The trade-off between hormonal contraceptives and condoms among adolescents

Mary Ott, Nancy E. Adler, Susan G. Millstein, Jeanne M. Tschann, Jonathan M. Ellen

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

CONTEXT: Adolescents' dual use of condoms and hormonal contraceptives is low, and the motivations underlying their decisions to combine contraceptives are not understood. METHODS: To examine how pregnancy concerns, sexually transmitted disease (STD) concerns and type of sexual partner influence contraceptive use, we recruited 436 sexually experienced adolescents from two clinics. In structured interviews, we asked adolescents to describe their recent partners, their method use, and their pregnancy and STD concerns. Data were analyzed using logistic regression. RESULTS: The odds that adolescents used condoms with main partners were significantly lower among those who used hormonal contraceptives than among nonusers of these methods (odds ratios, 0.4 for young women and 0.3 for young men). With casual partners, no association existed between adolescents' condom and hormonal contraceptive use. Concerns about pregnancy and STDs influenced this association for women with main partners. Among young women who perceived pregnancy as more negative, hormonal contraceptive users had reduced odds of using condoms (0.1). No association existed between use of the two methods among young women whose view of pregnancy was less negative. Young women who perceived themselves to be less at risk of acquiring an STD had reduced odds of using condoms if they were using hormonal contraceptives (0.2). Among young women who perceived themselves to be more at risk of acquiring an STD, no association existed. CONCLUSIONS: Adolescents trade off between hormonal contraceptives and condoms according to partner type and perceived risks. Adolescents' dual-method use may improve if providers tailor counseling to adolescents' perceived risk of STDs and pregnancy, and if they address prevention of both as a related decision.

Original languageEnglish
Pages (from-to)6-14
Number of pages9
JournalPerspectives on Sexual and Reproductive Health
Volume34
Issue number1
DOIs
StatePublished - Jan 2002
Externally publishedYes

Fingerprint

Condoms
Contraceptive Agents
contraceptive
Sexually Transmitted Diseases
adolescent
pregnancy
sexually transmitted disease
Pregnancy
Sexual Partners
Counseling
counseling
Logistic Models
logistics
Odds Ratio
Interviews
regression
interview

ASJC Scopus subject areas

  • Demography
  • Reproductive Medicine
  • Social Sciences (miscellaneous)
  • Public Health, Environmental and Occupational Health

Cite this

The trade-off between hormonal contraceptives and condoms among adolescents. / Ott, Mary; Adler, Nancy E.; Millstein, Susan G.; Tschann, Jeanne M.; Ellen, Jonathan M.

In: Perspectives on Sexual and Reproductive Health, Vol. 34, No. 1, 01.2002, p. 6-14.

Research output: Contribution to journalArticle

Ott, Mary ; Adler, Nancy E. ; Millstein, Susan G. ; Tschann, Jeanne M. ; Ellen, Jonathan M. / The trade-off between hormonal contraceptives and condoms among adolescents. In: Perspectives on Sexual and Reproductive Health. 2002 ; Vol. 34, No. 1. pp. 6-14.
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