Dual Use of Condoms With Other Contraceptive Methods Among Adolescents and Young Women in the United States

Tyler, Carl W.; Whiteman, Maura K.; Kraft, Joan Marie; Zapata, Lauren B.; Hillis, Susan D.; Curtis, Kathryn M.; Anderson, John E.; Pazol, Karen; Marchbanks, Polly A.

doi:10.1016/j.jadohealth.2013.07.042

Cited by 32 publications

(32 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The aim of the present study was to examine the pattern of method use among women in steady relationships. The study revealed that small proportion of women were currently protected against unintended pregnancy and sexually transmitted infection which is consistent with earlier reports in South Africa, Kenya and United States 10,28,29,30 . Higher proportion of nonbarrier contraceptive use relative to the overall dual method use suggests that women were more concerned about preventing unplanned pregnancies than sexually transmitted infections.…”

Section: Discussionsupporting

confidence: 90%

Dual Protection and Contraceptive Method Use among Women in Heterosexual Relationships in Mahikeng, South Africa

Osuafor

Maputle

2017

Afr J Reprod Health

View full text Add to dashboard Cite

South African new reproductive health policies have given weight to dual protection as a public health intervention against unintended pregnancies and sexually transmitted infections. However, studies of dual protection have remained scanty and under researched in South Africa. This situation has left the reproductive health policy makers clueless about salient strategies to promote dual contraceptive method use. A survey of 568 women in steady relationships aged 15-49 was conducted in Mahikeng Municipality. Using multivariate logistic regression independent predictors of contraceptive method use were examined and presented as odds ratio and 95% confidence intervals. Sixteen percent of the women were currently protecting against both unintended pregnancies and infectious diseases while 40% were protecting against unintended pregnancies only. Age, occupation, ever discussed condom use with partner; home language and religion were the independent predictors of dual method use. Non-barrier method use was associated with age, home language, religion, and duration of union. The study concludes that educative and enlightening programs that emphasize women's employment and communication about condom use may be specifically helpful in promoting dual method use. (Afr J Reprod Health 2017; 21[1]:64-72).Keywords: Dual protection, contraception, women, Mafikeng, condom, non-barrier method, sexually transmitted infections RésuméLes nouvelles politiques de santé de la reproduction en Afrique du Sud ont porté l'accent sur la double protection en tant qu'intervention de santé publique contre les grossesses non désirées et les infections sexuellement transmissibles. Toutefois, les études sur la double protection sont restées insuffisantes et ont fait l'objet de recherches en Afrique du Sud. Cette situation a laissé les décideurs en matière de santé reproductive ignorants de la stratégie saillante pour promouvoir l'utilisation de la double méthode contraceptive. Une enquête auprès de 568 femmes dans des relations régulières, âgées de 15 à 49 ans, a été menée dans la municipalité de Mahikeng. À l'aide de la régression logistique multivariée, des indices indépendants de l'utilisation de méthodes contraceptives ont été examinés et présentés comme rapport de cote et 95% d'intervalle de confiance. Seize pour cent des femmes protégeaient actuellement contre les grossesses non désirées et les maladies infectieuses, tandis que 40% protégeaient contre les grossesses non désirées. L'âge, l'occupation, si l'on a jamais discuté l'utilisation du préservatif avec un partenaire; langue parlée dans le foyer et la religion, étaient les indices indépendants de l'utilisation de deux méthodes. L'utilisation de la méthode non-barrière était associée à l'âge, à la langue parlée au foyer, à la religion et à la durée de l'union. L'étude conclut que les programmes éducatifs et éclairés qui mettent l'accent sur l'emploi et la communication des femmes sur l'utilisation du préservatif peuvent être particulièrement utiles pour promouvoir l'utilisatio...

show abstract

Section: Discussionsupporting

confidence: 90%

Dual Protection and Contraceptive Method Use among Women in Heterosexual Relationships in Mahikeng, South Africa

Osuafor

Maputle

2017

Afr J Reprod Health

View full text Add to dashboard Cite

show abstract

“…Different levels of risk may exist within wider age groups, affecting the risk of the overall age group. When examining younger populations, previous research has chosen smaller age groupings such as 15 – 19 and 20 – 24 (Liddon, Leichliter, & Markowitz, 2012; Tyler et al, 2014). We attempted to use 5-year age groups, but small cell size issues forced us to create the larger age groups.…”

