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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | De Rosa, Christine J. Jeffries, Robin A. Afifi, Abdelmonem A. Cumberland, William G. Chung, Emily Q. Kerndt, Peter R. Ethier, Kathleen A. Martinez, Esteban Loya, Richard V. Dittus, Patricia J. |
| Spatial Coverage | Los Angeles |
| Description | Country affiliation: United States Author Affiliation: De Rosa CJ ( Los Angeles County Department of Public Health, Sexually Transmitted Disease Program, Los Angeles, California 90007, USA. cderosa@ph.lacounty.gov) |
| Abstract | PURPOSE: We conducted an intervention to improve the implementation of a high school condom availability program, and evaluated its effect on students' awareness of the program and acquisition of condoms. METHODS: Twelve public high schools in the Los Angeles, CA area participated, half each in the intervention and control conditions. Project staff facilitated intervention schools' self-assessment of compliance with the school district's condom availability policy, creating an action plan by determining which mandatory program elements were lacking and identifying steps to improve compliance. Staff provided technical assistance and follow-up to assist schools in improving program implementation. From 2005 to 2009 (T1-T5), 29,823 students were randomly selected by classroom and they completed surveys. We tested for changes in students' awareness and acquisition of condoms over time between conditions using mixed model logistic regression analyses. Records of condom orders by schools also were reviewed. RESULTS: Awareness increased significantly among intervention versus control participants from T1 to T3 (adjusted odds ratio [AOR]: 1.28; 95% confidence interval [CI]: 1.01, 1.62), T4 (AOR: 2.17; 95% CI: 1.70, 2.76), and T5 (AOR: 2.78; 95% CI: 2.18, 3.56). Acquisition of condoms increased significantly among intervention versus control participants from T1 to T4 (AOR: 1.69; 95% CI: 1.23, 2.32) and T5 (AOR: 1.81; 95% CI: 1.32, 2.49). Results were similar across gender and different levels of sexual experience. Orders of condoms increased markedly in intervention schools by T5. CONCLUSIONS: Feasible minor enhancements to condom availability program implementation improved program delivery, resulting in increased student awareness of the program and acquisition of condoms. |
| File Format | HTM / HTML |
| ISSN | 1054139X |
| Issue Number | 6 |
| Volume Number | 51 |
| e-ISSN | 18791972 |
| Journal | Journal of Adolescent Health |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-12-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pediatrics Adolescent Behavior Condoms Supply & Distribution Health Knowledge, Attitudes, Practice Pregnancy In Adolescence Prevention & Control School Health Services Sexually Transmitted Diseases Adolescent Utilization Female Health Policy Humans Los Angeles Male Pregnancy Statistics & Numerical Data Sex Distribution Sexual Behavior Epidemiology Social Control Policies Urban Health Journal Article Research Support, U.s. Gov't, P.h.s. |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health Pediatrics, Perinatology and Child Health Psychiatry and Mental Health |
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