Determinants of multimethod contraceptive use in a sample of adolescent women diagnosed with psychological disorders

Delia L. Lang, Jessica M. Sales, Laura F. Salazar, Ralph DiClemente, Richard A. Crosby, Larry K. Brown, Geri R. Donenberg

Research output: Contribution to journalArticle

Abstract

Objective. Despite recommendations for concurrent use of contraceptives and condoms to prevent unintended pregnancy and STIs, multimethod contraceptive use among women is poor. This study examined individual-, interpersonal-, and environmental-level factors that predict multimethod use among sexually active adolescent women diagnosed with psychological disorders. Methods. This multisite study analyzed data from 288 sexually active adolescent women who provided sociodemographic, psychosocial, and behavioral data related to birth control and condom use. Results. 34.7% of the participants reported multimethod use in the past three months. Controlling for empirically and theoretically relevant covariates, a multivariable logistic regression identified self-efficacy, multiple partners, pregnancy history, parental communication, parental norms about sex, and neighborhood cohesion as significant predictors of multimethod use. Conclusions. While continued targeted messages about multi-method contraceptive use are imperative at the individual level, an uptake in messages targeting interpersonal- and environmental-level factors such as adolescents' parents and the broader community is urgently needed.

Original languageEnglish (US)
Article number510239
JournalInfectious Diseases in Obstetrics and Gynecology
Volume2011
DOIs
StatePublished - Nov 24 2011

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Contraceptive Agents
Condoms
Psychology
Contraception
Multiple Pregnancy
Reproductive History
Sexual Partners
Self Efficacy
Sexually Transmitted Diseases
Parents
Logistic Models
Communication
Pregnancy

ASJC Scopus subject areas

  • Dermatology
  • Obstetrics and Gynecology
  • Infectious Diseases

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Determinants of multimethod contraceptive use in a sample of adolescent women diagnosed with psychological disorders. / Lang, Delia L.; Sales, Jessica M.; Salazar, Laura F.; DiClemente, Ralph; Crosby, Richard A.; Brown, Larry K.; Donenberg, Geri R.

In: Infectious Diseases in Obstetrics and Gynecology, Vol. 2011, 510239, 24.11.2011.

Research output: Contribution to journalArticle

Lang, Delia L. ; Sales, Jessica M. ; Salazar, Laura F. ; DiClemente, Ralph ; Crosby, Richard A. ; Brown, Larry K. ; Donenberg, Geri R. / Determinants of multimethod contraceptive use in a sample of adolescent women diagnosed with psychological disorders. In: Infectious Diseases in Obstetrics and Gynecology. 2011 ; Vol. 2011.
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