Racial and Ethnic Differences in the Relationship Between <scp>Risk‐Taking</scp> and the Effectiveness of Adolescents’ Contraceptive Use

Caudillo, Mónica L.; Hickman, Shelby; Simpson, Sally S.

doi:10.1363/psrh.12165

Cited by 4 publications

(2 citation statements)

References 55 publications

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“…Compared with White teens, Hispanic teens use less contraception and methods used are less effective [1,2]. Further, Hispanic teens are less likely to have used contraception at last intercourse (24% and 12%, respectively) and to have used a prescription (more effective) method of contraception (38% for White and 18% for Hispanic teens) [3].…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers to contraception access and use for Hispanic American adolescent women: An integrative literature review

Batek,

Leblanc,

Alio

et al. 2024

Preprint

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Statement of the Problem Hispanic American adolescents experience high rates of pregnancy with profound consequences. Compared with White teens, Hispanic teens use contraception less frequently and often choose less effective forms of contraception. Access to contraception is a primary barrier to use which contributes to relatively high and disparate rates of pregnancy in Hispanic teens. This integrative review identifies facilitators and barriers of contraception access and use for Hispanic women, 13-17 years of age, living in the U.S. Methodology Following the Whittemore and Knafl (2005) methodology and PRISMA guidelines, peer reviewed studies were retrieved from PUBMED, CINAHL and EMBASE. The Mixed Methods Appraisal Tool was used to assess the study quality and thematic analysis was used to categorize barriers and facilitators. Findings Of 131 studies retrieved, 16 met inclusion criteria. Individual, interpersonal and healthcare provider factors were identified as primary categories of barriers and facilitators with contextual issues comprising an additional barrier category. Individual level barriers were disproportionately represented and further categorized into themes: beliefs/misconceptions, dislike of contraception, pregnancy risk perception, lack of knowledge, and lack of control. The most frequently reported facilitators were perceived parent comfort discussing sexual health and past experience of pregnancy. Discussion Limitations in this review may stem from heterogeneity in the acculturation and geography of participants and analysis by a single reviewer. Implications include considering the range of information sources and the influence they have on risk perception and risk mitigation for this population. Conclusion & Significance Adolescents describe many modifiable influences on contraception access and use. Misperceptions related to contraception, stemming from beliefs and perceptions, can be corrected through increased access to reliable sources of sex education, parental support, and direct access to nurses and healthcare providers. Awareness of these influences can inform further research and intervention development to address these health disparities.

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Section: Introductionmentioning

confidence: 99%

Facilitators and barriers to contraception access and use for Hispanic American adolescent women: An integrative literature review

Batek,

Leblanc,

Alio

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Compared with White teens, Hispanic teens use less contraception with 24% of white teens and 12% of Hispanic teens reporting to have used contraception at last intercourse [ 1 , 2 ]. When they do use contraception, the methods they use are less effective with 38% of white teens compared with 18% of Hispanic teens using prescription forms of contraception[ 3 ]. Hispanic teens have described significant barriers to accessing effective contraception, which contributes to relatively high rates of teen pregnancy [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers to contraception access and use for Hispanic American adolescent women: An integrative literature review

Batek,

Leblanc,

Alio

et al. 2024

PLOS Glob Public Health

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Statement of the problem Hispanic American adolescents experience high rates of pregnancy with profound consequences. Compared with White teens, Hispanic teens use contraception less frequently and often choose less effective forms of contraception. Access to contraception is a primary barrier to use which contributes to relatively high and disparate rates of pregnancy in Hispanic teens. This integrative review identifies facilitators and barriers of contraception access and use for Hispanic women, 13–17 years of age, living in the U.S. Methodology Following the Whittemore and Knafl (2005) methodology and PRISMA guidelines, peer reviewed studies were retrieved from PUBMED, CINAHL and EMBASE. The Mixed Methods Appraisal Tool was used to assess the study quality and thematic analysis was used to categorize barriers and facilitators. Findings Of 131 studies retrieved, 16 met inclusion criteria. Individual, interpersonal and healthcare provider factors were identified as primary categories of barriers and facilitators with structural issues comprising an additional barrier category. Individual level barriers were disproportionately represented and further categorized into themes: beliefs/misconceptions, dislike of contraception, pregnancy risk perception, lack of knowledge, and lack of control. Barriers related to cultural and religious influences were identified in individual, interpersonal and structural levels. The most frequently reported facilitators were perceived parent comfort discussing sexual health and past experience of pregnancy. Discussion Limitations in this review may stem from heterogeneity in the acculturation and geography of participants and analysis by a single reviewer. Implications include considering the range of information sources and the influence they have on risk perception and risk mitigation for this population. Conclusion & significance Adolescents describe many modifiable influences on contraception access and use. Misperceptions related to contraception, stemming from beliefs and perceptions, can be corrected through increased access to reliable sources of sex education, parental support, and direct access to nurses and healthcare providers. Awareness of these influences can inform further research and intervention development to address these health disparities.

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Comparison of Contraception Method and Associated Risk Among US High School Students

Dunn

2023

Psychol Rep

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Adolescent unintentional pregnancy and sexual transmitted infections (STIs) are at an alarming rating in the United States. The factors that contribute to high rates of unintentional pregnancy and STIs among adolescents are lack of contraception use and other risk behaviors. As such, this study sought to assess the relationship between type of contraception used during last sexual intercourse and risk behaviors among high school adolescents. Data for this study were derived from the 2019 Youth Risk Behavior Study (YRBS). A total of 13,677 participants completed the YRBS in 2019. Multiple logistic regression was used to estimate the association between contraceptive type (i.e., condom, oral birth control, withdrawal, no method) and risk behavior. Results found that those students who reported condom use were less likely to engage in certain substance use behaviors and sexual risk taking compared to those who used no contraceptive method, oral birth control, or withdrawal. The results seem to suggest that condom use and risk-taking behaviors are somewhat interconnected in that condom users were found to be more protective in their behaviors.

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Racial and Ethnic Differences in the Relationship Between Risk‐Taking and the Effectiveness of Adolescents’ Contraceptive Use

Abstract: Little is known about whether adolescents' risk-taking in areas other than sex is associated with the eff ectiveness of their contraceptive method use, or whether any such associations vary by race and ethnicity.

Cited by 4 publications

References 55 publications

Facilitators and barriers to contraception access and use for Hispanic American adolescent women: An integrative literature review

Facilitators and barriers to contraception access and use for Hispanic American adolescent women: An integrative literature review

Facilitators and barriers to contraception access and use for Hispanic American adolescent women: An integrative literature review

Comparison of Contraception Method and Associated Risk Among US High School Students

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