Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women

Melissa Kottke, Maura K. Whiteman, Joan Marie Kraft, Peggy Goedken, Jeffrey Wiener, Athena P. Kourtis, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

Study Objective: To characterize factors associated with dual method contraceptive use in a sample of adolescent women. Design, Setting, Participants, Interventions, and Main Outcome Measures: We conducted a cross-sectional survey of sexually active African American women aged 14-19 years who attended an urban Title X clinic in Georgia in 2012 (N = 350). Participants completed a computerized survey to assess contraceptive and condom use during the past 2 sexual encounters with their most recent partner. Dual method use was defined as use of a hormonal contraceptive or intrauterine device and a condom. We applied multinomial logistic regression, using generalized estimating equations, to examine the adjusted association between dual method use (vs use of no methods or less effective methods alone; eg, withdrawal) and select characteristics. Results: 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 (adjusted odds ratio [aOR], 2.30; 95% confidence interval [CI], 1.26-4.18), negative attitude toward 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 or more 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. Conclusion: Dual method use was uncommon in our sample. Efforts to increase use of dual methods should address individual and relationship factors.

Original languageEnglish (US)
Pages (from-to)543-548
Number of pages6
JournalJournal of Pediatric and Adolescent Gynecology
Volume28
Issue number6
DOIs
StatePublished - Dec 1 2015

Fingerprint

Sexually Transmitted Diseases
African Americans
Pregnancy
Odds Ratio
Confidence Intervals
Coitus
Condoms
Intrauterine Devices
Sexual Partners
Health Insurance
Contraceptive Agents
Contraception
Cross-Sectional Studies
Logistic Models
Mothers
Outcome Assessment (Health Care)
Parturition

Keywords

  • Adolescent
  • African American
  • Condoms
  • Dual method use

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women. / Kottke, Melissa; Whiteman, Maura K.; Kraft, Joan Marie; Goedken, Peggy; Wiener, Jeffrey; Kourtis, Athena P.; DiClemente, Ralph.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 28, No. 6, 01.12.2015, p. 543-548.

Research output: Contribution to journalArticle

Kottke, Melissa ; Whiteman, Maura K. ; Kraft, Joan Marie ; Goedken, Peggy ; Wiener, Jeffrey ; Kourtis, Athena P. ; DiClemente, Ralph. / Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women. In: Journal of Pediatric and Adolescent Gynecology. 2015 ; Vol. 28, No. 6. pp. 543-548.
@article{baa0f53956ce4fbbb1814100fb738152,
title = "Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women",
abstract = "Study Objective: To characterize factors associated with dual method contraceptive use in a sample of adolescent women. Design, Setting, Participants, Interventions, and Main Outcome Measures: We conducted a cross-sectional survey of sexually active African American women aged 14-19 years who attended an urban Title X clinic in Georgia in 2012 (N = 350). Participants completed a computerized survey to assess contraceptive and condom use during the past 2 sexual encounters with their most recent partner. Dual method use was defined as use of a hormonal contraceptive or intrauterine device and a condom. We applied multinomial logistic regression, using generalized estimating equations, to examine the adjusted association between dual method use (vs use of no methods or less effective methods alone; eg, withdrawal) and select characteristics. Results: 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 (adjusted odds ratio [aOR], 2.30; 95{\%} confidence interval [CI], 1.26-4.18), negative attitude toward 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 or more 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. Conclusion: Dual method use was uncommon in our sample. Efforts to increase use of dual methods should address individual and relationship factors.",
keywords = "Adolescent, African American, Condoms, Dual method use",
author = "Melissa Kottke and Whiteman, {Maura K.} and Kraft, {Joan Marie} and Peggy Goedken and Jeffrey Wiener and Kourtis, {Athena P.} and Ralph DiClemente",
year = "2015",
month = "12",
day = "1",
doi = "10.1016/j.jpag.2015.04.008",
language = "English (US)",
volume = "28",
pages = "543--548",
journal = "Journal of Pediatric and Adolescent Gynecology",
issn = "1083-3188",
publisher = "Elsevier USA",
number = "6",

}

TY - JOUR

T1 - Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women

AU - Kottke, Melissa

AU - Whiteman, Maura K.

AU - Kraft, Joan Marie

AU - Goedken, Peggy

AU - Wiener, Jeffrey

AU - Kourtis, Athena P.

AU - DiClemente, Ralph

PY - 2015/12/1

Y1 - 2015/12/1

N2 - Study Objective: To characterize factors associated with dual method contraceptive use in a sample of adolescent women. Design, Setting, Participants, Interventions, and Main Outcome Measures: We conducted a cross-sectional survey of sexually active African American women aged 14-19 years who attended an urban Title X clinic in Georgia in 2012 (N = 350). Participants completed a computerized survey to assess contraceptive and condom use during the past 2 sexual encounters with their most recent partner. Dual method use was defined as use of a hormonal contraceptive or intrauterine device and a condom. We applied multinomial logistic regression, using generalized estimating equations, to examine the adjusted association between dual method use (vs use of no methods or less effective methods alone; eg, withdrawal) and select characteristics. Results: 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 (adjusted odds ratio [aOR], 2.30; 95% confidence interval [CI], 1.26-4.18), negative attitude toward 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 or more 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. Conclusion: Dual method use was uncommon in our sample. Efforts to increase use of dual methods should address individual and relationship factors.

AB - Study Objective: To characterize factors associated with dual method contraceptive use in a sample of adolescent women. Design, Setting, Participants, Interventions, and Main Outcome Measures: We conducted a cross-sectional survey of sexually active African American women aged 14-19 years who attended an urban Title X clinic in Georgia in 2012 (N = 350). Participants completed a computerized survey to assess contraceptive and condom use during the past 2 sexual encounters with their most recent partner. Dual method use was defined as use of a hormonal contraceptive or intrauterine device and a condom. We applied multinomial logistic regression, using generalized estimating equations, to examine the adjusted association between dual method use (vs use of no methods or less effective methods alone; eg, withdrawal) and select characteristics. Results: 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 (adjusted odds ratio [aOR], 2.30; 95% confidence interval [CI], 1.26-4.18), negative attitude toward 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 or more 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. Conclusion: Dual method use was uncommon in our sample. Efforts to increase use of dual methods should address individual and relationship factors.

KW - Adolescent

KW - African American

KW - Condoms

KW - Dual method use

UR - http://www.scopus.com/inward/record.url?scp=84946493192&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84946493192&partnerID=8YFLogxK

U2 - 10.1016/j.jpag.2015.04.008

DO - 10.1016/j.jpag.2015.04.008

M3 - Article

VL - 28

SP - 543

EP - 548

JO - Journal of Pediatric and Adolescent Gynecology

JF - Journal of Pediatric and Adolescent Gynecology

SN - 1083-3188

IS - 6

ER -