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Updated: Jul 16, 2026
12:55
Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties
Published on: September 27, 2020
Adolescent dual method use: relevant attitudes, normative beliefs and self-efficacy
Renee E Sieving1, Linda H Bearinger, Michael D Resnick
1Center for Adolescent Nursing, School of Nursing, University of Minnesota, Minneapolis, Minnesota 55455-0353, USA. sievi001@umn.edu
Summary
Adolescents
Area of Science:
- Adolescent Health
- Reproductive Health
- Behavioral Science
Background:
- Dual contraceptive method use (protecting against STDs and pregnancy) is crucial for adolescent sexual health.
- Understanding factors influencing dual method use is essential for effective health behavior change interventions.
Purpose of the Study:
- To examine the longitudinal relationships between adolescents' contraceptive-related cognitions and their use of dual contraceptive methods.
- To identify key risk and protective factors influencing dual method use among sexually active adolescents.
Main Methods:
- Longitudinal data from 1123 sexually active 7th-11th graders from the National Longitudinal Study of Adolescent Health (Waves 1 and 2).
- Nested path models analyzed relationships between contraceptive use levels and contraceptive-related cognitions.
- Analyses were stratified by grade and gender groups.
Main Results:
- Dual method use ranged from 14.3% to 25.0% at most recent intercourse.
- Contraceptive use and cognitions showed moderate stability over time.
- Parental approval of birth control, attitudes towards birth control, perceived consequences of pregnancy, perceived STD risk, perceived benefits of sex, and contraceptive self-efficacy were associated with contraceptive use levels.
Conclusions:
- Adolescents' perceptions of parental expectations regarding sex and contraception are significantly linked to dual method use.
- Adolescents' attitudes toward the practical, social, and moral aspects of birth control influence their dual contraceptive method use.
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