TY - JOUR
T1 - Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents
AU - Cavazos-Rehg, Patricia A.
AU - Krauss, Melissa J.
AU - Spitznagel, Edward L.
AU - Schootman, Mario
AU - Peipert, Jeffrey F.
AU - Cottler, Linda B.
AU - Bierut, Laura Jean
N1 - Funding Information:
This publication was made possible by Grant Numbers UL1 RR024992 and KL2 RR024994 from the National Center for Research Resources (NCRR) , a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research and by K02DA021237 from the NIH. This publication was also supported in part by an NIH Career Development Award to Dr. Cavazos-Rehg (NIDA, K01DA025733 ). This publication was also supported in part by an NIH Midcareer Investigator Award to Dr. Bierut ( K02 DA021237 ). This publication was also made possible in part by NIDA grant 5 T32 DA07313-09 (Drug Abuse Comorbidity, Prevention and Biostatistics) awarded to Dr. Cottler.
PY - 2010/12
Y1 - 2010/12
N2 - 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.
AB - 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.
KW - Adolescent risk behaviors
KW - Contraception methods
KW - STD prevention
KW - Sexual intercourse
UR - http://www.scopus.com/inward/record.url?scp=78249254227&partnerID=8YFLogxK
U2 - 10.1016/j.contraception.2010.05.007
DO - 10.1016/j.contraception.2010.05.007
M3 - Article
C2 - 21074019
AN - SCOPUS:78249254227
SN - 0010-7824
VL - 82
SP - 549
EP - 555
JO - Contraception
JF - Contraception
IS - 6
ER -