1
|
Izudi J, Okello G, Semakula D, Bajunirwe F. Low condom use at the last sexual intercourse among university students in sub-Saharan Africa: Evidence from a systematic review and meta-analysis. PLoS One 2022; 17:e0272692. [PMID: 35947583 PMCID: PMC9365151 DOI: 10.1371/journal.pone.0272692] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2020] [Accepted: 07/26/2022] [Indexed: 11/19/2022] Open
Abstract
Background There is inconsistent data about condom use at the last sexual intercourse (LSI) among university students in sub-Saharan Africa (SSA) and its association with sex, age, and condom negotiation efficacy. The primary objective of this study was to summarize the proportion of condom use at the LSI among university students in SSA. The secondary objective was to determine the association between condom use at the LSI with sex, age, and condom negotiation efficacy among university students in SSA. Methods In this systematic review and meta-analysis, two reviewers independently searched electronic databases and grey literature for eligible studies published until July 30, 2020, extracted data, and assessed the risk of bias in the included studies. We used the Dersimonian-Liard random-effects model to pool the proportion of condom use at the LSI and the association between condom use at the LSI with sex, age, and condom negotiation efficacy, reported using risk ratio (RR). We assessed publication bias using funnel plot and Egger’s test, and explored sources of heterogeneity using sub-group and meta-regression analyses. Results We meta-analyzed 44 studies with a combined sample size of 27,948 participants.Of 14,778 sexually active participants, 8,744 (pooled proportion, 52.9%; 95% CI, 45.0–60.7; 95% prediction interval, 2.8–98.9; I-squared = 99.0%, p< 0.0001) reported condom use at the LSI and the proportion of condom use at the LSI remained stagnant between 2000 and 2019 (p = 0.512). Condom use at the LSI was not associated with being a female compared to a male (pooled RR, 1.08; 95% CI, 0.68–1.71), being of a younger age (≤24 years old) compared to older age (25 years and more) (pooled RR, 1.16; 95% CI, 0-85-1.57), and having a higher condom negotiation efficacy compared to a lower condom negotiation efficacy (pooled RR, 1.54; 95% CI, 0-81-2.94). Conclusions We found a low and heterogenous use of a condom at the LSI among university students in SSA which was not associated with sex, age, or condom negotiation efficacy. Accordingly, context-relevant interventions are needed to improve condom use at the LSI among university students in SSA.
Collapse
Affiliation(s)
- Jonathan Izudi
- Faculty of Medicine, Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda
- * E-mail:
| | - Gerald Okello
- Department of Reproductive Health, Ministry of Health, Kampala, Uganda
| | - Daniel Semakula
- African Centre for Systematic Reviews and Knowledge Translation, Makerere University College of Health Sciences, Kampala, Uganda
| | - Francis Bajunirwe
- Faculty of Medicine, Department of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda
| |
Collapse
|
2
|
Mirzazadeh A, Biggs MA, Viitanen A, Horvath H, Wang LY, Dunville R, Barrios LC, Kahn JG, Marseille E. Do School-Based Programs Prevent HIV and Other Sexually Transmitted Infections in Adolescents? A Systematic Review and Meta-analysis. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2019; 19:490-506. [PMID: 28786046 DOI: 10.1007/s11121-017-0830-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
We systematically reviewed the literature to assess the effectiveness of school-based programs to prevent HIV and other sexually transmitted infections (STI) among adolescents in the USA. We searched six databases including PubMed for studies published through May 2017. Eligible studies included youth ages 10-19 years and assessed any school-based programs in the USA that reported changes in HIV/STI incidence or testing. We used Cochrane tool to assess the risk of bias and GRADE to determine the evidence quality for each outcome. Three RCTs and six non-RCTs, describing seven interventions, met study inclusion criteria. No study reported changes in HIV incidence or prevalence. One comprehensive intervention, assessed in a non-RCT and delivered to pre-teens, reduced STI incidence into adulthood (RR 0.36, 95% CI 0.23-0.56). A non-RCT examining chlamydia and gonorrhea incidence before and after a condom availability program found a significant effect at the city level among young men 3 years later (RR 0.43, 95% CI 0.23-0.80). The remaining four interventions found no effect. The effect on STI prevalence was also not significant (pooled RR 0.83 from two non-RCTs, RR 0.70 from one RCT). Only one non-RCT showed an increase in HIV testing (RR 3.19, 95% CI 1.24-8.24). The quality of evidence for all outcomes was very low. Studies, including the RCTs, were of low methodological quality and had mixed findings, thus offering no persuasive evidence for the effectiveness of school-based programs. The most effective intervention spanned 6 years, was a social development-based intervention with multiple components, rather than a sex education program, and started in first grade.
