Do young women engage in greater sexual risk behaviour with biological fathers of their children?: Table 1

Decker, Michele R.; Chung, Shang En; Ellen, Jonathan M.; Sherman, Susan G.

doi:10.1136/sextrans-2015-052157

Cited by 2 publications

(3 citation statements)

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“…The PRAMS survey also currently does not routinely collect information on the clinical or self-reported history of STIs, the number of sexual partners during pregnancy or postpartum, relationship characteristics such as partner type, or the frequency or type of sexual encounters, all factors that may influence condom use . Among postpartum teenagers, engagement in unprotected sexual behaviors (ie, no method use, including no condoms) have been found to be higher among those reporting a regular sexual relationship with their infant’s father . The variation in condom use we found among teenage mothers using LARC compared with non-LARC hormonal methods may be confounded by relationship characteristics that were not measured in PRAMS.…”

Section: Discussionmentioning

confidence: 84%

“…40 Among postpartum teenagers, engagement in unprotected sexual behaviors (ie, no method use, including no condoms) have been found to be higher among those reporting a regular sexual relationship with their infant's father. 41,42 The variation in condom use we found among teenage mothers using LARC compared with non-LARC hormonal methods may be confounded by relationship characteristics that were not measured in PRAMS. It is important to note that while we found lower levels of condom use among LARC users, some evidence suggests condom use is already lower at method initiation among those who choose a LARC compared with other methods and remains unchanged after initiation.…”

Section: Limitationsmentioning

confidence: 98%

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Condom Use With Long-Acting Reversible Contraception vs Non–Long-Acting Reversible Contraception Hormonal Methods Among Postpartum Adolescents

et al. 2019

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IMPORTANCE Increased use of long-acting reversible contraception (LARC; intrauterine devices [IUDs] and implants) has likely contributed to declining US teenage pregnancy and birth rates, yet sexually transmitted infection (STI) rates among teenagers remain high. While LARC methods are highly effective for pregnancy prevention, they, as with all nonbarrier methods, do not protect against STIs, including HIV. Studies of the general adolescent population suggest condom use is lower among LARC vs non-LARC hormonal methods users (birth control pill, contraceptive patch, vaginal ring, or injection). Despite the high use of LARC among postpartum teenagers, no studies have examined whether condom use differs by contraceptive method in this population.OBJECTIVE To compare condom use among sexually active postpartum teenagers using LARC vs those using non-LARC hormonal methods. DESIGN, SETTING, AND PARTICIPANTSCross-sectional analysis using 2012 to 2015 data from the Pregnancy Risk Assessment Monitoring System (PRAMS), a multisite and population-based surveillance system that collects data on maternal attitudes, behaviors, and experiences before, during, and shortly after pregnancy. We used data from 37 sites. Using multivariable survey-weighted logistic regression, we assessed the association of condom use by contraceptive methods. Participants were teenage mothers (Յ19 years) with a recent live birth reporting LARC or non-LARC hormonal method use. Data were analyzed between March 2018 and April 2018. MAIN OUTCOMES AND MEASURES Condom use with LARC vs condom use with non-LARC hormonal methods.RESULTS Among the 5480 (weighted N = 245 847) postpartum teenage mothers in our sample, most were aged 18 to 19 years, unmarried, had current Medicaid coverage, were first-time mothers, had reported their pregnancy was unintended, and almost half were non-Hispanic white. Overall, condom use was reported by 28.8% of these teenagers. Users of LARC compared with non-LARC hormonal methods were half as likely to use condoms (17.8% vs 35.6%; adjusted prevalence ratio [aPR], 0.50; 95% CI, 0.41-0.60). Users of IUDs (15.1%) were less likely to report condom use than those using an implant (21.5%; aPR, 0.70; 95% CI, 0.51-0.98), patch, ring, or injection users (24.9%; aPR, 0.61; 95% CI, 0.47-0.79), and pill users (47.2%; aPR, 0.32; 95% CI, 0.25-0.40).CONCLUSIONS AND RELEVANCE Self-reported condom use was low overall among postpartum teenage mothers and lower among users of LARC vs non-LARC hormonal methods. Given the high rates of STIs among teenage mothers combined with higher use of LARC among postpartum teenaged mothers, interventions to promote condom use for STI/HIV prevention during the postpartum period are critically important.

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Section: Discussionmentioning

confidence: 84%

Section: Limitationsmentioning

confidence: 98%

Condom Use With Long-Acting Reversible Contraception vs Non–Long-Acting Reversible Contraception Hormonal Methods Among Postpartum Adolescents

et al. 2019

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“…You can listen to a discussion of the paper by Katy Turner and Vincent Cornelisse on our podcast page at sti.bmj.com. A complex dynamic between STI risk and reproductive history is reported by Decker et al 2 in an interesting paper which explores young women's sexual behaviour with biological fathers of their child, by contrast with other partnerships. They identify higher risk for unprotected intercourse with biological fathers, a finding which may have relevance for sexual health providers.…”

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confidence: 94%

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Cassell¹

2016

Sex Transm Infect

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Do young women engage in greater sexual risk behaviour with biological fathers of their children?: Table 1

Abstract: While few differences in BFR partner characteristics emerged, significantly greater risk for unprotected intercourse was identified within BFR relationships. Findings suggest that the relationship context of a shared child heightens sexual risk for the young women most affected by STI.

Cited by 2 publications

References 6 publications

Condom Use With Long-Acting Reversible Contraception vs Non–Long-Acting Reversible Contraception Hormonal Methods Among Postpartum Adolescents

Condom Use With Long-Acting Reversible Contraception vs Non–Long-Acting Reversible Contraception Hormonal Methods Among Postpartum Adolescents

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