Entertainment television as a healthy sex educator: the impact of condom-efficacy information in an episode of friends.
BACKGROUND
Television is often decried as a negative influence on the sexual attitudes and behavior of America's adolescents. However, television occasionally includes messages about the risks of having sex that may have a positive effect on youth.


OBJECTIVE
To assess the impact of condom-efficacy messages in an episode of Friends on teens. Design, Setting, and Participants. A national sample of 506 adolescents 12 to 17 years old who had been regular viewers of Friends the previous year were surveyed by telephone shortly after the episode aired.


METHODS
Viewership of the Friends episode, recall of the condom-efficacy message, beliefs about condoms, self-reported change in condom knowledge, and discussions of condom efficacy with parents.


RESULTS
At least 27% of the sample saw the episode, and 65% of these viewers recalled its depiction of condom failure resulting in pregnancy. Forty percent of the viewers watched with an adult. Ten percent of viewers talked to an adult about condom efficacy as a result of the show. Compared with other viewers, youth who talked with an adult were more likely to report learning about condoms from the episode and appeared less likely to reduce their perceptions of condom efficacy after the episode.


CONCLUSIONS
Entertainment television can serve as a healthy sex educator and can work in conjunction with parents to improve adolescent sexual knowledge.
Rand Health, Santa Monica, California, USA. collins@rand.org
Rebecca L
RL
Collins
Marc N
MN
Elliott
Sandra H
SH
Berry
David E
DE
Kanouse
Sarah B
SB
Hunter
D000293:Adolescent; D000328:Adult; D002648:Child; D003142:Communication; D017280:Condoms; D004868:Equipment Failure; D005260:Female; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D011247:Pregnancy; D012494:Sampling Studies; D012736:Sex Education; D013690:Television