Collapse
Affiliation(s)
- Ali Mirzazadeh
- School of Medicine, Department of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA. .,Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.
| | - M Antonia Biggs
- Department of Obstetrics, Gynecology and Reproductive Sciences, Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA, 94612, USA
| | - Amanda Viitanen
- Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA
| | - Hacsi Horvath
- School of Medicine, Department of Epidemiology and Biostatistics, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.,Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.,Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA
| | - Li Yan Wang
- Division of Adolescent and School Health, U.S. Centers for Disease Control and Prevention, Office of Infectious Diseases, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA, 30329, USA
| | - Richard Dunville
- Division of Adolescent and School Health, U.S. Centers for Disease Control and Prevention, Office of Infectious Diseases, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA, 30329, USA
| | - Lisa C Barrios
- Division of Adolescent and School Health, U.S. Centers for Disease Control and Prevention, Office of Infectious Diseases, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA, 30329, USA
| | - James G Kahn
- Global Health Sciences, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA.,Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, San Francisco, CA, USA.,Global Health Economics Consortium, University of California, San Francisco, 550 16th Street, San Francisco, CA, 94158, USA
| | | |
Collapse
|
3
|
Pakarinen M, Kylmä J, Helminen M, Suominen T. Vocational school students' self-evaluations of a sexual health promotion intervention. Scand J Caring Sci 2019; 33:857-867. [PMID: 30888080 DOI: 10.1111/scs.12682] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 02/24/2019] [Indexed: 11/29/2022]
Abstract
Sexually transmitted infections (STIs) continue to pose a health risk among adolescents. School is therefore a logical place for promoting sexual health through interventions, but previous research has not examined student's self-evaluations of these interventions. The purpose of this study was to examine students' self-evaluations of a sexual health promotion intervention carried out in four randomly selected vocational schools in Finland in the year 2011. The participants (n = 168) were first-year students aged 15-19 years. The intervention (11 weeks) consisted of three components: (i) a teacher-delivered classroom lesson about sexual health, (ii) information materials about sexual health and (iii) free condom distribution in the school corridors. An electronic questionnaire was developed and administered to the students after the intervention. The participants' evaluations of the intervention were fairly positive. Almost all of the participants were at least partly satisfied with the classroom lesson. They mostly reported learning new information about STIs and sexuality. Information material was also read and participants self-evaluated themselves as having learned from the materials. Free condoms were obtained and the students felt that the condom distribution was useful. Sexual health promotion interventions might in the future include the classroom lesson, information material and free condom distribution components used in this study.
Collapse
Affiliation(s)
- Marja Pakarinen
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
| | - Jari Kylmä
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
| | - Mika Helminen
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland.,Research, Development and Innovation Centre, Tampere University Hospital, Tampere, Finland
| | - Tarja Suominen
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
| |
Collapse
|
4
|
Andrzejewski J, Liddon N, Leonard S. Condom Availability Programs in Schools: A Review of the Literature. Am J Health Promot 2019; 33:457-467. [PMID: 30068218 PMCID: PMC6540114 DOI: 10.1177/0890117118791118] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
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, written in English, and report evaluation data from a US school-based CAP. DATA EXTRACTION Articles were coded independently by 2 authors. Discrepancies were resolved through open discussion. DATA SYNTHESIS We grouped findings into outcome evaluation and process evaluation findings. Outcome evaluation findings included sexually transmitted infections (STIs), pregnancy rates, condom use, contraception use, sexual risk, and substance use. Process evaluation findings included awareness of CAPs, attitudes toward CAPs, attitudes toward condoms, and receipt of education and instruction. RESULTS Of the 138 citations reviewed, 12 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 Condom availability programs are accepted by students and can be an appropriate and relevant school-based intervention for teens. Condom availability programs can increase condom use, but more evaluations are needed on CAP impact on rates of HIV, STIs, and unintended pregnancy.
