title: Clinic-based service programs for increasing responsible sexual behavior.
abstract: Three general classes of clinic-based programs to increase responsible sexual behavior are considered: (a) clinic-based educational/counseling programs, (b) school clinic-based condom distribution programs, and (c) clinic-based STD/HIV screening programs. Consistent condom use may double in response to clinic-based counseling. However, consistent use seldom exceeds 50% of coital exposures. Extensive and personalized counseling interventions reduce incident sexually transmitted infections by 5% to 10%. Increases in responsible sexual behavior following school-based condom distribution programs is reported in some but not in all studies. Screening programs for sexually transmitted infections are associated with decreases in rates of some infections. STD/HIV screening should be considered an important aspect of healthy sexuality and an adjunct to other counseling efforts.
authors.affiliation: Riley Outpatient Parking Garage, Room 070, Indiana University, 575 N. West St., Indianapolis, IN 46202, USA. jfortenb@iupui.edu
authors.forename: J Dennis
authors.initials: JD
authors.lastname: Fortenberry
mesh_terms: D003267:Contraception / Q000523:psychology*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008403:Mass Screening / Q000458:organization & administration; D011314:Preventive Health Services / Q000458:organization & administration; D012572:School Health Services / Q000458:organization & administration; D012731:Sex Counseling / Q000458:organization & administration; D012736:Sex Education / Q000379:methods*; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control; D014481:United States