Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2010 Dec;164(12):1125-31.
doi: 10.1001/archpediatrics.2010.230.

Differences between dual-method and non-dual-method protection use in a sample of young African American women residing in the Southeastern United States

Affiliations
Randomized Controlled Trial

Differences between dual-method and non-dual-method protection use in a sample of young African American women residing in the Southeastern United States

Jessica M Sales et al. Arch Pediatr Adolesc Med. 2010 Dec.

Abstract

Objectives: To characterize dual-method protection users and report the prevalence of dual-method use among young adult African American women residing in the Southeastern United States.

Design: Analysis of baseline data from a randomized controlled trial.

Setting: A clinic-based sample of young women enrolled in a randomized trial of a human immunodeficiency virus (HIV)-prevention program in Atlanta, Georgia, from June 2005 to June 2007.

Participants: African American women aged 14 to 20 years who reported unprotected sexual activity in the past 6 months. Of the eligible adolescents, 94% (N = 701) were enrolled in the study and completed baseline assessments.

Outcome measures: Dual-method protection use as well as sociodemographic, individual-level, interpersonal-level, and community-level factors and interpersonal communication skills. Only data from the baseline assessment, before randomization, were used for the analysis.

Results: A total of 102 participants (14.6%) were classified as dual-method protection users. After controlling for age and clinic, significant differences between dual-method users and non-dual-method users were found for impulsivity, self-esteem, social support, relationship style, partner communication self-efficacy, and fear of condom negotiation.

Conclusions: Dual-method protection use is low. Identification of factors that differentiate dual-method users from non-dual-method users at the individual, interpersonal, and community levels in this young African American sample suggests that HIV, sexually transmitted disease, and unintended pregnancy risk-reduction programs should address factors at each level, not simply the individual level, and that this may involve structural and/or clinical counseling practice changes in clinics that serve young women, to optimally facilitate dual-method protection use among young African American women in the Southeastern United States.

PubMed Disclaimer

References

    1. Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2002: Year End Edition. Atlanta, GA: US Department of Health and Human Services; 2003.
    1. Gaydos CA, Howell MR, Pare B, et al. Chlamydia trachomatis infections in female military recruits. N Engl J Med. 1998;339(11):739–744. - PubMed
    1. Ho GY, Bierman R, Beardsley L, Chang CJ, Burk RD. Natural history of cervico-vaginal papillomavirus infection in young women. N Engl J Med. 1998;338(7):423–428. - PubMed
    1. Fleming DT, McQuillan GM, Johnson RE, et al. Herpes simplex virus type 2 in the United States 1976 to 1994. N Engl J Med. 1997;337(16):1105–1111. - PubMed
    1. Forhan SE, Gottlieb SL, Sternberg MR, et al. Prevalence of sexually transmitted infections and bacterial vaginosis among female adolescents in the United States: Data from the National Health and Nutrition Examination Survey (NHANES) 2003–2004. Paper presented at the National STD Prevention Conference; March 11, 2008; Chicago, Illinois.

Publication types

Substances