Collapse
Affiliation(s)
| | - Nicole Liddon
- 2 Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Sandra Leonard
- 2 Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA
| |
Collapse
|
5
|
Algur E, Wang E, Friedman HS, Deperthes B. A Systematic Global Review of Condom Availability Programs in High Schools. J Adolesc Health 2019; 64:292-304. [PMID: 30819331 DOI: 10.1016/j.jadohealth.2018.11.013] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Revised: 11/05/2018] [Accepted: 11/06/2018] [Indexed: 11/18/2022]
Abstract
PURPOSE High levels of HIV, sexually transmitted infections (STIs), and pregnancy among adolescents has motivated some countries to consider the implementation of condom availability programs (CAPs) in high schools. In this present study, we analyzed the impact of CAP on students' sexual behaviors and health outcomes. METHODS We conducted a systematic literature review of peer-reviewed articles published between 1990 and 2017. RESULTS Twenty-nine articles from seven countries were included in this review. We found that CAP does not increase sexual activity nor lead to a greater number of sexual partners. It also does not lower the age of sexual initiation. A majority of the studies reported an increase in condom uptake and use at last sex among students with CAP. All the studies that examined STI found a decrease of STI symptoms and rates for students with CAP compared with the control group. The data on HIV rates was inconclusive. There was no difference in pregnancy rates associated with participation in CAP programs. CONCLUSION This global literature review showed that the fears surrounding CAP and promiscuity are unfounded. Once CAP is in place, students utilize it, and condom use increases, which translates to improved sexual health outcomes.
Collapse
Affiliation(s)
- Eda Algur
- Department of Economics, Harvard University, Cambridge, Massachusetts.
| | - Elin Wang
- Department of Global Health, Yale University, New Haven, Connecticut
| | | | - Bidia Deperthes
- Department of Global Health, Yale University, New Haven, Connecticut
| |
Collapse
|
6
|
Smith S, Platt JM, Clifford D, Preston M, Satterwhite C, Kelly PJ, Ramaswamy M. A State-Level Examination of School Nurses' Perceptions of Condom Availability Accompanied by Sex Education. J Sch Nurs 2019; 36:386-393. [PMID: 30669935 DOI: 10.1177/1059840518824728] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
School nurses are often sources of health-care support for teens with sexually transmitted infections (STIs) and unintended pregnancies. However, providing prevention (e.g., condoms) and teaching technical skills (e.g., condom use) needed to reduce high-risk sexual behavior may require a change in perceptions and policies. This study used a cross-sectional study design to assess nurses' perceptions of condom availability accompanied by sex education programs among high school nurses (n = 87) in Kansas. Results showed that school nurses in this study supported condom availability, were comfortable providing condoms, and felt condom availability was within the scope of their job but were less likely to provide condoms because of external barriers. Common barriers include administration, parents, cost, community support, and policies. School nurses, by virtue of their access to the majority of Kansas' adolescents, have the potential to provide sex education and tools such as condoms, so young people can prevent STIs and unintended pregnancies.
