Condom Availability for Youth

The medical consequences of adolescent sexual activity are a national health concern, highlighted by unintended pregnancy and sexually transmitted diseases (STDs), including human immunodeficiency virus (HIV) infection/acquired immunodeficiency syndrome (AIDS). Health promotion goals for teenagers include postponement of sexual activity until psychosocial maturity and consistent use of condoms by those who do engage in sexual intercourse. Although designing effective strategies to accomplish these goals remains a challenge, increased condom use is a realistic, achievable objective. The national public health agenda to reduce HIV transmission emphasizes the need to facilitate condom use as a method of disease prevention. Condom availability programs in schools are receiving widespread attention as a potential strategy to increase condom use by sexually active adolescents. Pediatricians are being asked for advice by school boards and community groups. This statement reviews the pertinent issues related to condom availability in schools and provides recommendations for use in responding to requests for advice. Background Sexual behavior of American adolescents has been studied for the past generation. Trend analysis shows increasing rates of sexual intercourse among young people over the past 20 years.1-3 Middle to late adolescence is now the average time for initiation of sexual intercourse. The 1992 Centers for Disease Control and Prevention national school-based Youth Risk Behavior Survey (YRBS) of 11 631 students in grades 6 through 12 reported that 54% of all high school students were coitally experienced, with 39% having had coitus in the 3 months before the survey. 4,5 Forty percent of 9th graders reported having sexual intercourse, a percentage that increased to 72% in 12th graders.

Download Full-text

Sexual activity and condom use in high school students

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1992.tb121457.x ◽

1992 ◽

Vol 156 (9) ◽

pp. 612-613 ◽

Cited By ~ 6

Author(s):

Edith Weisberg ◽

Pearl North ◽

Mandy Buxton

Keyword(s):

High School ◽

High School Students ◽

Condom Use ◽

Sexual Activity ◽

School Students

Download Full-text

Selected Risk and Protective Factors Associated with Two or More Lifetime Sexual Intercourse Partners and Non-Condom Use during Last Coitus among U.S. Rural High School Students

American Journal of Health Education ◽

10.1080/19325037.2002.10603509 ◽

2002 ◽

Vol 33 (4) ◽

pp. 206-215 ◽

Cited By ~ 3

Author(s):

William L. Yarber ◽

Robin Milhausen ◽

Richard A. Crosby ◽

Ralph J. Diclemente

Keyword(s):

High School ◽

High School Students ◽

Protective Factors ◽

Condom Use ◽

Sexual Intercourse ◽

Risk And Protective Factors ◽

School Students ◽

Factors Associated ◽

Rural High School

Download Full-text

Rate of condom use among sexually active adolescents: a nationwide cross-sectional study in Taiwan from 2012 to 2016

BMJ Open ◽

10.1136/bmjopen-2020-047727 ◽

2021 ◽

Vol 11 (8) ◽

pp. e047727

Author(s):

Wing Hin Stanford Siu ◽

Pei-Ru Li ◽

Lai-Chu See

Keyword(s):

