Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents

Patricia A. Cavazos-Rehg, Melissa J. Krauss, Edward L. Spitznagel, Mario Schootman, Jeffrey F. Peipert, Linda B. Cottler, Laura Jean Bierut

Research output: Contribution to journalArticle

28 Scopus citations

Abstract

Background: This study was conducted to examine associations with contraception methods used at last sexual intercourse among US adolescents. Study Design: Data consisted of sexually active adolescents (9th-12th grade, weighted n=24,638) from the 1999-2007 Youth Risk Behavior Surveillance System (YRBSS). We performed multinomial multivariable logistic regression analyses with condom users at last sexual intercourse as the reference group. Results: Males who used alcohol, cigarettes, marijuana and cocaine were more likely to use no method/unsure of method (OR=2.4, CI=1.7-3.4) or rely on withdrawal (OR=2.6, CI=1.5-4.3). Females with six or more sexual partners were more likely to rely on withdrawal (OR=2.9, CI=2.1-3.9) or contraception methods that offer no STI protection [i.e., birth control pills: OR=1.9, CI=1.4-2.5; and depot medroxyprogesterone acetate (DMPA, marketed as Depo-Provera): OR=2.6, CI=1.6-4.2]. Earlier age of sexual debut was also associated with nonuse. Conclusion: Prevention efforts should focus on at-risk adolescents including substance-using males, females with six or more sexual partners, and those who initiate sexual intercourse at an early age.

Original languageEnglish
Pages (from-to)549-555
Number of pages7
JournalContraception
Volume82
Issue number6
DOIs
StatePublished - Dec 1 2010

Keywords

  • Adolescent risk behaviors
  • Contraception methods
  • STD prevention
  • Sexual intercourse

Fingerprint Dive into the research topics of 'Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents'. Together they form a unique fingerprint.

Cite this