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. 2010 Mar;81(3):249-53.
doi: 10.1016/j.contraception.2009.11.001. Epub 2009 Dec 5.

Perceived competence and contraceptive use during adolescence

Jennifer B Hillman  1 , Sonya Negriff, Lorah D Dorn
Affiliations

Perceived competence and contraceptive use during adolescence

Jennifer B Hillman et al. Contraception. 2010 Mar.

Abstract

Background: Little is known about psychosocial correlates of different contraceptive methods in adolescence.

Study design: Cross-sectional analyses of 209 postmenarcheal girls [mean age (years)+/-SD=15.68+/-1.74], primarily Caucasian (62.8%) or African American (32.8%). Competence (activities and social) and rule-breaking behavior were assessed by the Youth Self Report (YSR; adolescent) and the Child Behavior Checklist (CBCL; parent). Three contraceptive-use groups were created: no hormonal contraceptive (n=142), combined oral contraceptives or the transdermal patch (COCs/patch, n=41), and depot medroxyprogesterone acetate (DMPA, n=20).

Results: There was a significant effect of contraceptive-use group on competence (p=.003). The DMPA group had lower competence (CBCL activities and social; YSR social) than the no-hormonal-contraceptive and COCs/patch groups. The COCs/patch group scored lower than the no-hormonal-contraceptive group on YSR activities competence, but was not different from the DMPA group. Lastly, there was an effect of contraceptive-use group on CBCL (but not YSR) rule-breaking behavior (p=.029) with the DMPA group having higher rule-breaking behavior than the other groups.

Conclusions: Type of contraceptive method was associated with parent and adolescent's perceived competence. For rule-breaking behavior, parental perception may be more relevant to contraceptive use.

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