High School ◽

High School Students ◽

High Schools ◽

Condom Use ◽

Sexual Intercourse ◽

Junior High School ◽

Junior High ◽

School Students ◽

Cross Sectional ◽

First Sex

ObjectiveAdolescents’ sexual behaviours are associated with sexually transmitted infections and unwanted pregnancies. This study aimed to estimate the sexual intercourse and condom use rates at first and last sex among Taiwanese adolescents in grades 7–12.DesignA secondary data analysis of the Taiwan Global School-Based Student Health Survey’s 2012–2016 data. The survey was anonymous, cross-sectional and nationwide.SettingTaiwan high school students (grades 7–12).ParticipantsThe sample comprised 27 525 students from junior high schools (grades 7–9), and senior high schools, comprehensive schools, vocational high schools and night schools (grades 10–12).Main outcome measuresThe rate of ever having had sexual intercourse; the rates and factors of condom use at first and last sex.ResultsThe sexual intercourse rate in each school type (in ascending order) was junior high school (1.62%), senior high school (4.14%), comprehensive school (9.08%), vocational high school (14.03%) and night school (41.09%). Condom use rate decreased from 57.07% (95% CI=54.31% to 59.83%) at first sex to 25.72% (95% CI=23.34% to 28.10%) at last sex (p<0.0001). The condom use rate (in ascending order) was junior high school (first sex: 37.67%, last sex: 19.76%), night school (55.83%, 22.62%), vocational high school (61.13%, 25.78%), comprehensive school (62.83%, 28.61%) and senior high school (68.38%, 34.96%). Older age at sexual debut was associated with condom use at first and last sex, and having one sexual partner was associated with condom use at last sex, as revealed by logistic regression analysis.ConclusionsThis study highlights an urgent need to instil a proper understanding of protected sex while adolescents are still in their formative years. Despite the low sexual intercourse rate (4.95%), there is lower condom use at last sex than at first sex, which indicates that many sexually active adolescents are not practising protected sex, especially among junior high school students.

Download Full-text

Sexual behaviours and associated risks in Chinese young people: a meta-analysis

Sexual Health ◽

10.1071/sh12140 ◽

2013 ◽

Vol 10 (5) ◽

pp. 424 ◽

Cited By ~ 14

Author(s):

Xiao-ming Yu ◽

Shuai-jun Guo ◽

Yu-ying Sun

Keyword(s):

High Risk ◽

Young People ◽

Sexual Activity ◽

Sexual Intercourse ◽

Sexual Behaviour ◽

Sexual Debut ◽

Meta Analysis ◽

Health Concern ◽

The Past ◽

Sexual Behaviours

Background The earlier and unprotected sexual behaviour of young Chinese, and the consequences of these actions, have become a health concern, posing a challenge to traditional Chinese concepts. The aim of the present study was to investigate changes in sexual behaviour and associated risks among adolescents and young people in mainland China over the past three decades. Methods: A meta-analysis was undertaken to comprehensively review the sexual behaviour of Chinese young people (aged from 10 to 24 years) over the past 30 years. Relevant data published from 1979 to 2009 in the Chinese literature database were identified and retrieved. Analysis was performed based on set criteria. Results: Seventy-five studies were identified that were published after 1990. Overall, the estimated prevalence of sexual intercourse among young people was 12.6%, with an average age at sexual debut of 19.4 years. The rate of condom use at sexual debut was 37.2%; 53.6% of young people reported not using a condom during the most recent act of sexual intercourse. The rates of unintentional pregnancy and abortion among the sexually active were 15.1% and 10.8%, respectively. Reviewing the data according to decades revealed that the number of young people engaging in sexual intercourse decreased from 14.3% in 1990–1999 to 11.8% in 2000–2009. However, these rates are higher than the prevalence of sexual activity reported before 1990, which, according to sporadic studies, did not exceeded 1%. Conclusions: There have been increases in sexual activity and high-risk sexual behaviour in Chinese young people in the decades since the adoption of the open door policy in China, particularly since the mid-1990s. High-risk sexual behaviours have contributed to certain adverse consequences in adolescents and young people, such as unwanted pregnancy and sexually transmissible infection. Thus, efficacious intervention strategies need to be developed and implemented.

Download Full-text

Determinants of waterpipe smoking among high school students in Jakarta, Indonesia

International Journal of Adolescent Medicine and Health ◽

10.1515/ijamh-2020-0084 ◽

2020 ◽

Vol 0 (0) ◽

Author(s):

Ridhwan Fauzi ◽

Chitlada Areesantichai

Keyword(s):

