Original articleCorrelates of using dual methods for sexually transmitted diseases and pregnancy prevention among high-risk african-american female teens
Section snippets
Study sample
From December 1996 through April 1999, project recruiters screened 1130 female teens in adolescent medicine clinics, health department clinics, and school health classes to assess eligibility for participating in an HIV/STD prevention trial. Recruitment sites were in neighborhoods of Birmingham, Alabama, characterized by high rates of unemployment, substance abuse, violence, and STDs. The current study consists of 522 eligible adolescents who completed baseline assessments. Adolescents were
Characteristics of the sample
Average age of the adolescents was 16.0 years [standard deviation (SD) = 1.2]. Past STD was reported by 25.7% of the adolescents and 28.2% tested positive in this study for C. trachomatis, N. gonorrhoeae, or T. vaginalis. A history of pregnancy was reported by 40.2% of the adolescents, of whom 11.5% were currently pregnant. Of those reporting a history of STD, 63% also reported ever being pregnant. About 8% reported sex with only a casual partner(s) and 10.0% reported sex with both steady and
Discussion
Findings from this investigation indicate that desire to avoid pregnancy and two forms of parental involvement were important correlates of consistent dual-method use among adolescent females. Consistent dual-method use appears to be motivated by pregnancy concerns as opposed to concern about disease prevention. Findings clearly support the value of parental monitoring: that is, knowing whom their teenager is with when not at home or in school. This finding adds to a growing body of evidence
Acknowledgements
This study was supported by a grant from the Center for Mental Health Research on AIDS, National Institute of Mental Health (1R01 MH54412), to the second author. Drs. Crosby and Sionean were supported through an Association of Teachers of Preventive Medicine/CDC STD Prevention Fellowship. Dr. Cobb was supported by a postdoctoral fellowship from the Nell Hodgson Woodruff School of Nursing, Emory University. The authors thank Dr. Jane R. Schwebke for provision of cultures for T. vaginalis and Kim
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