Academic journal article The Canadian Journal of Human Sexuality

Anderson, J.E., Santelli, J., & Colley Gilbert, B. (2003). Adolescent Dual Use of Condoms and Hormonal Contraception: Trends and Correlates 1991-2001

Academic journal article The Canadian Journal of Human Sexuality

Anderson, J.E., Santelli, J., & Colley Gilbert, B. (2003). Adolescent Dual Use of Condoms and Hormonal Contraception: Trends and Correlates 1991-2001

Article excerpt

Sexually Transmitted Diseases, 30, 719-722.

Sexually active adolescents are at risk for both unintended pregnancy and STI/HIV infection. The most effective contraceptive methods used by adolescents (i.e., oral or injectable hormonal contraception) do not, however, offer protection against STI/HIV. Studies of adolescent sexual behaviour suggest that condom use is more prevalent with nonregular partners and that as relationships with regular partner's progress, oral or injectable hormonal contraceptives are substituted for condoms. The replacement of condoms with hormonal contraception increases risk of STI/HIV especially if this pattern occurs in sequential monogamous relationships. Thus, increasing the use of dual protection (i.e., condom and hormonal contraception) is a common goal of efforts to promote sexual health among youth. Anderson, Santelli, and Colley Gilbert used data from the Youth Risk Behavior Surveys (YRBS) conducted in 1991, 1993, 1995, 1997, 1999, and 2001 to identify trends and correlates of dual protection in a nationally representative sample of grade 9 to 12 students in the United States. The YRBS, conducted at regular intervals by the Centres for Disease Control and Prevention, provides a consistent data set on a wide range of adolescent health behaviours, including sexual activity and contraceptive use.

Between 1991 and 2001, there was a statistically significant linear increase in condom use among sexually active students. …

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