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Published on: April 7, 2023
The relationship context of contraceptive use at first intercourse
W D Manning1, M A Longmore, P C Giordano
1Department of Sociology, Bowling Green State University, OH, USA.
Summary
Adolescent contraceptive use is often a shared decision. Relationship type significantly impacts contraceptive choices, with casual encounters leading to lower use compared to steady relationships.
Area of Science:
- Reproductive Health
- Adolescent Health
- Sociology of Relationships
Background:
- Adolescent contraceptive use is crucial for preventing unintended pregnancies and STIs.
- Existing research often overlooks the dyadic nature of sexual decision-making in adolescents.
- Understanding partner influence is key to improving contraceptive uptake.
Purpose of the Study:
- To examine the impact of partner characteristics and relationship type on adolescent contraceptive use at first intercourse.
- To identify factors influencing contraceptive method selection among adolescents.
Main Methods:
- Analysis of 1,593 females from the 1995 National Survey of Family Growth who first had intercourse before age 18.
- Logistic and multinomial logistic regression models were employed.
- Examined effects of partner characteristics and relationship type on contraceptive use and method choice.
Main Results:
- 31% of adolescents used no contraception at first intercourse.
- Adolescents in casual relationships (just met partner) had significantly lower contraceptive use (52% no method) compared to those in steady relationships (24% no method).
- Condoms were the most common method (75%), followed by the pill (17%). Relationship type, age gaps, and individual factors influenced method choice.
Conclusions:
- Relationship dynamics are critical in adolescent contraceptive decision-making.
- Future research should treat adolescent contraceptive use as a joint decision between partners.
- Focusing on relationship qualities can enhance understanding and intervention strategies for adolescent contraceptive choice.
Keywords:
AdolescentsAge FactorsAmericasBehaviorContraceptionContraceptive Methods ChosenContraceptive UsageDemographic FactorsDeveloped CountriesFamily PlanningFirst IntercourseNorth AmericaNorthern AmericaPopulationPopulation CharacteristicsResearch MethodologyResearch ReportSampling StudiesSex BehaviorStudiesUnited StatesYouthMore Related Videos
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