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Perceived competence and contraceptive use during adolescence.
Jennifer B Hillman1, Sonya Negriff, Lorah D Dorn
1Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center and the University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA. jennifer.hillman@cchmc.org
Adolescent contraceptive choice impacts perceived competence and rule-breaking behavior. Depot medroxyprogesterone acetate (DMPA) users reported lower competence and higher rule-breaking behavior.
Area of Science:
- Adolescent Gynecology
- Reproductive Health
- Psychosocial Development
Background:
- Limited understanding of psychosocial factors associated with adolescent contraceptive use.
- Adolescent contraceptive needs require tailored psychosocial support.
Purpose of the Study:
- To investigate the relationship between different contraceptive methods and psychosocial correlates in adolescents.
- To examine perceived competence and rule-breaking behavior across contraceptive use groups.
Main Methods:
- Cross-sectional study of 209 postmenarcheal girls (mean age 15.68 years).
- Assessed competence and rule-breaking behavior using Youth Self Report (YSR) and Child Behavior Checklist (CBCL).
- Categorized participants into: no hormonal contraceptive, combined oral contraceptives/patch (COCs/patch), and depot medroxyprogesterone acetate (DMPA).
Main Results:
- Contraceptive group significantly impacted perceived competence (p=.003).
- DMPA group showed lower competence (parent and adolescent reports) than no-hormonal and COCs/patch groups.
- COCs/patch group had lower YSR activity competence than no-hormonal group.
- Contraceptive group affected CBCL rule-breaking behavior (p=.029), with DMPA group exhibiting higher rates.
Conclusions:
- Contraceptive method choice is linked to adolescent and parental perceptions of competence.
- Parental perception of rule-breaking behavior may be more influential regarding contraceptive use.
- Findings highlight the importance of considering psychosocial factors in adolescent contraceptive counseling.
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