Collapse
Affiliation(s)
- Sharla Smith
- Department of Preventive Medicine and Public Health, 8586University of Kansas, Wichita, KS, USA
| | - Joey M Platt
- Montefiore Medical Center, 2006Albert Einstein College of Medicine, Bronx, NY, USA
| | - Daniel Clifford
- Public Health Performance Division, Sedgwick County Division of Health, Wichita, KS, USA
| | - Michael Preston
- Department of Surgery, College of Medicine, 155638University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Catherine Satterwhite
- Department of Preventive Medicine and Public Health, 12251University of Kansas Medical Center, Kansas City, KS, USA
| | | | - Megha Ramaswamy
- Department of Preventive Medicine and Public Health, 12251University of Kansas Medical Center, Kansas City, KS, USA
| |
Collapse
|
7
|
Sailer F, Rait G, Howe A, Saunders J, Hunter R. Methods and quality of disease models incorporating more than two sexually transmitted infections: a protocol for a systematic review of the evidence. BMJ Open 2018; 8:e020246. [PMID: 29730625 PMCID: PMC5942408 DOI: 10.1136/bmjopen-2017-020246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2017] [Revised: 02/28/2018] [Accepted: 03/05/2018] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Disease models can be useful tools for policy makers to inform their decisions. They can help to estimate the costs and benefits of interventions without conducting clinical trials and help to extrapolate the findings of clinical trials to a population level.Sexually transmitted infections (STIs) do not operate in isolation. Risk-taking behaviours and biological interactions can increase the likelihood of an individual being coinfected with more than one STI.Currently, few STI models consider coinfection or the interaction between STIs. We aim to identify and summarise STI models for two or more STIs and describe their modelling approaches. METHODS AND ANALYSIS Six databases (Cochrane, Embase, PLOS, ProQuest, Medline and Web of Science) were searched on 27 November 2018 to identify studies that focus on the reporting of the methodology and quality of models for at least two different STIs. The quality of all eligible studies will be accessed using a percentage scale published by Kopec et al . We will summarise all used approaches to model two or more STIs in one model. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework will be used to report all outcomes. ETHICS AND DISSEMINATION Ethical approval is not required for this systematic review. The results of this review will be published in a peer-reviewed journal and presented at a suitable conference. The findings from this review will be used to inform the development of a new multi-STI model. PROSPERO REGISTRATION NUMBER CRD42017076837.
Collapse
Affiliation(s)
- Fabian Sailer
- Research Department of Primary Care and Population Health, University College London, London, UK
| | - Greta Rait
- Research Department of Primary Care and Population Health, University College London, London, UK
- Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London, National Institute for Health Research, London, UK
| | - Alice Howe
- Institute of Women's Health, University College London, London, UK
| | - John Saunders
- Health Protection Research Unit in Blood Borne and Sexually Transmitted Infections at University College London, National Institute for Health Research, London, UK
- Institute of Global Health, Research Department of Infection and Population Health, University College London, London, UK
| | - Rachael Hunter
- Research Department of Primary Care and Population Health, University College London, London, UK
| |
Collapse
|
8
|
Francis DB, Noar SM, Fortune DA, Adimora AA. "Be Straight Up and So Will He": Evaluation of a Novel HIV Prevention Condom Distribution and Health Communication Intervention Targeting Young African American Females. AIDS EDUCATION AND PREVENTION : OFFICIAL PUBLICATION OF THE INTERNATIONAL SOCIETY FOR AIDS EDUCATION 2018; 30:137-151. [PMID: 29688776 PMCID: PMC6476563 DOI: 10.1521/aeap.2018.30.2.137] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
This study evaluated a novel 3-month campus-based HIV prevention condom distribution and health communication intervention for African American females attending a historically Black college in North Carolina. The theoretical framework for study incorporated the integrative model of behavioral prediction and the theory of gender and power. The intervention provided free condoms via condom dispensers with point-of-access messaging on the dispensers. We assessed 195 individuals before and 118 three months after the intervention. Almost 90% of participants were exposed to the intervention. Forty-four percent used the dispensers, 70% of whom reported using the condoms for sexual intercourse. Perceptions of condom availability and accessibility increased significantly after the intervention. In a multiple regression analysis controlling for covariates, dispenser use was significantly associated with greater condom use. These findings show the promise of a low-cost, broad-reach HIV/STI prevention intervention for young African American women.
