Use of dual methods for protection from unintended pregnancy and sexually transmitted diseases in adolescent African American women
Published Date:Apr 21 2015
Source:J Pediatr Adolesc Gynecol. 28(6):543-548.
Attitude To Health
Combined Modality Therapy
Contraceptives, Oral, Hormonal
Sexually Transmitted Diseases
Surveys And Questionnaires
Pubmed Central ID:PMC4618263
Funding:U48 DP001909/DP/NCCDPHP CDC HHS/United States
U48DP001909-01/DP/NCCDPHP CDC HHS/United States
To characterize factors associated with dual method use in a sample of adolescent women.
We conducted a cross-sectional survey of sexually active African American females aged 14–19 years attending an urban Title X clinic in Georgia in 2012 (N=350). Participants completed a computerized survey assessing contraceptive and condom use at last two sexual encounters with their most recent partner. Dual method use was defined as use of a hormonal contraceptive or intrauterine device (IUD) plus condom. We applied multinomial logistic regression, using generalized estimating equations, to examine the adjusted association between dual method use (versus use of no methods or less effective methods alone, e.g. withdrawal) and select characteristics.
Dual methods were used by 20.6% of participants at last sexual intercourse and 23.6% at next to last sexual intercourse. Having a previous sexually transmitted disease (STD) (aOR 2.30, 95%CI 1.26–4.18), negative attitudes towards pregnancy (aOR 2.25, 95%CI 1.19–4.28) and a mother who gave birth as a teen (aOR 2.34, 95%CI 1.21–4.52) were associated with higher odds of dual method use. Having no health insurance (aOR 0.39, 95%CI 0.18–0.82), ≥ 4 lifetime sexual partners (aOR 0.42, 95%CI 0.22–0.78), sex at least weekly (aOR 0.54, 95%CI 0.29–0.99), and agreeing to monogamy with the most recent partner (aOR 0.40, 95%CI 0.16–0.96) were associated with decreased odds of dual method use.
Dual method use was uncommon in our sample. Efforts to increase use of dual methods should address individual and relationship factors.
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