. The seven Youth Risk Behavior Surveys of 9th -12th graders conducted from 1991 to 2003 showed that condom use during the most recent act of sexual intercourse increased from 46.2% in 1991 to 63.0% in 2003. Eaton et al.10 reviewed unsafe sexual behavior in South African youth between 1990 and 2000 and found that 50% to 60% of sexually active youth reported never using condoms. However, our findings are supported by a study in Haiti in 1998, where 82% of sexually active young people did not use condoms and only 27% of them reported having used a condom the last time they had sex