S A Everett1, C W Warren, J S Santelli, L Kann, J L Collins, L J Kolbe. 1. Division of Adolescent and School Health, National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC), Atlanta, Georgia 30341-3724, USA.
Abstract
PURPOSE: To examine the use of contraception at last sexual intercourse among currently sexually active adolescents. METHODS: We analyzed data from national school-based Youth Risk Behavior Surveys (YRBS) conducted in 1991, 1993, 1995, and 1997. The YRBS is a self-administered, anonymous survey which uses a national probability sample of U.S. students in public and private schools from grades 9 through 12. RESULTS: From 1991 to 1997, condom use significantly increased (from 46% to 57%), birth control pill use decreased (from 21% to 17%), and use of withdrawal significantly decreased (from 18% to 13%). In 1997, although more students were using condoms, 13% reported using withdrawal and 15% reported using no method to prevent pregnancy at last sexual intercourse. In 1997, condom use among females was significantly lower in the 9th grade than in the 12th grade (p <.001), whereas birth control pill use was higher (p <.001) and use of withdrawal remained stable. Among males, condom use and withdrawal use remained stable from 9th to 12th grade, whereas birth control pill use by their partner increased (p <.001). CONCLUSIONS: Inadequate contraceptive use among sexually active adolescents continues to be a major public health problem in the United States. For young people who will not remain sexually abstinent, families, health care providers, schools, and other influential societal institutions should promote the correct and continued use of condoms as essential protection against sexually transmitted diseases and human immunodeficiency virus infection.
PURPOSE: To examine the use of contraception at last sexual intercourse among currently sexually active adolescents. METHODS: We analyzed data from national school-based Youth Risk Behavior Surveys (YRBS) conducted in 1991, 1993, 1995, and 1997. The YRBS is a self-administered, anonymous survey which uses a national probability sample of U.S. students in public and private schools from grades 9 through 12. RESULTS: From 1991 to 1997, condom use significantly increased (from 46% to 57%), birth control pill use decreased (from 21% to 17%), and use of withdrawal significantly decreased (from 18% to 13%). In 1997, although more students were using condoms, 13% reported using withdrawal and 15% reported using no method to prevent pregnancy at last sexual intercourse. In 1997, condom use among females was significantly lower in the 9th grade than in the 12th grade (p <.001), whereas birth control pill use was higher (p <.001) and use of withdrawal remained stable. Among males, condom use and withdrawal use remained stable from 9th to 12th grade, whereas birth control pill use by their partner increased (p <.001). CONCLUSIONS: Inadequate contraceptive use among sexually active adolescents continues to be a major public health problem in the United States. For young people who will not remain sexually abstinent, families, health care providers, schools, and other influential societal institutions should promote the correct and continued use of condoms as essential protection against sexually transmitted diseases and human immunodeficiency virus infection.
Entities:
Keywords:
Adolescents; Age Factors; Americas; Barrier Methods; Behavior; Coitus Interruptus; Condom; Contraception; Contraceptive Methods; Contraceptive Usage; Cross Sectional Analysis; Demographic Factors; Developed Countries; Diseases; Family Planning; Family Planning, Behavioral Methods; Hiv Infections--prevention and control; Infections; North America; Northern America; Oral Contraceptives; Population; Population Characteristics; Pregnancy; Reproduction; Reproductive Tract Infections; Research Methodology; Research Report; Risk Behavior; Sampling Studies; Sexually Transmitted Diseases--prevention and control; Studies; Surveys; United States; Viral Diseases; Youth
Authors: Patricia A Cavazos-Rehg; Melissa J Krauss; Edward L Spitznagel; Mario Schootman; Jeffrey F Peipert; Linda B Cottler; Laura Jean Bierut Journal: Contraception Date: 2010-06-17 Impact factor: 3.375
Authors: Jennifer R Horner; Laura F Salazar; Daniel Romer; Peter A Vanable; Ralph DiClemente; Michael P Carey; Robert F Valois; Bonita F Stanton; Larry K Brown Journal: Arch Sex Behav Date: 2008-02-22
Authors: Sharon R Sznitman; Daniel Romer; Larry K Brown; Ralph J DiClemente; Robert F Valois; Peter A Vanable; Michael P Carey; Bonita Stanton Journal: Sex Transm Dis Date: 2009-04 Impact factor: 2.830