Adolescent Abstinence and Condom Use: Are We Sure We Are Really Teaching What is Safe?

Haignere, Clara S.; Gold, Rachel; McDanel, Heather J.

doi:10.1177/109019819902600105

Cited by 30 publications

(22 citation statements)

References 37 publications

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“…15 There is some consensus that sexuality education and interventions with some abstinence-based or "abstinence-plus" curriculum components are most effective when targeted at younger adolescents before they become sexually active. 1,41 Some recent studies demonstrated the importance of youth, parent, physician, and education partnerships for the prevention of health risk behaviors such as early initiation of sexual intercourse. 13,42 One study illustrated that an abstinence-only curriculum had no significant impact on the initiation of sex, the frequency of sex among those students who had ever had sex, or the number of sexual partners among those who had ever had sex.…”

Section: Methods Of Contraceptionmentioning

confidence: 99%

“…Two other studies produced similar results. 1 The AAP supports a comprehensive approach to sexuality education for adolescents. Abstinence should play a part in any comprehensive discussion of sexuality, and resources should be made available for adolescents who feel pressured, but prefer not, to engage in sexual activity.…”

Section: Methods Of Contraceptionmentioning

confidence: 99%

“…Recent studies indicate that, for some adolescents, even participating in formal programs that advocate abstinence and signing abstinence pledges do not result in abstinent behavior. 1,2 Pediatricians can have an active role in encouraging their adolescent patients to use contraception to reduce the risk of unintended pregnancies and to prevent sexually transmitted infections (STIs). In previous publications, the American Academy of Pediatrics (AAP) has addressed issues of adolescent sexuality, unwanted pregnancy, STIs, and contraception.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Contraception and Adolescents

2007

Pediatrics

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Although adolescent pregnancy rates in the United States have decreased significantly over the past decade, births to adolescents remain both an individual and public health issue. As advocates for the health and well-being of all young people, the American Academy of Pediatrics strongly supports the recommendation that adolescents postpone consensual sexual activity until they are fully ready for the emotional, physical, and financial consequences of sex. The academy recognizes, however, that some young people will choose not to postpone sexual activity, and as health care providers, the responsibility of pediatricians includes helping teens reduce risks and negative health consequences associated with adolescent sexual behaviors, including unintended pregnancies and sexually transmitted infections. This policy statement provides the pediatrician with updated information on contraception methods and guidelines for counseling adolescents. INTRODUCTIONPediatricians have an important role in adolescent reproductive health care. Their long-term relationships with patients and families allow them to help promote healthy decision-making around sexuality and include abstinence as a way to avoid the negative consequences associated with risky sexual behaviors. As advocates for the health and well-being of young people, pediatricians communicate their recommendation to adolescent patients to postpone sexual activity until they are ready, because any sexual activity for which the adolescent is ill prepared may have emotional, physical, and financial consequences. However, clinicians recognize that some of their adolescent patients are sexually active or will choose to become so. Recent studies indicate that, for some adolescents, even participating in formal programs that advocate abstinence and signing abstinence pledges do not result in abstinent behavior. 1,2 Pediatricians can have an active role in encouraging their adolescent patients to use contraception to reduce the risk of unintended pregnancies and to prevent sexually transmitted infections (STIs). In previous publications, the American Academy of Pediatrics (AAP) has addressed issues of adolescent sexuality, unwanted pregnancy, STIs, and contraception. 3 This policy statement provides the pediatrician with updated information on adolescent sexual behavior, which may lead to pregnancy, including guidelines for counseling adolescents about available methods of contraception. Current methods available are discussed, as are methods in development. ADOLESCENT SEXUAL BEHAVIOR AND USE OF CONTRACEPTIONReported contraceptive use by adolescents has increased in recent years. From 1991 to 2005, the percentage of sexually active high school students who reported using a condom the last time they had sexual intercourse increased from 46.2% to www.pediatrics.org/cgi

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Section: Methods Of Contraceptionmentioning

confidence: 99%

Section: Methods Of Contraceptionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Contraception and Adolescents

2007

Pediatrics

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“…Meanwhile, adolescents are freely left to watch unmoderated TV films, which might be contributing on teenagers' behavior change towards earlier sexual engagement [11,12]. To date, a controversial question still lingers on whether we are teaching what is safe for our Zambian adolescents or not [13]? The bottom line is that casual and unprotected sexual activities among most juveniles begin much earlier than their parents may expect [14].…”

Section: *Correspondencementioning

confidence: 99%

Awareness study on the availability, prevalence and knowledge in use of contraceptives among female adolescent pupils in Ndola, Zambia

Siasikabole¹,

Sichilima²

2017

APJHS

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Adolescents in Zambia face numerous sexual and reproductive health risks, stemming from early and unprotected sexual activities. The engagement in these casual sex practices has contributed to high incidences of abortion, unwanted pregnancies and subsequently, a higher numbers of dropouts from school among female adolescents. Key factors underlying with this problem is the paucity of knowledge on sexual education amongst these age groups, coupled with the taboo cultures surrounding the free accessibility and use of contraceptives. The main objectives of this study were: (a) to determine the availability of contraceptives amongst teenagers in schools, (b) the prevalence and preference in contraception use and (c) the extent of knowledge at which contraceptives were known among pupils. To this effect, a cross-sectional study was carried out at Kanini Secondary school in Ndola, Zambia. Using a questionnaires with standard questions featuring over 12 contraceptive methods, data was collected from a total of 110 pupils, aged 13 to 18 who were randomly selected from grades 10 to 12. A statistical package of SPSS for windows, version 20 was used to enter and analyze data. Categories of variables were compared using the Pearson's Chi-Squared Test and only the significance of p-value < 0.05 were considered. Results on the awareness and prevalence of contraception among teenagers showed that oral contraceptive pills, male and female condoms were highly significant with p-value < 0.000 while injectable and natural contraceptives were only significantly known at p-values 0.010 and 0.002, respectively. Despite the awareness of existing contraceptives however, only 12.7% of respondents had shown interest in using contraception while 87.3% were for the idea of unprotected sex. A further choice of 25 sexually active adolescents from the 110 pupils revealed that the non-use of contraceptives was almost 50 by 50, with 40.0% of pupils found not using contraception each time they had sex. Compounding reasons were that 87.3% of respondents that did not use contraception felt that the practice was weird and bad while only 17.7% of respondents felt that the use of contraception was a good. Worse still, the frequency ratio of unprotected sex was 14:1, between the vulnerable ages of 13 and 15 to 18 year olds. Results of this study represent a general perception among pupils in the urban, peri-urban and rural schools of Ndola district in Zambia.

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“…Method failure occurred when a contraceptive method is ineffective due to a defect on the product itself while user failure is due to incorrect or inconsistent use of the product. 4 There has been controversy on how effective male latex condom is in preventing conception and transmission of STIs. Studies on the effectiveness of male latex condom in preventing conception and transmission of STIs gave a wide range of condoms effectiveness (prevention of conception and transmission of STIs) and failures (condoms breakage and slipping).…”

Section: Introductionmentioning

confidence: 99%