240846 Informal and formal reproductive health communication for adolescent girls in the United States: Results from two cycles of the National Survey of Family Growth

Tuesday, November 1, 2011

Kelli Hall, PhD, MSN, NP , Office of Population Research; Center for Health and Wellbeing, Princeton University, Princeton, NJ
Caroline Moreau, MD, PhD , Office of Population Research, Princeton University, Princeton, NJ
James Trussell, PhD , Office of Population Research, Princeton University, Princeton, NJ
Purpose: To investigate informal and formal reproductive health communication among adolescent girls in the United States and changes in communication from 2002 to 2008.

Methods: Data were pooled from two cycles of the NSFG, a population-based survey of U.S. women and men ages 15-44. Uni-variate and multivariate analyses, restricted to adolescent girls (ages 15-19 yrs) (2002 n=1065; 2006 n=1261), focused on questions regarding informal (parental) and formal (school, church, community) reproductive health communication.

Results: Of the total sample (n=2326), 75% reported any informal reproductive health communication, including abstinence (60%), sexually transmitted infections (STI) (53%), any contraception (58%) and specifically contraceptive methods (50%); 9% received only abstinence communication. Fewer participants received parental communication on condoms (19%) and contraceptive access (38%). Of the 92% reporting having received any formal communication, abstinence (87%) and contraceptive methods (71%) were common; 21% received formal communication on only abstinence. From 2002 to 2008, informal communication increased 7% (p<0.001), abstinence 4% (P=0.03) and contraception 6% (p=0.007); condoms decreased 18% (p<0.001). Formal communication did not change (p=0.63). In multivariate analyses, age, intercourse initiation and year were predictive factors for receiving informal communication. Poverty level, menarcheal age and gynecological history were predictive of formal communication.

Conclusions: While abstinence communication was common in the past decade, increasingly so by parents, greater focus on contraception including condoms and access may support improved public health outcomes.

Learning Areas:
Public health or related education
Public health or related public policy
Public health or related research

Learning Objectives:
1. Describe sources of informal and formal reproductive health communication for adolescents in the United States 2. Evaluate factors associated with reproductive health communication 3. Analyze changes in adolescentsí reproductive health communication from 2002 to 2008

Keywords: Adolescents, Reproductive Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a postdoctoral research associate who managed and analyzed this data and prepared it for presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.