Determinants of multimethod contraceptive use in a sample of adolescent women diagnosed with psychological disorders

Delia L Lang, Jessica M Sales, Laura F Salazar, Ralph J DiClemente, Richard A Crosby, Larry K Brown, Geri R Donenberg, Delia L Lang, Jessica M Sales, Laura F Salazar, Ralph J DiClemente, Richard A Crosby, Larry K Brown, Geri R Donenberg

Abstract

Objective: Despite recommendations for concurrent use of contraceptives and condoms to prevent unintended pregnancy and STIs, multimethod contraceptive use among women is poor. This study examined individual-, interpersonal-, and environmental-level factors that predict multimethod use among sexually active adolescent women diagnosed with psychological disorders.

Methods: This multisite study analyzed data from 288 sexually active adolescent women who provided sociodemographic, psychosocial, and behavioral data related to birth control and condom use.

Results: 34.7% of the participants reported multimethod use in the past three months. Controlling for empirically and theoretically relevant covariates, a multivariable logistic regression identified self-efficacy, multiple partners, pregnancy history, parental communication, parental norms about sex, and neighborhood cohesion as significant predictors of multimethod use.

Conclusions: While continued targeted messages about multi-method contraceptive use are imperative at the individual level, an uptake in messages targeting interpersonal- and environmental-level factors such as adolescents' parents and the broader community is urgently needed.