High School ◽

High School Students ◽

Smoking Status ◽

Waterpipe Smoking ◽

School Students ◽

Factors Associated ◽

The Past ◽

Logistic Regressions ◽

Peer Use ◽

Waterpipe Use

AbstractObjectivesThe study aimed to examine factors associated with past 30 days waterpipe use among high school students in Jakarta, Indonesia.MethodsWe surveyed a multistage cluster random sample of 1,318 students of grade 10th and 11th from 14 schools in Jakarta. Multiple logistic regressions were employed to examine the association between past 30 days waterpipe use with sociodemographic characteristics, cigarettes smoking status, parental and peer use, availability and affordability.ResultsOf 1,318 participants, 3.3% of female and 8.4% of male currently smoked waterpipe. Multivariate analysis revealed that current waterpipe use was significantly associated with family use (AOR: 4.844, 95% CI: 1.225–19.151), friend use (AOR: 2.554, 95% CI: 1.424–4.582), and availability (AOR: 2.143, 95% CI: 1.127–4.076). Being current smokers were six times more likely (AOR: 6.055, 95% CI: 3.123–11.739) to use waterpipe in the past 30 days.ConclusionsThe finding suggests that smoking by a family member, friends, use of conventional cigarettes, and availability are significantly associated with increased probability of current waterpipe used among adolescents.

Download Full-text

Contraceptive Use Among Korean High School Adolescents: A Decision Tree Model

The Journal of School Nursing ◽

10.1177/1059840520987534 ◽

2021 ◽

pp. 105984052098753

Author(s):

Sung Hae Kim ◽

Yoona Choi

Keyword(s):

Risk Factors ◽

High School ◽

High School Students ◽

Health Education ◽

Decision Tree ◽

Sexual Health ◽

Sexual Intercourse ◽

Contraceptive Use ◽

Sexual Health Education ◽

School Students

Although the rate of sexual intercourse among adolescents has increased in Asian countries, including Korea, many sexually active adolescents still do not use contraception. The aim of this study was to identify the risk factors for contraceptive nonuse among adolescents using decision tree analysis of the 2018 Korea Youth Risk Behavior Survey data from 2,460 high school students who had an experience of sexual intercourse. The findings indicated that the highest risk group who did not use contraception during sexual intercourse did not receive sexual health education in school and was involved in habitual or purposeful drug use. The experience of ever receiving treatment due to violence and the experience of sexual intercourse after drinking were also identified as risk factors for contraceptive nonuse. To encourage contraceptive use, development of standard sexual health education, counseling, and educational intervention intended to prevent risky behaviors is needed.

Download Full-text

A profile of sexually active male adolescent high school students in Lima, Peru

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2000000300022 ◽

2000 ◽

Vol 16 (3) ◽

pp. 733-746 ◽

Cited By ~ 11

Author(s):

Jesús L. Chirinos ◽

Victor C. Salazar ◽

Claire D. Brindis

Keyword(s):

High School ◽

High School Students ◽

Sexual Activity ◽

Sex Education ◽

Sexual Experience ◽

Family Characteristics ◽

Male Adolescent ◽

School Students ◽

Male Adolescents ◽

Knowledge And Attitudes

To document knowledge and attitudes regarding sexuality and sexual practices of male adolescent high school students in Lima, Peru, a self-administered, anonymous survey was completed by 991 male adolescents aged 12-19 as part of a School-Based Sex Education Intervention model. Questions concerned sociodemographic information; family characteristics; personal activities; knowledge and attitudes regarding sexuality; sexual experience; and contraceptive use. Knowledge related to sexuality was limited. Males tended to mainly discuss sexuality with their male peers (49.8%). Attitudes towards sexual activity and condom use were largely positive, although some males expressed ambivalent feelings towards the latter. Of the sample, 43% had ever had sex; age at first sexual intercourse was 13 years. While 88% of the sample would use condoms, 74% also gave reasons for not using them. Sexual activity was related to age, ever having repeated a grade, living with only one parent or in a mixed family, activities such as going to parties, use of alcohol, tobacco, and drugs, and viewing pornographic videos or magazines. Many male adolescents were at risk of causing an unintended pregnancy or acquiring an STD.

