PEDIATRICS Vol. 93 No. 4 April 1994, pp. 580-585
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Does a Condom-Promoting Strategy (the Swiss STOP-AIDS Campaign) Modify Sexual Behavior Among Adolescents?

Dominique Hausser MD, MSc1 and Pierre André Michaud MD1

1 Institut universitaire de médecine sociale et préventive (University Institute for Social and Preventive Medicine), 17 rue du Bugnon, CH 1005 Lausanne, Switzerland

Objective. To measure sexual behavior changes (especially the use of condoms) among adolescents after 5 years of a population-based acquired immunodeficiency syndrome prevention strategy at the national and regional level.

Design. Two comparative cross-sectional surveys by self-administered questionnaires were conducted in 1987 and 1990.

Setting. Two similar samples of 16- to 19-year-old apprentices. The two samples, 1987 (n = 1359) and 1990 (n = 817), are comparable in terms of sex, age, profession, and location.

Results. The percentage of boys who say they are sexually active has remained the same (75%) and has slightly increased among younger girls (65% to 75%, NS). The average number of partners has remained steady for boys and girls. Regular use of any contraceptive device has remained steady among girls (75%) and increased among boys (1987, 38%; 1990, 54%; P < .001). In 1987 as well as in 1990, the condom was the most widely used method (>90%), followed by the pill (50%), withdrawal (20%), and chemicals (5%). Rates were about the same for both sexes. Rates of irregular use of condoms increased among boys and girls (P < .01); regular use of condoms increased among boys (22% to 34%, P < .01) and girls (10% to 27%, P < .001); use of the pill has slightly decreased.

Conclusions. During a 5-year period, the Swiss "STOP-AIDS" campaign and local interventions had had no real effect on the rate of sexual activity of apprentices but had had a positive effect on the use of contraception and condoms. The prevention strategy should (and will) be maintained in the future.

Submitted on July 27, 1992
Accepted on August 18, 1993




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