Last data update: May 13, 2024. (Total: 46773 publications since 2009)
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Query Trace: North Clarke KE[original query] |
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Factors associated with contraceptive use differ between younger and older African-American female adolescents
North Clarke KE , Kraft JM , Wiener JB , Hatfield-Timajchy K , Kottke M , Sales JM , Goedken P , Kourtis AP . J Pediatr Adolesc Gynecol 2016 29 (5) 448-453 STUDY OBJECTIVE: Examine differences in factors associated with contraceptive use between younger and older adolescent age groups, which has not previously been well described. DESIGN: Age-group-specific analyses were performed on cross-sectional survey data to identify factors associated with any contraceptive use at last sex among younger (14-16 year old) and older (17-19 year old) sexually-active African-American females; interaction analyses assessed whether these associations differed by age. SETTING: Adolescent reproductive health clinic in Atlanta, Georgia PARTICIPANTS: Sexually active African-American female adolescents 14-19 years of age INTERVENTIONS: No intervention tested; cross-sectional design MAIN OUTCOME MEASURE: Self-reported contraceptive use during most recent vaginal sex with a male partner. RESULTS: The prevalence of contraceptive use at last sex was identical in both groups; however, factors associated with contraceptive use differed by age. The only factor associated with contraceptive use in both age groups was involvement in decisions about sexual health in the most recent relationship. Associations between factors and contraceptive use significantly differed by age. History of sexually transmitted infection, age difference with partner, discussion of condoms with partner, and concurrent partners were important factors among younger adolescents; worry about pregnancy and discussion of birth control with partner were important among older adolescents. CONCLUSIONS: Factors associated with contraceptive use at last sex differ by adolescent age; this should be considered when designing counseling and interventions for teens, as well as research. |
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