246163 Predictors of Dual Protection Among Sexually Active Females

Wednesday, November 2, 2011: 9:30 AM

Delia L. Lang, PhD MPH , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Jessica M. Sales, PhD , Rollins School of Public Health Department of Behavioral Sciences and Health Education, Emory University, Atlanta, GA
Laura F. Salazar, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Ralph J. DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Richard A. Crosby, PhD , College of Public Health, University of Kentucky, Lexington, KY
Larry K. Brown, MD , Department of Child and Adolescent Psychiatry/Bradley Hasbro Research Center, Brown University Medical School/Rhode Island Hospital, Providence, RI
Geri R. Donenberg, PhD , Dept. of Psychiatry, Institute for Juvenile Research, Univ. of Illinois at Chicago, Chicago, IL
Background: Despite recommendations for concurrent use of contraceptives and condoms to prevent unintended pregnancy and STIs, dual protection use among young women is poor. This study examined individual, familial and environmental level factors that predict dual protection use among a sample of sexually active female adolescents receiving psychiatric services. Method: 891 adolescents (13-18 years) receiving psychiatric services in one of three urban areas in the US participating in an HIV prevention trial provided data via ACASI. This study analyzed data from 288 sexually active females who completed baseline assessment prior to randomization in the HIV trial. Sociodemographic, psychosocial, and self-reported behavioral data related to birth control and condom use were collected. Logistic regression was employed to identify predictors of dual protection. Results: 100 (34.7%) participants reported dual protection use in the past three months; 144 (50%) reported using one form of protection, and 44 (15.3) used no protection. Controlling for age and study site, participants who reported multiple partners, higher condom use self-efficacy and living in a cohesive environment were significantly more likely to report dual protection while those with a history of pregnancy were less likely to report dual protection. Conclusions: Findings suggest that intervention messages about dual protection should be specifically targeted toward females with a history of pregnancy and those with multiple partners. Additionally, enhancing self-efficacy for condom use and strengthening the living environment of female adolescents receiving psychiatric services may contribute to adolescents' use of dual protection for STI and pregnancy prevention.

Learning Areas:
Public health or related research

Learning Objectives:
Identify predictors of dual methods to protect against STI and pregnancy among adolescent females receiving psychiatric services. Discuss implications of these findings for STI and pregnancy prevention programs for adolescent females receiving psychiatric services.

Keywords: Adolescents, Contraceptives

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I oversee intervention programs designed to reduce sexual risk taking among adolescents with the goal of decreasing STI/HIV transmission.
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.