Patricia J Dittus1, Christopher R Harper2, Jeffrey S Becasen3, Robin A Donatello4, Kathleen A Ethier5. 1. Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia. Electronic address: pdittus@cdc.gov. 2. Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, Georgia. 3. Oak Ridge Institute for Science and Education, Oak Ridge, Tennessee. 4. Department of Mathematics & Statistics, California State University, Chico, Chico, California. 5. Office of the Director, Centers for Disease Control and Prevention, Atlanta, Georgia.
Abstract
PURPOSE: Adolescent males are less likely to receive health care and have lower levels of sexual and reproductive health (SRH) knowledge than adolescent females. The purpose of this study was to determine if a school-based structural intervention focused on school nurses increases receipt of condoms and SRH information among male students. METHODS: Interventions to improve student access to sexual and reproductive health care were implemented in six urban high schools with a matched set of comparison schools. Interventions included working with school nurses to improve access to sexual and reproductive health care, including the provision of condoms and information about pregnancy and sexually transmitted disease prevention and services. Intervention effects were assessed through five cross-sectional yearly surveys, and analyses include data from 13,740 male students. RESULTS: Nurses in intervention schools changed their interactions with male students who visited them for services, such that, among those who reported they went to the school nurse for any reason in the previous year, those in intervention schools reported significant increases in receipt of sexual health services over the course of the study compared with students in comparison schools. Further, these results translated into population-level effects. Among all male students surveyed, those in intervention schools were more likely than those in comparison schools to report increases in receipt of sexual health services from school nurses. CONCLUSIONS: With a minimal investment of resources, school nurses can become important sources of SRH information and condoms for male high school students. Published by Elsevier Inc.
PURPOSE: Adolescent males are less likely to receive health care and have lower levels of sexual and reproductive health (SRH) knowledge than adolescent females. The purpose of this study was to determine if a school-based structural intervention focused on school nurses increases receipt of condoms and SRH information among male students. METHODS: Interventions to improve student access to sexual and reproductive health care were implemented in six urban high schools with a matched set of comparison schools. Interventions included working with school nurses to improve access to sexual and reproductive health care, including the provision of condoms and information about pregnancy and sexually transmitted disease prevention and services. Intervention effects were assessed through five cross-sectional yearly surveys, and analyses include data from 13,740 male students. RESULTS: Nurses in intervention schools changed their interactions with male students who visited them for services, such that, among those who reported they went to the school nurse for any reason in the previous year, those in intervention schools reported significant increases in receipt of sexual health services over the course of the study compared with students in comparison schools. Further, these results translated into population-level effects. Among all male students surveyed, those in intervention schools were more likely than those in comparison schools to report increases in receipt of sexual health services from school nurses. CONCLUSIONS: With a minimal investment of resources, school nurses can become important sources of SRH information and condoms for male high school students. Published by Elsevier Inc.
Entities:
Keywords:
Access to condoms; Adolescent males; Sexual health information
Authors: Ľuboslava Pavelová; Alexandra Archalousová; Zuzana Slezáková; Dana Zrubcová; Andrea Solgajová; Zuzana Spáčilová; Erika Krištofová; Alica Slamková Journal: Int J Environ Res Public Health Date: 2021-01-09 Impact factor: 3.390