References

    1. Centers for Disease Control and Prevention. Atlanta, Ga, USA: US Department of Health and Human Services; 2003. HIV/AIDS surveillance report, 2002: year end edition. Tech. Rep.
    1. Crosby R, Leichliter JS, Brackbill R. Longitudinal prediction of sexually transmitted diseases among adolescents: results from a national survey. American Journal of Preventive Medicine. 2000;18(4):312–317.
    1. Finer LB, Henshaw SK. Disparities in rates of unintended pregnancy in the United States, 1994 and 2001. Perspectives on Sexual and Reproductive Health. 2006;38(2):90–96.
    1. Pazol K, Warner L, Gavin L, et al. Centers for Disease Control and Prevention. Vital signs: teen pregnancy, United States, 2001–2090. Morbidity and Mortality Weekly Report. 2011;60(13):414–420.
    1. Booth RE, Zhang Y. Conduct disorder and HIV risk behaviors among runaway and homeless adolescents. Drug and Alcohol Dependence. 1997;48(2):69–76.
    1. Ramrakha S, Caspi A, Dickson N, Moffitt TE, Paul C. Psychiatric disorders and risky sexual behaviour in young adulthood: cross sectional study in birth cohort. British Medical Journal. 2000;321(7256):263–266.
    1. Whitmore EA, Mikulich SK, Ehlers KM, Crowley TJ. One-year outcome of adolescent females referred for conduct disorder and substance abuse/dependence. Drug and Alcohol Dependence. 2000;59(2):131–141.
    1. Shrier LA, Harris SK, Sternberg M, Beardslee WR. Associations of depression, self-esteem, and substance use with sexual risk among adolescents. Preventive Medicine. 2001;33(3):179–189.
    1. Smith MD. HIV risk in adolescents with severe mental illness: literature review. Journal of Adolescent Health. 2001;29(5):320–329.
    1. Auslander WF, Curtis McMillen J, Elze D, Thompson R, Jonson-Reid M, Stiffman A. Mental health problems and sexual abuse among adolescents in foster care: relationship to HIV risk behaviors and intentions. AIDS and Behavior. 2002;6(4):351–359.
    1. Tubman JG, Gil AG, Wagner EF, Artigues H. Patterns of sexual risk behaviors and psychiatric disorders in a community sample of young adults. Journal of Behavioral Medicine. 2003;26(5):473–500.
    1. DiClemente RJ, Ponton LE. HIV-related risk behaviors among psychiatrically hospitalized adolescents and school-based adolescents. American Journal of Psychiatry. 1993;150(2):324–325.
    1. Brown LK, Danovsky MB, Lourie KJ, DiClemente RJ, Ponton LE. Adolescents with psychiatric disorders and the risk of HIV. Journal of the American Academy of Child and Adolescent Psychiatry. 1997;36(11):1609–1617.
    1. Donenberg GR, Emerson E, Bryant FB, Wilson H, Weber-Shifrin E. Understanding AIDS-risk behavior among adolescents in psychiatric care: links to psychopathology and peer relationships. Journal of the American Academy of Child and Adolescent Psychiatry. 2001;40(6):642–653.
    1. Donenberg GR, Pao M. Understanding HIV/AIDS: psychosocial and psychiatric issues in youths. Contemporary Psychiatric. 2003;2:1–8.
    1. Wilson HW, Donenberg G. Quality of parent communication about sex and its relationship to risky sexual behavior among youth in psychiatric care: a pilot study. Journal of Child Psychology and Psychiatry and Allied Disciplines. 2004;45(2):387–395.
    1. Donenberg GR, Pao M. Youths and HIV/AIDS: Psychiatry’s role in a changing epidemic. Journal of the American Academy of Child and Adolescent Psychiatry. 2005;44(8):728–747.
    1. Kaplan DW, Feinstein RA, Fisher MM, et al. Condom use by adolescents: committee on adolescence. Pediatrics. 2001;107(6):1463–1469.
    1. Workowski KA, Berman SM. Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines 2006: clinical prevention guidance. Morbidity and Mortality Weekly Report. 2006;55(RR-11):5–6.
    1. Faculty of Family Planning and Reproductive Health Care Clinical Effectiveness Unit. FFPRHC guidance (October 2004) contraceptive choices for young people. Journal of Family Planning and Reproductive Health Care. 2004;30(4):237–251.
    1. Santelli JS, Warren CW, Lowry R, et al. The use of condoms with other contraceptive methods among young men and women. Family Planning Perspectives. 1997;29(6):261–267.
    1. Piccinino LJ, Mosher WD. Trends in contraceptive use in the United States: 1982–1995. Family Planning Perspectives. 1998;30(1):4–46.
    1. Crosby RA, DiClemente RJ, Wingood GM, et al. Correlates of using dual methods for sexually transmitted diseases and pregnancy prevention among high-risk african-american female teens. Journal of Adolescent Health. 2001;28(5):410–414.
    1. Sales JM, Latham TP, DiClemente RJ, Rose E. Differences between dual-method and non-dual-method protection use in a sample of young African American women residing in the Southeastern United States. Archives of Pediatrics and Adolescent Medicine. 2010;164(12):1125–1131.
    1. Grimley DM, Prochaska JO, Velicer WF, Prochaska GE. Contraceptive and condom use adoption and maintenance: a stage paradigm approach. Health Education Quarterly. 1995;22(1):20–35.
    1. Dutra R, Miller KS, Forehand R. The process and content of sexual communication with adolescents in two- parent families: associations with sexual risk-taking behavior. AIDS and Behavior. 1999;3(1):59–66.
    1. Miller KS, Forehand R, Kotchick BA. Adolescent sexual behavior in two ethnic minority samples: the role of family variables. Journal of Marriage and Family. 1999;61(1):85–98.
