Correlates of using dual methods for sexually transmitted diseases and pregnancy prevention among high-risk African-American female teens

被引:43
|
作者
Crosby, RA
DiClemente, RJ
Wingood, GM
Sionean, C
Cobb, BK
Harrington, K
Davies, SL
Hook, EW
Oh, MK
机构
[1] Rollins Sch Publ Hlth, Dept Behav Sci & Hlth Educ, Atlanta, GA 30322 USA
[2] Emory Univ, Sch Med, Dept Pediat, Atlanta, GA USA
[3] Emory Univ, Sch Med, Dept Med, Atlanta, GA USA
[4] Emory Atlanta Ctr AIDS Res, Atlanta, GA USA
[5] Emory Univ, Nell Hodgson Woodruff Sch Nursing, Atlanta, GA 30322 USA
[6] Univ Alabama Birmingham, Sch Publ Hlth, Dept Hlth Behav, Birmingham, AL 35294 USA
[7] Univ Alabama Birmingham, Sch Med, Dept Med, Div Infect Dis, Birmingham, AL USA
[8] Univ Alabama Birmingham, Sch Med, Dept Pediat, Birmingham, AL USA
关键词
African-American adolescents; dual-method use; female; pregnancy; sexual behaviors; sexually transmitted diseases;
D O I
10.1016/S1054-139X(00)00210-X
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Purpose: To identify correlates of consistent dual-method use among African-American female adolescents at risk of sexually transmitted diseases (STDs) and pregnancy. Methods: A convenience sample of 522 sexually active female teens attending adolescent medicine clinics, health department clinics, and school health classes volunteered. Recruitment sites were in low-income neighborhoods of Birmingham, Alabama. Adolescents completed a questionnaire and a face-to-face interview and provided vaginal swab specimens for laboratory diagnosis of STDs. Those reporting use of condoms and at least one other method of contraception, for each of the last five occasions they had sex were classified as consistent dual-method users. The questionnaire assessed frequency of adolescents' communication with their parents and partners about sex. The questionnaire also assessed two measures of parental supervision and adolescents' desire to avoid pregnancy. Multiple logistic regression assessed the independent contribution of each correlate of consistent dual-method use. Results: Seventy-one adolescents (13.6%) were classified as consistent dual-method users. A strong desire to avoid pregnancy was the most influential correlate of consistent dual-method use [odds ratio (OR) = 2.3]. Adolescents reporting that their parents generally knew whom they were with (OR = 2.0) and those reporting more frequent communication with parents (OR = 1.9) were also more likely to be consistent dual users. Conclusions: The findings suggest the need for research to examine the efficacy of interventions building on adolescent females' desire to avoid pregnancy. Study findings also suggest that interventions promoting improved parent-adolescent communication and improved parental supervision may contribute to adolescents' use of dual methods for STD and pregnancy prevention. (C) Society for Adolescent Medicine, 2001.
引用
收藏
页码:410 / 414
页数:5
相关论文
共 50 条
  • [1] Correlates of unplanned and unwanted pregnancy among African-American female teens
    Crosby, RA
    DiClemente, RJ
    Wingood, GM
    Rose, E
    Lang, D
    [J]. AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2003, 25 (03) : 255 - 258
  • [2] Pregnancy among urban African-American teens: Ambivalence about prevention
    Crump, AD
    Haynie, DL
    Aarons, SJ
    Adair, E
    Woodward, K
    Simons-Morton, BG
    [J]. AMERICAN JOURNAL OF HEALTH BEHAVIOR, 1999, 23 (01): : 32 - 42
  • [3] Prevalence, Correlates, and Sexually Transmitted Infection Risk Related to Coitus Interruptus Among African-American Adolescents
    Sznitman, Sharon R.
    Romer, Daniel
    Brown, Larry K.
    DiClemente, Ralph J.
    Valois, Robert F.
    Vanable, Peter A.
    Carey, Michael P.
    Stanton, Bonita
    [J]. SEXUALLY TRANSMITTED DISEASES, 2009, 36 (04) : 218 - 220
  • [4] Correlates of Sexually Transmitted Infection Prevention Knowledge Among African American Girls
    Voisin, Dexter R.
    Tan, Kevin
    Salazar, Laura F.
    Crosby, Richard
    DiClemente, Ralph J.
    [J]. JOURNAL OF ADOLESCENT HEALTH, 2012, 51 (02) : 197 - 199
  • [5] Sexually transmitted diseases, human immunodeficiency virus, and pregnancy prevention - Combined contraceptive practices among urban African-American early adolescents
    Stanton, BF
    Li, X
    Galbraith, J
    Feigelman, S
    Kaljee, L
    [J]. ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE, 1996, 150 (01): : 17 - 24
  • [6] Can self-reported behavioral factors predict incident sexually transmitted diseases in high-risk African-American men?
    Slavinsky, J
    Rosenberg, DM
    DiCarlo, RP
    Kissinger, P
    [J]. JOURNAL OF THE NATIONAL MEDICAL ASSOCIATION, 2000, 92 (07) : 354 - 360
  • [7] Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women
    Kottke, Melissa
    Whiteman, Maura K.
    Kraft, Joan Marie
    Goedken, Peggy
    Wiener, Jeffrey
    Kourtis, Athena P.
    DiClemente, Ralph
    [J]. JOURNAL OF PEDIATRIC AND ADOLESCENT GYNECOLOGY, 2015, 28 (06) : 543 - 548
  • [8] A longitudinal examination of sexually transmitted infection/HIV prevention knowledge and sexually transmitted infections among African-American adolescent females
    Voisin, Dexter R.
    Tan, Kevin
    DiClemente, Ralph J.
    [J]. JOURNAL OF HEALTH PSYCHOLOGY, 2013, 18 (12) : 1582 - 1587
  • [9] High postpartum rates of sexually transmitted infections among teens: pregnancy as a window of opportunity for prevention
    Ickovics, JR
    Niccolai, LM
    Lewis, JB
    Kershaw, TS
    Ethier, KA
    [J]. SEXUALLY TRANSMITTED INFECTIONS, 2003, 79 (06) : 469 - 473
  • [10] Biologically confirmed sexually transmitted infection and depressive symptomatology among African-American female adolescents
    Salazar, LF
    DiClemente, RJ
    Wingood, GM
    Crosby, RA
    Lang, DL
    Harrington, K
    [J]. SEXUALLY TRANSMITTED INFECTIONS, 2006, 82 (01) : 55 - 60