The Roles of Partner Communication and Relationship Status in Adolescent Contraceptive Use

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Abstract

Introduction: Because of high rates of pregnancy and sexually transmitted infections among adolescents, factors influencing adolescents' contraceptive use require close examination. This study explores how different types of partner communication relate to contraceptive use among adolescent girls and whether these associations vary by relationship status. Method: Cross-sectional, self-report data from 253 sexually active 13- to 17-year-old girls were used to examine associations between partner communication, relationship status, and contraceptive consistency. Results: In a multivariate analysis, partner communication specific to contraceptive use (RR = 1.3, p < .001) and "steady" partnership status (RR = 0.65, p < .01) were associated with hormonal contraceptive consistency. In interaction models, the impact of partner communication on hormonal consistency was greater in steady partnerships than in casual partnerships. Discussion: Findings suggest that clinicians should ask about the nature of adolescent girls' relationships with their sexual partners when encouraging contraceptive use. Early communication with partners about sexual topics should be stressed, especially among girls in steady relationships.

Original languageEnglish (US)
Pages (from-to)61-69
Number of pages9
JournalJournal of Pediatric Health Care
Volume29
Issue number1
DOIs
StatePublished - Jan 1 2015

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Interpersonal Relations
Contraceptive Agents
Sexual Partners
Pregnancy Rate
Sexually Transmitted Diseases
Self Report
Multivariate Analysis

Keywords

  • Adolescent behavior
  • Adolescents
  • Contraceptive consistency
  • Partner sexual communication

Cite this

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title = "The Roles of Partner Communication and Relationship Status in Adolescent Contraceptive Use",
abstract = "Introduction: Because of high rates of pregnancy and sexually transmitted infections among adolescents, factors influencing adolescents' contraceptive use require close examination. This study explores how different types of partner communication relate to contraceptive use among adolescent girls and whether these associations vary by relationship status. Method: Cross-sectional, self-report data from 253 sexually active 13- to 17-year-old girls were used to examine associations between partner communication, relationship status, and contraceptive consistency. Results: In a multivariate analysis, partner communication specific to contraceptive use (RR = 1.3, p < .001) and {"}steady{"} partnership status (RR = 0.65, p < .01) were associated with hormonal contraceptive consistency. In interaction models, the impact of partner communication on hormonal consistency was greater in steady partnerships than in casual partnerships. Discussion: Findings suggest that clinicians should ask about the nature of adolescent girls' relationships with their sexual partners when encouraging contraceptive use. Early communication with partners about sexual topics should be stressed, especially among girls in steady relationships.",
keywords = "Adolescent behavior, Adolescents, Contraceptive consistency, Partner sexual communication",
author = "Johnson, {Abigail Z.} and Sieving, {Renee E} and Pettingell, {Sandra L} and Annie-Laurie McRee",
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AU - Johnson, Abigail Z.

AU - Sieving, Renee E

AU - Pettingell, Sandra L

AU - McRee, Annie-Laurie

PY - 2015/1/1

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N2 - Introduction: Because of high rates of pregnancy and sexually transmitted infections among adolescents, factors influencing adolescents' contraceptive use require close examination. This study explores how different types of partner communication relate to contraceptive use among adolescent girls and whether these associations vary by relationship status. Method: Cross-sectional, self-report data from 253 sexually active 13- to 17-year-old girls were used to examine associations between partner communication, relationship status, and contraceptive consistency. Results: In a multivariate analysis, partner communication specific to contraceptive use (RR = 1.3, p < .001) and "steady" partnership status (RR = 0.65, p < .01) were associated with hormonal contraceptive consistency. In interaction models, the impact of partner communication on hormonal consistency was greater in steady partnerships than in casual partnerships. Discussion: Findings suggest that clinicians should ask about the nature of adolescent girls' relationships with their sexual partners when encouraging contraceptive use. Early communication with partners about sexual topics should be stressed, especially among girls in steady relationships.

AB - Introduction: Because of high rates of pregnancy and sexually transmitted infections among adolescents, factors influencing adolescents' contraceptive use require close examination. This study explores how different types of partner communication relate to contraceptive use among adolescent girls and whether these associations vary by relationship status. Method: Cross-sectional, self-report data from 253 sexually active 13- to 17-year-old girls were used to examine associations between partner communication, relationship status, and contraceptive consistency. Results: In a multivariate analysis, partner communication specific to contraceptive use (RR = 1.3, p < .001) and "steady" partnership status (RR = 0.65, p < .01) were associated with hormonal contraceptive consistency. In interaction models, the impact of partner communication on hormonal consistency was greater in steady partnerships than in casual partnerships. Discussion: Findings suggest that clinicians should ask about the nature of adolescent girls' relationships with their sexual partners when encouraging contraceptive use. Early communication with partners about sexual topics should be stressed, especially among girls in steady relationships.

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KW - Adolescents

KW - Contraceptive consistency

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