The disastrous results of condom distribution programs

CCL Family Found. 1999 Mar-Apr;25(5):22-3.

Abstract

PIP: Distributing condoms to adolescents in an effort to protect them from pregnancy and HIV infection is a prescription for disaster because adolescents are too impulsive and undisciplined to use condoms properly. A 1988 survey showed that 27% of never-married, low-income, adolescent females became pregnant in their first year of depending upon condoms for birth control. A program of condom distribution in San Francisco's Balboa High School led to nearly double the number of sexually active students using condoms and a 25% increase in the school's overall pregnancy rate, despite graphic demonstrations of proper condom use. A school-based program of condom distribution in St. Paul, Minnesota, resulted in a 33% increase in pregnancy rates (from 22/1000 to 29), while condom distribution at an inner-city school in Dallas, Texas, resulted in an 11.2% pregnancy rate, a 47% increase from the rate of 7.6 in a control school. Studies have shown that even among adults with HIV-positive partners, counseling on proper condom use is not always effective. With this evidence that condom distribution only worsens the consequence of adolescent sexual activity, another approach must be found to protect adolescents from pregnancy, sexually transmitted diseases, and HIV infection.

MeSH terms

  • Adolescent*
  • Age Factors
  • Americas
  • Behavior
  • Condoms*
  • Contraception
  • Delivery of Health Care*
  • Demography
  • Developed Countries
  • Disease
  • Evaluation Studies as Topic*
  • Family Planning Services
  • HIV Infections*
  • Health Planning
  • North America
  • Organization and Administration
  • Population
  • Population Characteristics
  • Risk-Taking*
  • School Health Services*
  • United States
  • Virus Diseases