142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Investigating correlates of daily and nondaily contraception use among college-aged women

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Andrea DeMaria, PhD, MS , Department of Health and Human Performance, College of Charleston, Charleston, SC
Beth Sundstrom, Ph.D., M.P.H. , Department of Communication, College of Charleston, Charleston, SC
Malka Fox-Epstein , Department of Health and Human Performance, College of Charleston, Charleston, SC
One-third of unintended pregnancies in South Carolina are among women in their twenties. The majority of these women report using the oral contraceptive pill as their primary method of birth control. Typical use of the oral contraceptive pill has an 8.7% failure rate, while nondaily and long-acting reversible contraceptive options, such as the IUD and implant, have less than a 1% failure rate, reducing the risk of unintended pregnancy. The purpose of this study was to investigate correlates of daily and nondaily contraception use in order to increase usage among college-aged women. Participants aged 18 to 24 years completed 663 self-administered cross-sectional web-based surveys. A multivariable logistic regression was conducted, with contraception use dichotomized into daily (oral contraceptive pill) and nondaily (IUD, implant, injection, patch, vaginal ring) method categories. Nondaily users were significantly more likely to have a history of vaginal (p=.02) and anal (p=.01) intercourse, giving (p=.02) and receiving (p=.02) oral sex, and a greater frequency of solo masturbation (p<.01) during the past four weeks than daily users. Model results showed those who classified as overweight or obese were significantly more likely to primarily use nondaily contraceptive methods (OR 3.82; 95% CI [1.61, 8.77]; p<0.01) than their normal weight counterpart. Findings suggest the importance of promoting nondaily methods to all college-aged women as the most effective way to prevent unintended pregnancy, especially among those with a robust sexual history.

Learning Areas:

Advocacy for health and health education
Communication and informatics
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
Compare personal, and sexual and reproductive health characteristics, of women who choose nondaily contraceptive options to those who do not. Identify health messages public health and clinical professionals can use to increase nondaily contraceptive use.

Keyword(s): Contraception

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have an earned PhD and MPH.
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.