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  • Title: Is AIDS education related to condom acquisition?
    Author: Rickert VI, Gottlieb AA, Jay MS.
    Journal: Clin Pediatr (Phila); 1992 Apr; 31(4):205-10. PubMed ID: 1563193.
    Abstract:
    The acquisition and subsequent use of condoms are two important behaviors that sexually active adolescents must adopt to reduce the transmission of human immunodeficiency virus (HIV). The aims of this study were: first, to evaluate whether combining prescriptions for free condoms with anticipatory guidance would increase the number of adolescents actually using the prescription-redemption plan; and second, to see if education about acquired immunodeficiency syndrome (AIDS) might make adolescents more willing to obtain an HIV blood test. Adolescents were randomly assigned to one of three groups, but only those who were sexually active were included in the data analyses. Each participant was given a prescription to be redeemed for free condoms at the hospital pharmacy, and each was privately offered a confidential, free HIV blood test. Education about AIDS did not increase the likelihood that adolescents would take the blood test, since only seven subjects did so. Our logistic regression model showed the most significant variables influencing a teenager to obtain condoms were gender, socioeconomic status, lifetime number of partners, and experimental condition. Anticipatory guidance concerning HIV promoted the use of the prescription-redemption plan especially among more sexually active males who come from middle-class families. The influence of "anticipatory guidance" and prescriptions for free condoms on condom acquisition and acceptance of HIV testing was investigated in 3 groups of teens, a control group of 26 given condom vouchers only, a group of 20 instructed and counseled by adults, and a group of 31 similarly instructed and counseled by peers. The subjects, aged 13-21 years and from all socioeconomic groups, were recruited by advertising, word of mouth, and from an adolescent medicine clinic, and paid a small incentive for transportation. Besides the condom prescription and opportunity to have an HIV test, the teens received a lecture about HIV testing, viewed a video about HIV transmission and prevention, and received 15 minutes of counseling. Controls received the condom prescription only. 75% and 77% of the peer- and adult-instructed groups redeemed condom vouchers. 4 control and 3 intervention teens took the HIV test. Based on a demographic form and self-report of sexual behavior, logistic regression indicated that the factors linked with condom acquisition were: male gender, higher socioeconomic group, over 5 lifetime sexual partners, and intervention group. It is important to realize that adolescents often perceive the acquisition of condoms as a difficult step to take in risk-reduction behavior.
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