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Susan M. Blake, PhD, Rebecca Ledsky, MBA, Carol Goodenow, PhD, Richard Sawyer, PhD, David Lohrmann, PhD and Richard Windsor, PhD

Susan M. Blake and Richard Windsor are with the Department of Prevention and Community Health, George Washington University School of Public Health and Health Services, Washington, DC. Rebecca Ledsky, Richard Sawyer, and David Lohrmann are with the Academy for Educational Development, Washington, DC. Carol Goodenow is with the Massachusetts Department of Education, Malden.

Correspondence: Requests for reprints should be sent to Susan M. Blake, PhD, George Washington University School of Public Health and Health Services, Department of Prevention and Community Health, 2175 K St NW, Suite 700, Washington, DC 20037 (e-mail: smblake1{at}aol.com).

Objectives. This study assessed relationships between condom availability programs accompanied by community discussion and involvement and adolescent sexual practices.

Methods. Sexual practice and condom use differences were assessed in a representative sample of 4166 adolescents enrolled in high schools with and without condom availability programs.

Results. Adolescents in schools where condoms were available were more likely to receive condom use instruction and less likely to report lifetime or recent sexual intercourse. Sexually active adolescents in those schools were twice as likely to use condoms, but less likely to use other contraceptive methods, during their most recent sexual encounter.

Conclusions. The strategy of making condoms available, an indication of socioenvironmental support for condom use, may improve HIV prevention practices.

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