    1. Baker SA, Thalberg SP, Morrison DM. Parents’ behavioral norms as predictors of adolescent sexual activity and contraceptive use. Adolescence. 1988;23(90):265–286.
    1. Sheidow AJ, Gorman-Smith D, Tolan PH, Henry DB. Family and community characteristics: risk factors for violence exposure in inner-city youth. Journal of Community Psychology. 2001;29(3):345–360.
    1. Tolan PH, Gorman-Smith D, Henry DB. Families and Communities Research Group. Chicago, Ill, USA: University of Illinois; 2001. Chicago youth development study community and neighborhood measure: construction and reliability technical report.
    1. Hosmer DW, Lemeshow SL. Applied Logistic Regression. New York, NY, USA: John Wiley and Sons; 2000.
    1. Crittenden CP, Boris NW, Rice JC, Taylor CA, Olds DL. The role of mental health factors, behavioral factors, and past experiences in the prediction of rapid repeat pregnancy in adolescence. Journal of Adolescent Health. 2009;44(1):25–32.
    1. Hardy JB, Astone NM, Brooks-Gunn J, Shapiro S, Miller TL. Like mother, like child: intergenerational patterns of age at first birth and associations with childhood and adolescent characteristics and adult outcomes in the second generation. Developmental Psychology. 1998;34(6):1220–1232.
    1. Woodward L, Fergusson DM, Horwood LJ. Risk factors and life processes associated with teenage pregnancy: results of a prospective study from birth to 20 years. Journal of Marriage and Family. 2001;63(4):1170–1184.
    1. Scaramella LV, Conger RD, Simons RL, Whitbeck LB. Predicting risk for pregnancy by late adolescence: a social contextual perspective. Developmental Psychology. 1998;34(6):1233–1245.
    1. Woodward LJ, Fergusson DM. Early conduct problems and later risk of teenage pregnancy in girls. Development and Psychopathology. 1999;11(1):127–141.
    1. Fergusson DM, Woodward LJ. Teenage pregnancy and female educational underachievement. Journal of Marriage and Family. 2000;62(1):147–161.
    1. Sampson RJ, Lauritsen JL. Violent victimization and offending: individual-, situational-, and community-level risk factors. In: Reiss AJ, Roth JA, editors. Understanding and Preventing Violence. Vol. 3. Washington, DC, USA: National Academy Press; 1994. (Social Influences).
    1. Friedman SR, Flom PL, Kottiri BJ, et al. Consistent condom use in the heterosexual relationships of young adults who live in a high-HIV-risk neighbourhood and do not use hard drugs. AIDS Care. 2001;13(3):285–296.
    1. Kotchick BA, Shaffer A, Forehand R, Miller KS. Adolescent sexual risk behavior: a multi-system perspective. Clinical Psychology Review. 2001;21(4):493–519.
    1. Misovich SJ, Fisher JD, Fisher WA. Close relationships and elevated HIV risk behavior: evidence and possible underlying psychological processes. Review of General Psychology. 1997;1(1):72–107.
    1. Norris AE, Ford K. Sexual experiences and condom use of heterosexual, low-income African American and Hispanic youth practicing relative monogamy, serial monogamy, and nonmonogamy. Sexually Transmitted Diseases. 1999;26(1):17–25.
    1. Fortenberry JD, Tu W, Harezlak J, Katz BP, Orr DP. Condom use as a function of time in new and established adolescent sexual relationships. American Journal of Public Health. 2002;92(2):211–213.
    1. Ryan S, Franzetta K, Manlove J. Knowledge, perceptions, and motivations for contraception: influence on teens’ contraceptive consistency. Youth and Society. 2007;39(2):182–208.
    1. Crosby R, DiClemente RJ, Wingood GM, et al. Correct condom application among African-American adolescent females: the relationship to perceived self-efficacy and the association to confirmed STDs. Journal of Adolescent Health. 2001;29(3):194–199.
    1. DiClemente RJ. Psychosocial determinants of condom use among adolescents. In: DiClemente RJ, editor. Adolescents and Aids: A Generation in Jeopardy. Newbury Park, Calif, USA: Sage Publications; 1992. pp. 34–51.
    1. Longmore MA, Manning WD, Giordano PC, Rudolph JL. Contraceptive self-efficacy: does it influence adolescents’ contraceptive use? Journal of Health and Social Behavior. 2003;44(1):45–60.
    1. Whitaker DJ, Miller KS, May DC, Levin ML. Teenage partners’ communication about sexual risk and condom use: the importance of parent-teenager discussions. Family Planning Perspectives. 1999;31(3):117–121.
    1. Miller KS, Levin ML, Whitaker DJ, Xu X. Patterns of condom use among adolescents: the impact of mother- adolescent communication. American Journal of Public Health. 1998;88(10):1542–1544.
    1. Whitaker DJ, Miller KS. Parent-adolescent discussions about sex and condoms: impact on peer influences of sexual risk behavior. Journal of Adolescent Research. 2000;15(2):251–273.
    1. Kerrigan D, Witt S, Glass B, Chung SE, Ellen J. Perceived neighborhood social cohesion and condom use among adolescents vulnerable to HIV/STI. AIDS and Behavior. 2006;10(6):723–729.
    1. Latkin CA, Curry AD, Hua W, Davey MA. Direct and indirect associations of neighborhood disorder with drug use and high-risk sexual partners. American Journal of Preventive Medicine. 2007;32(6S):S234–S241.
    1. Latkin CA, Williams CT, Wang J, Curry AD. Neighborhood social disorder as a determinant of drug injection behaviors: a structural equation modeling approach. Health Psychology. 2005;24(1):96–100.

Source: PubMed

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