Perspectives on Sexual and Reproductive health
Volume 34, Number 1, January/February 2002

 

The Trade-Off Between Hormonal Contraceptives
And Condoms Among Adolescents
TABLES

TABLE 1. Percentage distribution of adolescents attending a municipal STD clinic and HMO adolescent clinic, by selected characteristics, according to sex
Characteristic Females Males
(N=295) (N=141)
Race/ethnicity
White 20.0 12.8
Black 27.5 29.1
Hispanic 18.0 22.0
Asian/Pacific Islander 17.6 15.6
Mixed/other 16.9 20.6
Site
STD clinic 41.7 48.9
HMO clinic 58.3 51.1
Partner type
Main only 62.4 44.7
Main and casual 30.5 32.6
Casual only 7.1 22.7
Method use with main partner
Condoms only 35.8 49.5
Hormonal contraceptives only 23.0 13.8
Both 13.9 10.1
None 27.4 26.6
Method use with casual partner
Condoms only 52.3 71.8
Hormonal contraceptives only 5.4 1.3
Both 23.4 9.0
None 18.9 17.9
Total 100.0 100.0

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TABLE 2. Percentage of adolescents who used condoms at last intercourse with a main partner, by selected characteristics; and mean age and relationship length (and standard deviations) of adolescents, by whether condoms were used--all according to sex
Variable Females Males
(N=274) (N=109)
PERCENTAGES
Used hormonal contraceptives
Yes 37.6** 42.3*
No 56.6 65.1
Site
STD clinic 43.5 49.1*
HMO clinic 53.6 71.2
Partner type
Main and casual 56.7 69.6
Main only 46.2 52.4
MEANS
Age
Used condoms 16.6 (1.3)** 16.9 (1.5)**
Did not use condoms 17.1 (1.3) 17.9 (1.2)
Relationship length (mos.)
Used condoms 15.8 (17.7) 12.0 (11.3)*
Did not use condoms 18.9 (15.7) 18.2 (17.8)
*p<.05. **p<.01.

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TABLE 3. Odds ratios (and 95% confidence intervals) from logistic regression analyses predicting the effects of various characteristics and perceptions on the likelihood of condom use at last intercourse with a main partner, by sex
Variable Females Males
Characteristic
Used hormonal contraceptive at last intercourse 0.42 (0.24-0.74)** 0.26 (0.09-0.77)*
STD clinic 1.41 (0.78-2.54) 1.66 (0.59-4.66)
Age 0.74 (0.60-0.92)** 0.74 (0.50-1.09)
Relationship length 1.00 (0.98-1.01) 0.98 (0.95-1.01)
X2 24.1** 20.8**
Perception
Negative view of becoming pregnant 1.08 (0.99-1.18) 1.13 (0.96-1.33)
At risk of becoming pregnant 1.06 (0.93-1.21) 0.99 (0.75-1.29)
Negative view of acquiring STD 1.08 (1.00-1.16) 1.16 (1.00-1.34)*
At risk of acquiring STD 1.06 (1.02-1.11)** 1.07 (0.99-1.17)
X2 20.0** 13.5**
Two-way interactions
Hormonal contraceptive use x pregnancy negative 0.75 (0.62-0.91)** 0.82 (0.56-1.19)
Hormonal contraceptive use x at risk of acquiring STD 1.17 (1.05-1.30)** 1.05 (0.82-1.33)
Pregnancy negative x at risk of acquiring STD 1.00 (0.98-1.01) 0.97 (0.94-1.00)†
X2 17.8** 4.1
Three-way interaction
Hormonal contraceptive use x pregnancy negative x at risk of acquiring STD 0.95 (0.91-0.99)* 0.82 (0.69-0.99)*
X2 6.3* 7.5**
X2 for model 68.2** 45.9**
*p<.05. **p<.01. †p<.10.

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TABLE 4. Odds ratios (and 95% confidence intervals) from logistic regression analyses predicting the likelihood of female adolescents' condom use at last intercourse with a main partner, by selected characteristics, according to adolescents' perceptions about becoming pregnant and their risk of acquiring an STD
Variable Negative view of becoming pregnant Risk of acquiring STD
More Less Higher Lower
(N=128) (N=146) (N=131) (N=143)
Used hormonal contraceptive at last intercourse last intercourse 0.14 (0.06-0.36)** 0.79 (0.39-1.61) 0.86 (0.38-1.94) 0.21 (0.09-0.46)**
STD clinic 3.55(1.37-9.23)** 1.02 (0.49-2.14) 1.70 (0.77-3.75) 1.58 (0.70-3.55)
Age 0.68 (0.48-0.95)* 0.77 (0.58-1.01) 0.81 (0.61-1.07) 0.74 (0.54-1.02)
Relationship length 1.00 (0.97-1.03) 1.00 (0.98-1.02) 1.00 (0.98-1.02) 0.98 (0.95-1.00)
X2 29.5** 5.5 6.0 26.1**
*p<.05. **p<.01.

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FIGURE 1. Percentage of adolescent women using condoms with a main partner, by whether they use hormonal contraceptives, according to how negatively they would view a pregnancy

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FIGURE 2. Percentage of adolescent women using condoms with a main partner, by whether they use hormonal contraceptives, according to their perceived risk of acquiring an STD

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TABLE 5. Odds ratios (and 95% confidence intervals) from logistic regression analyses predicting the likelihood of female adolescents' condom use with main and casual partners, by selected characteristics, according to partner type
Variable Main partner Casual partner
(N=90) (N=90)
Used hormonal contraceptive
at last intercourse 0.27 (0.09-0.80)* 2.02 (0.62-6.61)
STD clinic 0.45 (0.15-1.30) 1.04 (0.34-3.20)
Age 0.70 (0.48-1.02) 0.84 (0.57-1.23)
Relationship length 1.00 (0.97-1.03) 1.05 (0.98-1.13)
X2 14.7** 4.7
*p<.05. **p<.01.

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