Brown Jennifer L, Hennessy Michael, Sales Jessica M, DiClemente Ralph J, Salazar Laura F, Vanable Peter A, Carey Michael P, Romer Daniel, Valois Robert F, Brown Larry K, Stanton Bonita
Department of Behavioral Sciences & Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Infect Dis Obstet Gynecol. 2011;2011:765917. doi: 10.1155/2011/765917. Epub 2011 Jul 18.
We report on African American adolescents' (N = 850; M age = 15.4) contraceptive practices and type of contraception utilized during their last sexual encounter. Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select "safe" sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported. Perceived ability to select "safe" partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50). Female gender predicted hormonal birth control use (OR = 2.33), use of less effective contraceptive methods (e.g., withdrawal; OR = 2.47), and using no contraception (OR = 2.37). Respondents' age and partner type did not predict contraception use. Adolescents used contraceptive methods with limited ability to prevent both unintended pregnancies and STD/HIV. Adolescents who believed their partners posed low risk were more likely to use contraceptive practices other than condoms or no contraception. Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.
我们报告了非裔美国青少年（N = 850；平均年龄 = 15.4岁）的避孕行为以及他们最近一次性行为中使用的避孕方式。受访者完成了关于人口统计学、避孕措施使用、性伴侣类型以及选择“安全”性伴侣能力的测量。40%的人认可使用双重或多种避孕方法；总共报告了35种不同的避孕组合。认为有能力选择“安全”伴侣与不使用避孕措施（比值比 = 1.25）、使用效果较差的避孕方法（比值比 = 1.23）或激素避孕法（比值比 = 1.50）相关。女性性别预示着会使用激素避孕法（比值比 = 2.33）、使用效果较差的避孕方法（如体外射精；比值比 = 2.47）以及不采取任何避孕措施（比值比 = 2.37）。受访者的年龄和伴侣类型并不能预测避孕措施的使用情况。青少年使用的避孕方法在预防意外怀孕和性传播疾病/艾滋病毒方面能力有限。那些认为其伴侣风险较低的青少年更有可能使用避孕套以外的避孕措施或不采取任何避孕措施。我们鼓励生殖健康从业者帮助青少年与伴侣协商避孕措施的使用，无论伴侣被认为的风险程度如何。