Download Full-text

Cooling e-cigarette flavors and the association with e-cigarette use among a sample of high school students

PLoS ONE ◽

10.1371/journal.pone.0256844 ◽

2021 ◽

Vol 16 (9) ◽

pp. e0256844

Author(s):

Danielle R. Davis ◽

Meghan E. Morean ◽

Krysten W. Bold ◽

Deepa Camenga ◽

Grace Kong ◽

...

Keyword(s):

High School ◽

High School Students ◽

Age Of Onset ◽

Binary Logistic Regression ◽

Cigarette Use ◽

School Students ◽

Demographic Differences ◽

The Past ◽

Sensory Experiences ◽

Frequency Of Use

Introduction E-liquid flavor is typically presented by flavor category (e.g. menthol, mint, fruit, dessert). Cooling sensations produced by flavor additives such as menthol enhance appeal of e-cigarettes among youth, but not all e-liquids that produce cooling sensations are labeled as menthol. Sensory experiences produced by flavors may allow for a new way to capture e-cigarette flavor use. This study aims to examine use of flavors that produce cooling sensations among youth and its association with e-cigarette use behaviors. Methods A 2019 survey of high school students (n = 4875) examined use of e-cigarette flavors that produced cooling sensations (cooling flavors) among past 30-day e-cigarette users. E-cigarette use behaviors (flavor use, nicotine use, frequency of use) were examined between those who did and did not use cooling flavors. A binary logistic regression was used to examine associations between vaping frequency, nicotine (vs. non-nicotine) use, and vaping cooling flavors while controlling for demographics, number of flavors vaped in the past month, and vaping age of onset. Results 51.6% (n = 473/916) of the analytic sample endorsed vaping cooling flavors. There were no demographic differences by vaping cooling flavors. Vaping cooling flavors was associated with vaping more frequently (AOR:1.04,95% CI:1.03,1.05) and vaping nicotine (AOR:2.37,95% CI:1.53,3.67). Conclusion Vaping cooling flavors was associated with greater nicotine vaping and frequency of e-cigarette use. Assessing sensory experience, such as cooling, in addition to flavor category may more fully capture e-cigarette flavor use and its impacts on youth e-cigarette use behaviors.

Download Full-text

Comparing health risk behaviors of Franklin County youth with their national and statewide counterparts: An ecological study in the state of Kentucky

International Journal of Health ◽

10.14419/ijh.v6i1.9333 ◽

2018 ◽

Vol 6 (1) ◽

pp. 10

Author(s):

Herman Walston ◽

Angela Meshack ◽

Timothy Latham ◽

Ronald Peters III ◽

Timothy Gans ◽

...

Keyword(s):

High School ◽

High School Students ◽

Sexual Intercourse ◽

Health Risk Behaviors ◽

The State ◽

Observation Data ◽

Drinking Alcohol ◽

Ecological Data ◽

School Students ◽

Franklin County

While national surveillance studies have stratified high school students’ health behavior outcomes, few ecological data sets have been explored, collected, and analyzed on the unique health problems of minority children. An area for which limited data on minority youth has been collected is Franklin County, home of the state capital of Kentucky. In the current study, we use baseline data collected in 2015 from students attending two high schools that were sites for Kentucky State University’s Youth Empowerment Project. We hypothesize that youth who reside in Franklin County would report lower maladjusted behaviors than their national and statewide counterparts in the same year of observation. Data analyses confirm that compared to their national- and state-level counterparts, Franklin County high school students were less likely to report riding with a driver who had been drinking alcohol, engaging in sexual intercourse, drinking alcohol before sexual intercourse, and experiencing non-condom use when engaged in sexual intercourse, forced sexual intercourse, dating violence, cyber bullying, suicidal ideation, and drug use. These findings suggest that Franklin County high school students may be exposed to environmental variables that may be preventive to maladjusted behaviors.

Download Full-text