Abstract

PIP: The relationship of cognitive development, egocentrism, and self-esteem to adolescent contraceptive knowledge, attitudes, and behavior was investigated in 300 high school and college students (101 males and 199 females) 14-19 years old. There was general support for the study's hypothesis that students with higher levels of cognitive development and self-esteem and lower egocentrism would be more knowledgeable about contraception, be more likely to use birth control, and have more positive attitudes about contraception. Cognitive development was positively associated with all of the knowledge variables and with self-reported condom use. Self-esteem was linked to two of the four knowledge variables, self-reported condom use, and positive attitudes toward contraception. There was an inverse relationship between egocentrism and contraceptive use, but, contrary to expectations, a positive association between egocentrism and knowledge of contraceptive effectiveness. Gender-specific analyses revealed that male students had significantly higher scores than females on the cognitive development and self-esteem measures, while female students scored higher on items measuring knowledge of contraceptive methods and attitudes toward their use. The association of cognitive development with knowledge variables suggests that the ability of adolescents to retain information is related to their capacity to reason and generate alternatives. Overall, these findings suggest a need for attention to the goodness of fit between sex education curricula and the level of cognitive development of the intended audience.