Collapse
Affiliation(s)
- Diane B Francis
- Manship School of Mass Communication, Louisiana State University, Baton Rouge, Louisiana
| | - Seth M Noar
- School of Media and Journalism, University of North Carolina at Chapel Hill, and the Lineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill
| | - Deborah A Fortune
- Department of Public Health Education, North Carolina Central University, Durham, North Carolina
| | | |
Collapse
|
9
|
Maziarz L. Breaking Down the Administrative Barriers: Condom Availability in the School Setting. NASN Sch Nurse 2017; 33:110-114. [PMID: 29200324 DOI: 10.1177/1942602x17747206] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
School nurses are at the forefront of health resource decisions, education, and health advocacy in the school setting. When it comes to sex education and condom availability, navigating the politics and controversy surrounding student access and education is not an easy task. Moreover, recent research shows school administrators are not aware of sexual health issues in their district and are not typically supportive of condom availability, limiting evidence-based practice implementation in the school setting. At the district level, school nurses must recognize these challenges and develop plans to promote science-based interventions for students' sexual health.
Collapse
Affiliation(s)
- Lauren Maziarz
- Assistant Professor, Bowling Green State University, Bowling Green, OH
| |
Collapse
|
10
|
Condom Availability in Schools: A Practical Approach to the Prevention of Sexually Transmitted Infection/HIV and Unintended Pregnancy. J Adolesc Health 2017; 60:754-757. [PMID: 28532649 DOI: 10.1016/j.jadohealth.2017.03.019] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2017] [Accepted: 03/28/2017] [Indexed: 11/29/2022]
Abstract
Adolescents and young adults are highly impacted by sexually transmitted infections (STIs) and unplanned pregnancy in the United States and globally. Consistent and correct use of male latex condoms is associated with protection against both STIs and pregnancy. Providing adolescents and young adults with access to free condoms in schools may increase the use of condoms by improving condom availability, eliminating cost, and decreasing embarrassment associated with purchasing condoms. Studies demonstrate that condom availability in schools is associated with the increased use of condoms and improved overall sexual health. The Society for Adolescent Health and Medicine encourages schools to make condoms available to students as part of efforts to decrease rates of STIs and unplanned pregnancy in adolescents and young adults. The Society for Adolescent Health and Medicine also encourages health care providers to advocate for and support the availability of condoms in local schools.
Collapse
|
11
|
Tipwareerom W, Weglicki L. Parents' knowledge, attitudes, behaviors, and barriers to promoting condom use among their adolescent sons. Nurs Health Sci 2017; 19:212-219. [PMID: 28300337 DOI: 10.1111/nhs.12331] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2016] [Revised: 12/08/2016] [Accepted: 12/11/2016] [Indexed: 11/29/2022]
Abstract
Human immunodeficiency virus (HIV) is increasing in Thai youth. Consequently, a school-based National Condom Strategy program was launched in 2015 to reduce the rate of HIV and sexually transmitted infections. We conducted in-depth interviews of 31 parents/adoptive guardians of high-school age Thai boys to explore parents' knowledge, attitudes, behaviors, and barriers to promoting condom use and its role in preventing HIV/sexually transmitted infections. A descriptive phenomenological approach and thematic analysis was used. Most participants had knowledge and positive attitudes about condom use. Half disagreed with the National Condom Strategy of placing condom vending machines in schools. More than half did not initiate teaching male youth about condom use until the youth had broached the question or only intended to do so when the youths were older. Barriers included parents' lack of condom experience and knowledge, embarrassment/discomfort when talking about condoms, and belief that youth were not sexually active. Parents are a key factor for supporting condom use in Thailand. This study supports the need for education programs for parents.
