Evaluation of an innovative condom distribution program and point-of-access messaging targeting Black college women Public Deposited

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  • March 20, 2019
  • Francis, Diane
    • Affiliation: Hussman School of Journalism and Media, Mass Communication Graduate Program
  • Condom access is a major issue on some college campuses in the United States, including Historically Black Colleges and Universities (HBCUs). Lack of access increases risk of adverse sexual health outcomes, especially for young Black women. This project evaluated a structural intervention—a condom distribution program (via dispensers with free condoms) and point-of-access messaging (via posters on the dispensers)—on an all-female HBCU campus in North Carolina. The three-month intervention occurred between November 2015 and January 2016. We used a pre-post intervention only longitudinal panel design. We recruited N = 195 sexually active students to complete a baseline survey and N = 118 students completed the follow-up survey. The retention rate was 61%. The majority of students (89%) were aware of the dispensers. Slightly less than half (44%) used the dispensers, and 22% had those condoms with them at follow-up. Students mainly used dispensers to access condoms in the dorm bathrooms (81%, n = 42). They felt extremely comfortable using the dispensers, especially when alone. More than 70% (n = 38) who took condoms used them for sexual intercourse. Most students (77%) recognized at least one of the messages that had been posted on the dispensers. They reported that the messages made them feel confident and proud to be taking condoms, and motivated them to take a condom. More than a third of students (38%) talked about the dispensers or messages. Students were most likely to talk to their friends or sexual partners. Condom acquisition and carrying increased significantly (p <. 05) after the intervention. Perceptions of condom availability and accessibility also increased significantly (p <. 05). Perceptions of condom acceptability and norms did not change. Condom intentions and use decreased significantly among the sample as a whole. In multivariate analyses, dispenser use was associated with greater condom use. This study provides empirical evidence that condom distribution and safer sex messaging can improve perceptions of condom access (particularly availability and accessibility) and impact condom preparatory behaviors (acquisition and carrying). The findings add to our understanding of HIV/STI prevention interventions targeted at young Black women on an HBCU campus.
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  • In Copyright
  • Southwell, Brian
  • Fortune, Deborah
  • Adimora, Adaora
  • Noar, Seth
  • Cates, Joan
  • Doctor of Philosophy
Degree granting institution
  • University of North Carolina at Chapel Hill Graduate School
Graduation year
  • 2016

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