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Infectious Diseases in Obstetrics and Gynecology
Volume 2011, Article ID 510239, 8 pages
http://dx.doi.org/10.1155/2011/510239
Research Article

Determinants of Multimethod Contraceptive Use in a Sample of Adolescent Women Diagnosed with Psychological Disorders

1Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA
2Center for AIDS Research, Emory University, GA 30322, Atlanta, USA
3College of Public Health, University of Kentucky, Lexington, KY 40536-0003, USA
4Department of Psychiatry, Brown University, Providence, RI 02912, USA
5Department of Psychology, University of Illinois at Chicago, Chicago, IL 60607, USA

Received 14 April 2011; Revised 25 June 2011; Accepted 28 July 2011

Academic Editor: Tessa Madden

Copyright © 2011 Delia L. Lang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Despite recommendations for concurrent use of contraceptives and condoms to prevent unintended pregnancy and STIs, multimethod contraceptive use among women is poor. This study examined individual-, interpersonal-, and environmental-level factors that predict multimethod use among sexually active adolescent women diagnosed with psychological disorders. Methods. This multisite study analyzed data from 288 sexually active adolescent women who provided sociodemographic, psychosocial, and behavioral data related to birth control and condom use. Results. 34.7% of the participants reported multimethod use in the past three months. Controlling for empirically and theoretically relevant covariates, a multivariable logistic regression identified self-efficacy, multiple partners, pregnancy history, parental communication, parental norms about sex, and neighborhood cohesion as significant predictors of multimethod use. Conclusions. While continued targeted messages about multi-method contraceptive use are imperative at the individual level, an uptake in messages targeting interpersonal- and environmental-level factors such as adolescents' parents and the broader community is urgently needed.