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Sex Differences in Contraception Non-Use Among Urban Adolescents: Risk Factors for Unintended Pregnancy
Allison R Casola1, Deborah B Nelson1, Freda Patterson2
1Temple University, College of Public Health, 1301 Cecil B. Moore Avenue, Philadelphia, PA 19122.
The Journal of School Health
|August 3, 2017
Summary
Adolescent marijuana use is linked to inconsistent contraception use, increasing unintended pregnancy risks. These findings can inform targeted school-based programs to promote consistent contraception use among urban youth.
Area of Science:
- Public Health
- Adolescent Health
- Reproductive Health
Background:
- Contraception non-use among sexually active adolescents is a significant driver of unintended pregnancy.
- Understanding correlates of non-use is crucial for effective prevention strategies.
Purpose of the Study:
- To identify overall and sex-specific correlates of contraception non-use in sexually active adolescents.
- To examine the association between mental health, sexual activity, substance use, and violence indicators and contraception non-use.
Main Methods:
- Cross-sectional study utilizing the 2015 Philadelphia Youth Risk Behavior Survey (YRBS) data.
- Analysis included 9540 sexually active adolescents.
- Multivariate regression models were employed to assess risk factors.
Main Results:
- Marijuana use was a significant risk factor for contraception non-use in both boys and girls.
- For boys, the availability of illegal drugs on school property was also significantly associated with contraception non-use.
Conclusions:
- Findings highlight marijuana use as a key correlate of contraception non-use in adolescents.
- Results can inform the development of sex-specific, school-based programs to promote consistent contraception use among urban youth.
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