Section: Discussionmentioning

confidence: 99%

Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006–2010

Lutfi¹,

Trepka²,

Fennie³

et al. 2015

Social Science & Medicine

View full text Add to dashboard Cite

Sexually transmitted infections (STIs) including human immunodeficiency virus (HIV) have disproportionately affected the non-Hispanic black population in the United States. A person’s community can affect his or her STI risk by the community’s underlying prevalence of STIs, sexual networks, and social influences on individual behaviors. Racial residential segregation—the separation of racial groups in a residential context across physical environments—is a community factor that has been associated with negative health outcomes. The objective of this study was to examine if non-Hispanic blacks living in highly segregated areas were more likely to have risky sexual behavior. Demographic and sexual risk behavior data from non-Hispanic blacks aged 15 – 44 years participating in the National Survey of Family Growth were linked to Core-Based Statistical Area segregation data from the U.S. Census Bureau. Five dimensions measured racial residential segregation, each covering a different concept of spatial variation. Multilevel logistic regressions were performed to test the effect of each dimension on sexual risk behavior controlling for demographics and community poverty. Of the 3,643 participants, 588 (14.5%) reported risky sexual behavior as defined as two or more partners in the last 12 months and no consistent condom use. Multilevel analysis results show that racial residential segregation was associated with risky sexual behavior with the association being stronger for the centralization [aOR (95% CI)][2.07 (2.05 – 2.08)] and concentration [2.05 (2.03 – 2.07)] dimensions. This suggests risky sexual behavior is more strongly associated with neighborhoods with high concentrations of non-Hispanic blacks and an accumulation of non-Hispanic blacks in an urban core. Findings suggest racial residential segregation is associated with risky sexual behavior in non-Hispanic blacks 15 – 44 years of age with magnitudes varying by dimension. Incorporating additional contextual factors may lead to the development of interventions that promote healthier behaviors and lower rates of HIV and other STIs.

show abstract

“…Clinicians have long recommended dual protection with an effective contraceptive method along with condom use. Poor adherence to these recommendations poses a challenge to reliable prevention of both STIs and pregnancy (5–7, 10, 11). Several studies have suggested that rates of dualmethod use among LARC users is lower than among users of other short acting reversible methods (10, 12–15).…”

Section: Introductionmentioning

confidence: 99%

“…Available literature indicates that across women of all reproductive ages, there is low adherence to dual-method use (6, 10). Studies evaluating factors associated with higher rates of dual-method compliance have shown age (5), race, and number of sexual partners (15), but not necessarily contraceptive method to be associated (16) with dual use. Most studies, however, have not specifically compared LARC to non-LARC users.…”

Section: Introductionmentioning

confidence: 99%

“…Varying risk perception (5, 15), partner discordance in condom preference (15), intermittent or partner specific condom use (5, 6, 13), and potential social desirability and recall bias (2, 10, 12) make accurate assessment of condom use difficult. Additionally, few studies specifically evaluate the correlation between reported changes in condom use and acquisition of STIs.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Condom use and incident sexually transmitted infection after initiation of long-acting reversible contraception

McNicholas

Klugman

Zhao

et al. 2017

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

Background: Use of more effective contraception may lead to less condom use and increased incidence of sexually transmitted infection. Objective: The objective of this study was to compare changes in condom use and incidence of sexually transmitted infection acquisition among new initiators of long-acting reversible contraceptives to those initiating non-long acting reversible contraceptive methods. Study Design: This is a secondary analysis of the Contraceptive CHOICE Project. We included two sample populations of 12-month continuous contraceptive users. The first included users with complete condom data (baseline, 3, 6, and 12 months) (long-acting reversible contraceptive users: n=2371; other methods: n=575). The second included users with 12-month sexually transmitted infection data (long-acting reversible contraceptive users: n=2102; other methods: n=592). Self-reported condom use was assessed at baseline and at 3, 6, and 12 months following enrollment. Changes in condom use and incident sexually transmitted infection rates were compared using chi-square tests. Risk factors for sexually transmitted infection acquisition were identified using multivariable logistic regression. Results: Few participants in either group reported consistent condom use across all survey time points and with all partners (long-acting reversible contraceptive users: 5.2%; other methods: 11.3%, P<0.001). There was no difference in change of condom use at 3, 6 and 12 months compared to baseline condom use regardless of method type (p=0.65). A total of 94 incident sexually transmitted infections were documented, with long-acting reversible contraceptive users accounting for a higher proportion (3.9% vs. 2.0%; P=0.03). Initiation of a long-acting reversible contraceptive method was associated with increased sexually transmitted infection incidence (OR 2.0, 95% CI: 1.07, 3.72). Conclusions: Long-acting reversible contraceptive initiators reported lower rates of consistent condom use, but did not demonstrate a change in condom use when compared to pre-initiation behaviors. Long-acting reversible contraceptive users were more likely to acquire a sexually transmitted infection in the 12 months following initiation.

show abstract

Dual Use of Condoms With Other Contraceptive Methods Among Adolescents and Young Women in the United States

Cited by 32 publications

References 28 publications

Dual Protection and Contraceptive Method Use among Women in Heterosexual Relationships in Mahikeng, South Africa

Dual Protection and Contraceptive Method Use among Women in Heterosexual Relationships in Mahikeng, South Africa

Racial residential segregation and risky sexual behavior among non-Hispanic blacks, 2006–2010

Condom use and incident sexually transmitted infection after initiation of long-acting reversible contraception

Contact Info

Product

Resources

About