Collapse
Affiliation(s)
| | - Linda Weglicki
- Florida Atlantic University Christine E Lynn College of Nursing, Boca Raton, Florida, USA
| |
Collapse
|
12
|
Francis DB, Noar SM, Widman L, Willoughby JF, Sanchez DM, Garrett KP. Perceptions of a campus-wide condom distribution programme: An exploratory study. HEALTH EDUCATION JOURNAL 2016; 75:998-1011. [PMID: 27917002 PMCID: PMC5130150 DOI: 10.1177/0017896916648994] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/06/2023]
Abstract
OBJECTIVE Condom distribution programmes are an important means of preventing sexually transmitted infections (STIs); yet little research has examined their perceived and actual impact on college campuses. DESIGN Quantitative, cross-sectional study. SETTING Large public university in the Southeastern USA. METHOD Approximately 2 months after a campus-wide condom distribution programme began, we utilised intercept surveys with 355 students (68% women; 43% racial/ethnic minorities) to examine their perceptions of the availability, accessibility and acceptability of condoms, and their perceptions and use of the newly installed condom dispensers. RESULTS Students perceived condoms to be available and accessible on campus after implementation of the condom dispensers. Students had heard about the dispensers from other people (36%), through social media (18%) and the campus newspaper (15%). Most students (71%) had seen the dispensers. Almost one in four students (23%) had taken a condom from the dispensers; among those who were sexually active during the 2months that the dispensers were available, 33% had used them. More than one-third of students (37%) - and 53% of sexually active students - indicated intentions to use the dispensers in the next 6months. Multiple regression analysis controlling for age, gender and race revealed that prior condom use, attitudes about the dispensers and comfort with the dispensers were significant predictors of sexually active students' intentions to use the dispensers (p<.001). CONCLUSION Overall, results indicate that over a short time period, this condom distribution programme was successful in reaching students and providing free condoms. Implications for implementing condom distribution programmes on college campuses as well as future directions for research are discussed.
Collapse
Affiliation(s)
- Diane B Francis
- School of Media and Journalism, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Seth M Noar
- School of Media and Journalism, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Laura Widman
- Department of Psychology, NC State University, Raleigh, NC, USA
| | | | - Diana M Sanchez
- Department of Epidemiology, Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
- Student Wellness, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Kyla P Garrett
- School of Media and Journalism, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| |
Collapse
|
13
|
Ryder H, Aspden T, Sheridan J. The Hawke's Bay Condom Card Scheme: a qualitative study of the views of service providers on increased, discreet access for youth to free condoms. INTERNATIONAL JOURNAL OF PHARMACY PRACTICE 2015; 23:381-9. [PMID: 25712070 DOI: 10.1111/ijpp.12178] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2014] [Accepted: 01/04/2015] [Indexed: 11/29/2022]
Abstract
OBJECTIVES The incidence of sexually transmitted infections and unplanned pregnancies in adolescence is of concern. The Hawke's Bay District Health Board, New Zealand, set up a pilot condom card scheme ('the Scheme') to allow 13- to 24-year-olds, deemed suitable for the Scheme, to access free condoms from pharmacies on presentation of a Condom Card. Our study explored the views of service providers of a pilot Condom Card Scheme. METHODS Qualitative interviews were conducted with 17 service providers (nurses, pharmacists, pharmacy staff) between February and April 2013. KEY FINDINGS Our findings showed that the Scheme was viewed positively by service providers, who indicated almost universal support for the Scheme to continue. However, participants noted a perceived lack of advertising, low number of sites for collection of condoms, lack of flexibility of the Scheme's criteria relating to who could access the scheme and issues with some pharmacy service providers, all of which led to a number of recommendations for improving the Scheme. CONCLUSIONS The views of service providers indicate broad support for the continuation of the Scheme. Canvassing young people's suggestions for improving the Scheme is also essential.
