Original articleTrends in adolescent contraceptive use, unprotected and poorly protected sex, 1991–2003
Section snippets
Methods
The YRBS was conducted in 1991, 1993, 1995, 1997, 1999, 2001, and 2003. Each YRBS survey was designed as an independent sample of 9th- through 12th-grade students representative of all students in the United States; samples of 10,904–16,262 were collected for the seven surveys, with overall response rates of 60–70% [2], [11]. Students completed self-administered paper questionnaires, and entered answers on machine-readable booklets. The questionnaire asked whether students had ever had sexual
Results
In the 2003 YRBS, 34.3% percent of respondents (95% confidence interval [CI], ± 2.1%) reported having sexual intercourse with at least one person in the 3 months before the survey. Among sexually-active students, the data from the seven surveys indicate steadily increasing condom use throughout the 1991–2003 period for both male and female students, a statistically significant linear trend (Table 1). For both sexes, the percent reporting condom use during last sexual intercourse increased from
Discussion
The seven national surveys conducted as part of the YRBS over the 1991–2003 period indicate that during this period when reported sexual experience was declining, among those who were sexually active, there was steadily increasing reported condom and contraceptive use, and a steadily decreasing percentage who reported using no method or withdrawal during last sexual intercourse. Overall hormonal contraceptive use (use of either the pill or Depo-Provera) changed little over time, although a
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2019, Journal of Adolescent HealthAdolescents: Their futures and their contraceptive decisions
2014, Journal of Pediatric and Adolescent GynecologyA quasi-experimental evaluation of parents as sexual health educators resulting in delayed sexual initiation and increased access to condoms
2011, Journal of AdolescenceCitation Excerpt :Although this population is generally healthy, they may practice behaviors that negatively affect their future well-being. For example, the lack or inconsistent use of condoms is considered an important factor for both adolescent unplanned pregnancies and the spread of sexually transmitted infections (STIs) (Anderson, Santelli, & Morrow, 2006; Darroch, Singh, Frost, & The Study Team, 2001). In Mexico, the last National Health Survey showed that only 64% of adolescent males and 38% of adolescent females reported using a condom during their first sexual relation and that 30% of males and 57% of females stated not having used any method (Olaiz-Fernández et al., 2006).
Type of contraception method used at last intercourse and associations with health risk behaviors among US adolescents
2010, ContraceptionCitation Excerpt :Survey year was included in the model to adjust for any differences in outcomes by year. Models were run separately for males and females because there were significant interactions between gender and many of the independent variables and past studies document gender differences in types of contraceptives used and the potential for males to unreliably report their female partners' use of birth control pills or DMPA [11]. Multivariable multinomial logistic regression analyses, an extension of logistic regression for outcomes with more than two levels [12], were performed to identify variables predictive of type of contraceptive use at last sexual intercourse, with condoms only as the reference group because it was the most common contraceptive method used.
Condom use rates in a national probability sample of males and females ages 14 to 94 in the United States
2010, Journal of Sexual MedicineCitation Excerpt :As correct and consistent condom use remains one of the most cost-effective STI/HIV and contraceptive methods, their promotion continues to be a major component of STI/HIV interventions worldwide [5–7]. Prior studies have indicated increasing rates of condom use for HIV/STI and pregnancy prevention purposes among both adolescents [8–13] and adults [14–19] in the general population of the United States. Unfortunately, surveillance of condom use across expansive segments of the U.S. population is less routine as the collection of such data is methodologically complex, time-consuming, and costly [20,21].