Document 0636
 DOCN  M95A0636
 TI    Adolescents' knowledge and use of confidential health services and their
       acquisition and use of condoms. American Pediatric Society 104th annual
       meeting and Society for Pediatric Research 63rd annual meeting; 1994 May
       2-5; Seattle.
 DT    9510
 AU    Klein J; Siegel D; Rossbach C; Flatau C; Division of Adolescent
       Medicine, University of Rochester School; of Medicine, NY, USA.
 SO    Pediatr AIDS HIV Infect. 1994 Oct;5(5):316 (unnumbered abstract). Unique
       Identifier : AIDSLINE AIDS/95330408
 AB    OBJECTIVE: Condom use is a critical part of HIV and STD prevention for
       sexually active youth. We studied how and where adolescents obtain
       condoms and the relationship between condom acquisition and adolescents'
       knowledge of and use of confidential health services. DESIGN: We
       screened 7400 numbers and identified 2469 households of whom 233
       families had 14-19 year-old adolescents by anonymous random digit
       dialing in Monroe County, NY. Of these, 132 parents and teens consented
       (57%) and were surveyed about previous behavior and their intentions
       regarding health care and condom acquisition behaviors. RESULTS:
       Respondents' average age was 16.1 years; 49% were female, and 45% were
       non-white. Half (50%) were aware of confidential medical care
       availability; 8% had used a confidential care source (2% of 14-15 year
       olds, 8% of 16-17 year olds, and 32% of 18-19 year olds; p = .02). Half
       of all respondents (48%) reported having used condoms, ranging from 21%
       of 14 year-olds to 92% of 19 year olds (p < 0.0001). Many more non-users
       (71%) reported intending to buy condoms, and only 14% intended to get
       them for free; however, only 54% of previous condom users had bought
       condoms, and 33% got them for free (p = .06 and .01, respectively.)
       Regardless of age, adolescents who were aware of confidential health
       care sources were more likely to report knowing where to get free
       condoms (69% vs. 38%; p = .01) than those who were unaware of
       confidential care sources. Knowledge and use of confidential health care
       source was also associated with increased acquisition of free condoms by
       adolescent condom users. CONCLUSION: Although adolescents who have not
       used condoms report intending to buy them, those who actually use
       condoms are more likely to get them for free. Confidential health care
       providers often distribute condoms, thus their use should be associated
       with increased acquisition of free condoms. Knowledge of confidential
       care was also associated with free condom acquisition by adolescents.
       Lack of knowledge about available health care may indicate a need for
       better HIV prevention education for adolescents.
 DE    Adolescence  Condoms/*UTILIZATION  *Confidentiality  Female  Human
       Knowledge, Attitudes, Practice  Male  MEETING ABSTRACT  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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