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. 2010 Dec;82(6):549-55.
doi: 10.1016/j.contraception.2010.05.007. Epub 2010 Jun 17.

Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents

Patricia A Cavazos-Rehg  1 , Melissa J Krauss, Edward L Spitznagel, Mario Schootman, Jeffrey F Peipert, Linda B Cottler, Laura Jean Bierut
Affiliations

Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents

Patricia A Cavazos-Rehg et al. Contraception. 2010 Dec.

Abstract

Background: This study was conducted to examine associations with contraception methods used at last sexual intercourse among US adolescents.

Study design: Data consisted of sexually active adolescents (9th-12th grade, weighted n=24,638) from the 1999-2007 Youth Risk Behavior Surveillance System (YRBSS). We performed multinomial multivariable logistic regression analyses with condom users at last sexual intercourse as the reference group.

Results: Males who used alcohol, cigarettes, marijuana and cocaine were more likely to use no method/unsure of method (OR=2.4, CI=1.7-3.4) or rely on withdrawal (OR=2.6, CI=1.5-4.3). Females with six or more sexual partners were more likely to rely on withdrawal (OR=2.9, CI=2.1-3.9) or contraception methods that offer no STI protection [i.e., birth control pills: OR=1.9, CI=1.4-2.5; and depot medroxyprogesterone acetate (DMPA, marketed as Depo-Provera): OR=2.6, CI=1.6-4.2]. Earlier age of sexual debut was also associated with nonuse.

Conclusion: Prevention efforts should focus on at-risk adolescents including substance-using males, females with six or more sexual partners, and those who initiate sexual intercourse at an early age.

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Conflict of interest statement

Conflicts of Interest

Dr. Bierut has acted as a consultant for Pfizer, Inc. in 2008. All remaining authors do not have a financial interest/arrangement or affiliation with any organizations that could be perceived as real or apparent conflict of interest in the context of the subject of this article.

References

    1. Davies SL, DiClemente RJ, Wingood GM, Person, et al. Predictors of inconsistent contraceptive use among adolescent girls: Findings from a prospective study. J Adolesc Health. 2006;39:43–49. - PubMed
    1. Santelli J, Carter M, Orr M, et al. Trends in sexual risk behaviors, by nonsexual risk behavior involvement, U.S. high school students, 1991–2007. J Adolesc Health. 2009;44:372–379. - PubMed
    1. Gavin L, MacKay AP, Brown K, et al. Sexual and reproductive health of persons aged 10–24 years - United States, 2002–2007. MMWR Surveill Summ. 2009;58:1–58. - PubMed
    1. Brener ND, Kann L, Kinchen SA, et al. Methodology of the youth risk behavior surveillance system. MMWR Recomm Rep. 2004;53:1–13. - PubMed
    1. Shrier LA, Goodman E, Emans SJ. Partner condom use among adolescent girls with sexually transmitted diseases. J Adolesc Health. 1999;24:357–361. - PubMed

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