Abstract
Introduction
Few existing studies have considered influences of adolescents' sexual partners on
contraceptive consistency. This study examines the influence of personal characteristics,
partner characteristics, and relationship factors on consistency of contraceptive
use among an ethnically diverse sample of adolescent girls at high risk for pregnancy
and sexually transmitted diseases.
Method
Data are from 110 sexually active 13- to 17-year-old girls participating in a clinic-based
intervention study aimed at reducing sexual risk behaviors. Personal characteristics
were assessed at baseline (T1), and partner and relationship characteristics were
assessed at 12 months (T2).
Results
Multivariate analyses revealed that T2 hormonal contraceptive consistency was predicted
by T1 hormonal consistency, girls' desire to use birth control, having the same sexual
partner at T1 and T2, perceived partner support for birth control, and communication
with partner about sexual risk. T2 condom use consistency was negatively predicted
by emergency contraceptive use history and perceived partner support for birth control.
Discussion
Findings underscore the importance of nurses addressing both personal and relationship
factors in their efforts to promote consistent contraceptive use among sexually active
adolescent girls.
Key Words
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Biography
DenYelle Baete Kenyon, Assistant Scientist, Health Disparities Research Center, Sanford Research/University of South Dakota, Sioux Falls, SD.
Biography
Renee E. Sieving, Associate Professor, University of Minnesota School of Nursing and Department of Pediatrics, Minneapolis, MN.
Biography
Sarah J. Jerstad, Child Psychologist, Children's Hospitals and Clinics of Minnesota, St. Paul, MN.
Biography
Sandra L. Pettingell, Research Associate, University of Minnesota School of Nursing and Department of Pediatrics, Minneapolis, MN.
Biography
Carol L. Skay, Research Associate, University of Minnesota School of Nursing, Minneapolis, MN.
Article info
Publication history
Published online: August 07, 2009
Footnotes
Design, data collection, management, analysis, and interpretation of the data were supported in part by The Healthy Youth Development Prevention Research Center (Department of Pediatrics, Medical School, University of Minnesota) Cooperative Agreement Number 1-U48-DP-000063 (principal investigator: Michael Resnick), Centers for Disease Control and Prevention (CDC). Preparation of the manuscript was supported by the Adolescent Health Protection Research Training Program (School of Nursing, University of Minnesota) grant number T01 DP000112 (principal investigator: Linda H. Bearinger) from the CDC. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the CDC.
Conflicts of interest: None to report.
Identification
Copyright
© 2010 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
