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Female adolescent contraceptive decision making and risk taking
1Texas Christian University, Harris College of Nursing, Fort Worth.
Summary
Cognitive factors significantly influenced contraceptive decision-making in adolescent females. Cognitive capacity and egocentrism predicted choices, while specific factors also predicted sensible contraceptive use.
Area of Science:
- Psychology
- Adolescent Health
- Behavioral Science
Background:
- Adolescent decision-making regarding contraceptive use is complex.
- Understanding predictors of contraceptive use is crucial for public health.
- Previous studies have explored various influencing factors.
Purpose of the Study:
- To examine cognitive capacity, egocentrism, sexual/contraceptive experience, and demographics as predictors of contraceptive decision-making.
- To assess these factors' influence on "sensible" contraceptive use (risk-taking behavior).
- To compare findings with an earlier replication study.
Main Methods:
- A modified replication study involving 60 sexually active, unmarried females aged 14-18.
- Assessment of cognitive capacity, cognitive egocentrism, sexual/contraceptive behaviors and attitudes, and demographic factors.
- Analysis of these factors as predictors of decision-making in a contraceptive use paradigm and sensible contraceptive use.
Main Results:
- Cognitive capacity, cognitive egocentrism, age, grade, and ethnic status significantly predicted six out of seven decision-making variables.
- One cognitive capacity variable and one sexual/contraceptive behavior variable significantly predicted sensible contraceptive use.
- Results were compared to an earlier study and discussed in the context of existing literature.
Conclusions:
- Cognitive factors play a significant role in adolescent contraceptive decision-making.
- Specific cognitive and experiential variables are associated with "sensible" contraceptive use.
- Findings contribute to understanding and potentially improving adolescent contraceptive behavior interventions.