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Title: Turning research into policy: a survey on adolescent condom use. Author: Phillips SR. Journal: SIECUS Rep; 1995; 24(1):9-12. PubMed ID: 12290593. Abstract: Results from a 1991-92 survey of the condom use beliefs, attitudes, and practices of 373 US inner-city high school students reveal educational policy implications which would further the goal of encouraging sexually active youth to use condoms. First, the issue of sexual desire must be treated realistically. Many teenage girls, as well as boys, want to fulfill their desires by having sexual intercourse. The standard educational approach to teenage boys also assumes that they are sexual exploiters, but this may also simply be a cultural construct rather than a reality. Addressing physical pleasure issues may be particularly important in encouraging condom use, but it would be inappropriate for such discussions to encourage sexual activity. Adolescent ambivalence towards risk taking and mortality must also be considered. Standard definitions of risk (which exclude the health risk of pregnancy) contain the common perception that adolescent males are greater risk-takers than females. When such definitions exclude certain behaviors, the classification of risk becomes a social construct. Adolescents are not completely unaware of the dangers of risky behavior and may even overestimate their chances of getting pregnant or contracting HIV. Adolescents may find the risk of offending a partner to be more important than the risk of contracting a disease in 10 years. When teenagers believe themselves to be in love, they are less likely to insist on condom use. Educators must deconstruct risks and address each one specifically. High levels of knowledge about HIV transmission fail to predict previous, current, or intended condom use. Thus, while facts are important, teenagers also need to learn the social skills surrounding condom use. Students have easy accessibility to condoms, but embarrassment may pose a barrier to acquisition. This embarrassment, however, showed no correlation to actual or intended condom use. By working within the context of the adolescent mind and world, where condom use is seen as a strategy complicated by sexual desire, feelings of immortality, and negative trade-offs, educators may be able to learn how to maximize condom use and, thus, help young people protect themselves against pregnancy, sexually transmitted diseases, and HIV.[Abstract] [Full Text] [Related] [New Search]