Predictors of Inconsistent Contraceptive Use among Adolescent Girls: Findings from a Prospective Study

Susan L. Davies, Ralph DiClemente, Gina M. Wingood, Sharina D. Person, Emily S. Dix, Kathy Harrington, Richard A. Crosby, Kim Oh

Research output: Contribution to journalArticle

Abstract

Purpose: To assess the independent effects of various behavioral and psychosocial antecedents on contraceptive use among a sample of low-income African-American adolescent females. Methods: Stepwise logistic regression was used to calculate odds ratios for baseline predictors of inconsistent contraceptive use six months later. Study participants include 375 nonpregnant African-American girls aged 14-18 years who reported sexual activity in the previous six months. Data were collected using a self-administered survey, individual interview and urine pregnancy test. Results: Adolescents who were inconsistent contraceptive users at follow-up were more likely to have reported a desire for pregnancy, previous inconsistent contraceptive use, less frequent communication with their partners about prevention issues, and an increased number of lifetime sexual partners at the baseline assessment. Of equal importance was the finding that a previous pregnancy or sexually transmitted infection did not influence future contraceptive behaviors. Conclusions: Clinicians can play an important role in counseling adolescents about sexual health and dispelling misperceptions that hinder consistent contraceptive use. Findings from this research could have significant implications for the development of effective sexually transmitted infection (STI) and pregnancy prevention programs for adolescents and can help in guiding clinicians toward relevant treatment practices.

Original languageEnglish (US)
Pages (from-to)43-49
Number of pages7
JournalJournal of Adolescent Health
Volume39
Issue number1
DOIs
StatePublished - Jul 1 2006

Fingerprint

Contraceptive Agents
Prospective Studies
Sexually Transmitted Diseases
African Americans
Pregnancy
Contraception Behavior
Pregnancy Tests
Sexual Partners
Reproductive Health
Sexual Behavior
Counseling
Logistic Models
Odds Ratio
Communication
Urine
Interviews
Research
Therapeutics

Keywords

  • Adolescents
  • Contraceptive use
  • Pregnancy
  • Sexually transmitted infections

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Predictors of Inconsistent Contraceptive Use among Adolescent Girls : Findings from a Prospective Study. / Davies, Susan L.; DiClemente, Ralph; Wingood, Gina M.; Person, Sharina D.; Dix, Emily S.; Harrington, Kathy; Crosby, Richard A.; Oh, Kim.

In: Journal of Adolescent Health, Vol. 39, No. 1, 01.07.2006, p. 43-49.

Research output: Contribution to journalArticle

Davies, Susan L. ; DiClemente, Ralph ; Wingood, Gina M. ; Person, Sharina D. ; Dix, Emily S. ; Harrington, Kathy ; Crosby, Richard A. ; Oh, Kim. / Predictors of Inconsistent Contraceptive Use among Adolescent Girls : Findings from a Prospective Study. In: Journal of Adolescent Health. 2006 ; Vol. 39, No. 1. pp. 43-49.
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