Places and barriers associated with obtaining condoms among adolescents 15-24 years of age in the United States

Background:Research has shown that adolescents in the United States are at high risk for human immunodeficiency virus (HIV) and sexually transmitted infections (STI). Many youth are aware that condoms help reduce the acquisition and transmission of such infections. The purpose of this analysis was to understand where youth obtain condoms and what barriers exist. Methods: In a convenience sample of primarily minority youth in Atlanta, GA, focus groups (n=6) were conducted with heterosexual, homosexual and bisexual youth ages 15-24 years old (n=34) Youth were asked where they obtained condoms and barriers associated with getting them. Data were transcribed and thematic analysis conducted. Results: Participants were characterized as male (79%), African American (88%),and homosexual (68%). Participants mentioned places where they obtained condoms (i.e., stores, parent, clubs, and community-based organizations (CBOs). However, gender and sexual orientation/identification played a role in where youth obtained their condoms. While all mentioned getting condoms from stores, gay and transgender youth mentioned CBOs and dance clubs as well. Barriers associated with buying condoms included stores refusing to sell them to adolescents, store security measures (condoms locked behind cabinets), fear of being seen buying condoms by a parent or person they might know, and cost. Findings from the study will be incorporated into 3 seven-minute motion comic episodes. Conclusions: Barriers associated with condom acquisition need to be addressed. Data from the focus groups on barriers may indicate that free or low-cost condom distribution programs are needed in easily accessible venues for youth.