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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
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Are dual-method messages undermining STI/HIV prevention?

Ann O'Leary1

  • 1Division of HIV/AIDS Prevention, National Center for HIV, Hepatitis, Sexually Transmitted Diseases, and Tuberculosis Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road, MS E-37, Atlanta, GA 30333, USA. aoleary@cdc.gov

Infectious Diseases in Obstetrics and Gynecology
|December 7, 2011
PubMed
Summary

Dual-method contraceptive use by adolescent girls and young women is uncommon. Condom-only use may be a more effective strategy for preventing unintended pregnancy and sexually transmitted infections (STIs), including HIV.

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Area of Science:

  • Reproductive Health
  • Adolescent Health
  • Infectious Disease Prevention

Background:

  • Adolescent girls and young women at risk for unplanned pregnancy and STIs are advised to use hormonal contraceptives and condoms concurrently.
  • This dual-use recommendation aims to prevent both pregnancy and infections like HIV.

Purpose of the Study:

  • To review literature on dual-use messages, compliance, predictors, and interventions.
  • To evaluate the effectiveness of current dual-use recommendations.

Main Methods:

  • Literature review of studies on dual contraceptive use in adolescent females.
  • Analysis of compliance rates, influencing factors, and intervention outcomes.

Main Results:

  • Simultaneous use of hormonal contraceptives and condoms is not common among the target population.
  • Interventions designed to promote dual use have shown limited success.

Conclusions:

  • Current dual-use strategies are largely ineffective.
  • Condom-only use may offer a more practical and effective approach for STI/HIV and pregnancy prevention, especially with emergency contraception availability.
  • Further research, including randomized controlled trials, is recommended.