Document Detail

Contraception among girls who have had more than one partner by age 16 years: method use and pregnancy risk-taking behaviour.
MedLine Citation:
PMID:  20659368     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Attempts to address the 'problem' of teenage pregnancy need to further explore contraceptive use among young people at potentially greatest risk. We examine contraceptive use among a particularly vulnerable subgroup: girls who reported having had sex with more than one partner by age 16 years.
METHODS: Females (n = 435) completed questionnaires as part of the Scottish SHARE school-based sex education trial, reporting on contraceptive use at three episodes of sexual intercourse: first, first with most recent partner, and most recent.
RESULTS: Most used some form of contraception at each episode but a quarter reported withdrawal, putting on a condom before ejaculation or non-use. Some 57% of the girls reported using methods that suggested lower levels of pregnancy risk-taking behaviour at all three episodes, but 20% reported method use suggestive of greater risk-taking behaviour at one episode, 12% at two, and 11% at all three. In multivariate analysis, the factors associated with greater pregnancy risk-taking behaviour were living in social or rented accommodation, not knowing where to get prescription contraceptives, having pressurised or unexpected or spur of the moment sex, and not having talked to their partner about protection prior to sex.
CONCLUSIONS: Most girls used an effective method of contraception at each episode of intercourse but a sizeable minority reported use of no contraception, or an ineffective method, which suggested greater pregnancy risk-taking behaviour; one in ten at all three episodes. Particular efforts are required to further understand and better target those girls who are putting themselves at repeated risk of pregnancy.
Lisa M McDaid; Helen Sweeting; Katie Buston
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The journal of family planning and reproductive health care / Faculty of Family Planning & Reproductive Health Care, Royal College of Obstetricians & Gynaecologists     Volume:  36     ISSN:  1471-1893     ISO Abbreviation:  J Fam Plann Reprod Health Care     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-27     Completed Date:  2010-10-14     Revised Date:  2014-03-19    
Medline Journal Info:
Nlm Unique ID:  101087687     Medline TA:  J Fam Plann Reprod Health Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  141-6     Citation Subset:  IM    
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MeSH Terms
Adolescent Behavior*
Contraception / methods*,  utilization*
Contraception Behavior / statistics & numerical data*
Pregnancy in Adolescence / prevention & control
Risk Factors
Sex Education
Sexual Behavior / statistics & numerical data
Grant Support
MC_U130031238//Medical Research Council; MC_U130059811//Medical Research Council; MC_U130059818//Medical Research Council; MC_UP_A540_1108//Medical Research Council; //Medical Research Council

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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