes findings from the peer-reviewed evaluation literature on condom availability programs (CAPs) in secondary schools. Data Source: Peer reviewed evaluation literature indexed in MEDLINE, EMBASE, PsychINFO, ERIC, CINAHL, Sociological Abstracts, SCOPUS, and POPLINE. Study Inclusion and Exclusion Criteria: Manuscripts had to be peer-reviewed, written in English, and report evaluation data from a U.S., school-based CAP. Data Extraction: Articles were coded independently by two authors. Discrepancies were resolved through open discussion. Data Synthesis: We grouped findings into outcome evaluation and process evaluation findings. Outcome evaluation findings included STIs, pregnancy rates, condom use, contraception use, sexual risk, and substance use. Process evaluation findings included awareness of CAPs, attitudes towards CAPs, attitudes towards condoms, and receipt of education and instruction. Results: Of the 138 citations reviewed, twelve articles published between 1995 and 2012 met the inclusion criteria, representing 8 programs. Evaluations indicate CAPs yield condom acquisition rates between 23% and 48%, have mixed results related to condom use, and are not associated with increases in sexual and other risk behaviors. One program found CAPs were associated with a decrease in a combined rate of chlamydia and gonorrhea. One program found no association between CAPs and unintended pregnancy. Students’ attitudes toward CAPs were favorable and awareness was high. Conclusions: CAPS are accepted by students and can be an appropriate and relevant school-based intervention for teens. CAPs can increase condom use, but more evaluations are needed on CAPs impact on rates of HIV, STIs, and unintended pregnancy.
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