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Multiple method contraception use among African American adolescents in four US cities.

Brown JL, Hennessy M, Sales JM, DiClemente RJ, Salazar LF, Vanable PA, Carey MP, Romer D, Valois RF, Brown LK, Stanton B - Infect Dis Obstet Gynecol (2011)

Bottom Line: Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select "safe" sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported.Perceived ability to select "safe" partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50).Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.

View Article: PubMed Central - PubMed

Affiliation: Department of Behavioral Sciences & Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. jennifer.brown@emory.edu

ABSTRACT
We report on African American adolescents' (N = 850; M age = 15.4) contraceptive practices and type of contraception utilized during their last sexual encounter. Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select "safe" sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported. Perceived ability to select "safe" partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50). Female gender predicted hormonal birth control use (OR = 2.33), use of less effective contraceptive methods (e.g., withdrawal; OR = 2.47), and using no contraception (OR = 2.37). Respondents' age and partner type did not predict contraception use. Adolescents used contraceptive methods with limited ability to prevent both unintended pregnancies and STD/HIV. Adolescents who believed their partners posed low risk were more likely to use contraceptive practices other than condoms or no contraception. Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.

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Prevalence of contraceptive method at last sex by gender (N = 850). Notes: percents sum to greater than 100% because of use of dual or multiple contraceptive methods.
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Related In: Results  -  Collection


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fig1: Prevalence of contraceptive method at last sex by gender (N = 850). Notes: percents sum to greater than 100% because of use of dual or multiple contraceptive methods.

Mentions: Figure 1 shows the distribution of types of contraceptives used at the last vaginal sex event. For both males and females, the most common method was the male condom and the second most common method was withdrawal. The percentages sum to over 100% because of multiple contraceptive usage, so that the marginal distributions of each method give a distorted representation of contraceptive use.


Multiple method contraception use among African American adolescents in four US cities.

Brown JL, Hennessy M, Sales JM, DiClemente RJ, Salazar LF, Vanable PA, Carey MP, Romer D, Valois RF, Brown LK, Stanton B - Infect Dis Obstet Gynecol (2011)

Prevalence of contraceptive method at last sex by gender (N = 850). Notes: percents sum to greater than 100% because of use of dual or multiple contraceptive methods.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3139861&req=5

fig1: Prevalence of contraceptive method at last sex by gender (N = 850). Notes: percents sum to greater than 100% because of use of dual or multiple contraceptive methods.
Mentions: Figure 1 shows the distribution of types of contraceptives used at the last vaginal sex event. For both males and females, the most common method was the male condom and the second most common method was withdrawal. The percentages sum to over 100% because of multiple contraceptive usage, so that the marginal distributions of each method give a distorted representation of contraceptive use.

Bottom Line: Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select "safe" sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported.Perceived ability to select "safe" partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50).Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.

View Article: PubMed Central - PubMed

Affiliation: Department of Behavioral Sciences & Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. jennifer.brown@emory.edu

ABSTRACT
We report on African American adolescents' (N = 850; M age = 15.4) contraceptive practices and type of contraception utilized during their last sexual encounter. Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select "safe" sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported. Perceived ability to select "safe" partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50). Female gender predicted hormonal birth control use (OR = 2.33), use of less effective contraceptive methods (e.g., withdrawal; OR = 2.47), and using no contraception (OR = 2.37). Respondents' age and partner type did not predict contraception use. Adolescents used contraceptive methods with limited ability to prevent both unintended pregnancies and STD/HIV. Adolescents who believed their partners posed low risk were more likely to use contraceptive practices other than condoms or no contraception. Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.

Show MeSH