Collapse
Affiliation(s)
- Hollie Ryder
- School of Pharmacy, The University of Auckland, Auckland, New Zealand.,School of Pharmacy, The University of Nottingham, Nottingham, UK
| | - Trudi Aspden
- School of Pharmacy, The University of Auckland, Auckland, New Zealand
| | - Janie Sheridan
- School of Pharmacy, The University of Auckland, Auckland, New Zealand
| |
Collapse
|
14
|
Gilmore AK, George WH, Jacques-Tiura AJ, Granato HF, Davis KC, Norris J, Heiman JR. Men's Intentions to Have Sex With a New Partner: Sexual and Emotional Responding, Alcohol, and Condoms. JOURNAL OF SEX & MARITAL THERAPY 2015; 42:165-77. [PMID: 25529527 PMCID: PMC4938155 DOI: 10.1080/0092623x.2014.985350] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Findings regarding the relation between alcohol and intentions to have sex have been mixed, and little research has examined the role of condom availability on intentions to have sex. Sexual and emotional responding may influence subsequent sexual decisions. Thus, a better understanding of sexual and emotional responding combined with situational factors such as condom presence could help explain the discrepancies in findings regarding alcohol's effect on intentions to have sex. The effects of alcohol and condom presence on men's intentions to have sex were examined using an experimental paradigm involving an alcohol administration study and a second-person eroticized scenario. The effects of sexual and emotional responding were also examined in relation to intentions to have sex. It was found that alcohol increased positive mood, which was associated with higher intentions to have sex. In addition, condom presence was directly associated with higher intentions to have sex. More sexual desire was related to increased likelihood of sexual intentions. These findings increase understanding of mechanisms underlying the relation between alcohol and intentions to have sex.
Collapse
Affiliation(s)
- Amanda K Gilmore
- a Department of Psychology , University of Washington , Seattle , Washington , USA
| | - William H George
- a Department of Psychology , University of Washington , Seattle , Washington , USA
| | - Angela J Jacques-Tiura
- b Pediatric Prevention Research Center , Wayne State University , Detroit , Michigan , USA
| | - Hollie F Granato
- c Department of Psychology , University of Washington , Seattle , Washington , USA
| | - Kelly Cue Davis
- d School of Social Work , University of Washington , Seattle , Washington , USA
| | - Jeanette Norris
- e Alcohol and Drug Abuse Institute , University of Washington , Seattle , Washington , USA
| | - Julia R Heiman
- f The Kinsey Institute , Psychological and Brain Sciences, Indiana University , Bloomington , Indiana , USA
| |
Collapse
|
15
|
Paparello JZ, Beyers C, Por J. Reflection on care in recurrent sexually transmitted co-infections. ACTA ACUST UNITED AC 2012. [PMID: 23193640 DOI: 10.12968/bjon.2011.20.18.1078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Reflection is a skill that nurses are expected to practise to help them continually re-evaluate their personal effectiveness in problem solving. This skill is necessary when caring for patients who are experiencing the complex challenges linked to psychosexual and psychosociological behavioural changes associated with HIV infection and recurrent sexually transmitted co-infections (STC-I). The Johns model of structured reflection was used in the reflection described here to aid the critical thinking process in helping a nurse to manage and deliver up-to-date, effective care and to develop a strong nurse-patient therapeutic relationship. A holistic approach is key to delivering care to patients with recurrent STC-I. This involves taking a sexual health history and establishing the correct diagnosis, followed by the administration of pharmaceutical and psychotherapeutic treatments to facilitate psychosexual, psychosocial, and psychological changes. This article uses a reflective learning experience in caring for a patient with recurrent STC-I to give insights on psychosexual and psychosociological behavioural strategies. Used with a diagnosis and pharmacological intervention, these strategies can be put into nursing practice and enhance the quality of nursing care.
Collapse
|
16
|
Abstract
The media can be a powerful teacher of children and adolescents and have a profound impact on their health. The media are not the leading cause of any major health problem in the United States, but they do contribute to a variety of pediatric and adolescent health problems. Given that children and teens spend >7 hours a day with media, one would think that adult society would recognize its impact on young people's attitudes and behaviors. Too little has been done to protect children and adolescents from harmful media effects and to maximize the powerfully prosocial aspects of modern media.
Collapse
|