John E Anderson1, John Santelli, Brenda Colley Gilbert. 1. Division of HIV/AIDS Prevention, National Center for HIV, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia 30333, USA. jea1@cdc.gov
Abstract
BACKGROUND: Use of condoms with hormonal contraceptive methods (dual use) is recommended for adolescents at increased risk for sexually transmitted infections and pregnancy. GOAL: The goal was to measure the extent of dual use among adolescents, to estimate trends in dual use 1991-2001, to assess factors associated with dual use in 2001, and to develop information useful for prevention programs. STUDY DESIGN: We used 6 Youth Risk Behavior Surveys of 9th-12th graders conducted 1991-2001. Each survey was an independent, nationally representative sample. Sample sizes ranged from 10,904 to 16,262, and overall response rates ranged from 60-70%. We estimated trends in dual use for the 1991-2001 period using linear logistic regression models of dual use on year of survey controlling statistically for grade, sex, and race/ethnic group, and evaluated correlates of dual use with chi-squared analysis. RESULTS: Dual use increased significantly throughout 1991-2001, from 3.2% (95% confidence interval, +/- 0.7%) in 1991 to 7.2% (+/- 0.8%) in 2001. During this period, condom use increased and pill use did not. In 2001, 32% (+/- 2.6%) of all users of hormonal methods (pill or injection) also used condoms. Students in a number of categories had higher rates of dual use: those who were white (8.9% +/- 1.2%), 12th graders (9.2% +/- 1.5%), and those aged 17 and older (8.8% +/- 1.3%). Greater dual use was not associated with increased sexual or drug use risk behaviors. CONCLUSION: Dual use has increased but remains low, especially among those most at risk.
BACKGROUND: Use of condoms with hormonal contraceptive methods (dual use) is recommended for adolescents at increased risk for sexually transmitted infections and pregnancy. GOAL: The goal was to measure the extent of dual use among adolescents, to estimate trends in dual use 1991-2001, to assess factors associated with dual use in 2001, and to develop information useful for prevention programs. STUDY DESIGN: We used 6 Youth Risk Behavior Surveys of 9th-12th graders conducted 1991-2001. Each survey was an independent, nationally representative sample. Sample sizes ranged from 10,904 to 16,262, and overall response rates ranged from 60-70%. We estimated trends in dual use for the 1991-2001 period using linear logistic regression models of dual use on year of survey controlling statistically for grade, sex, and race/ethnic group, and evaluated correlates of dual use with chi-squared analysis. RESULTS: Dual use increased significantly throughout 1991-2001, from 3.2% (95% confidence interval, +/- 0.7%) in 1991 to 7.2% (+/- 0.8%) in 2001. During this period, condom use increased and pill use did not. In 2001, 32% (+/- 2.6%) of all users of hormonal methods (pill or injection) also used condoms. Students in a number of categories had higher rates of dual use: those who were white (8.9% +/- 1.2%), 12th graders (9.2% +/- 1.5%), and those aged 17 and older (8.8% +/- 1.3%). Greater dual use was not associated with increased sexual or drug use risk behaviors. CONCLUSION: Dual use has increased but remains low, especially among those most at risk.
Authors: Marion W Carter; Linda Hock-Long; Joan Marie Kraft; Dare Henry-Moss; Kendra Hatfield-Timajchy; Merrill Singer Journal: Am J Public Health Date: 2012-01-19 Impact factor: 9.308
Authors: Jenny A Higgins; Nicole K Smith; Stephanie A Sanders; Vanessa Schick; Debby Herbenick; Michael Reece; Brian Dodge; J Dennis Fortenberry Journal: Contraception Date: 2014-06-12 Impact factor: 3.375
Authors: Jennifer L Woods; Marcia L Shew; Wanzhu Tu; Susan Ofner; Mary A Ott; J Dennis Fortenberry Journal: J Adolesc Health Date: 2006-07-10 Impact factor: 5.012
Authors: Lisa B Haddad; Chelsea B Polis; Anandi N Sheth; Jennifer Brown; Athena P Kourtis; Caroline King; Rana Chakraborty; Igho Ofotokun Journal: Curr HIV/AIDS Rep Date: 2014-12 Impact factor: 5.071
Authors: Jennifer A Bailey; Charles B Fleming; Richard F Catalano; Kevin P Haggerty; Lisa E Manhart Journal: J Adolesc Health Date: 2012-02-04 Impact factor: 5.012
Authors: Jennifer L Brown; Michael Hennessy; Jessica M Sales; Ralph J DiClemente; Laura F Salazar; Peter A Vanable; Michael P Carey; Daniel Romer; Robert F Valois; Larry K Brown; Bonita Stanton Journal: Infect Dis Obstet Gynecol Date: 2011-07-18