Table of Contents
ISRN Obstetrics and Gynecology
Volume 2011, Article ID 469610, 7 pages
Research Article

Psychosocial Correlates of Dual Methods for Contraception and STI Protection in Urban Adolescents

1Department of Community Health, College of Public Health, East Tennessee State University, P.O. Box 70623, Johnson City, TN 37614, USA
2Prevention Research Center, Department of Pediatrics, Wayne State University School of Medicine, Detroit, MI 48201, USA
3Department of Pediatrics, West Virginia University School of Medicine, Morgantown, WV 26506, USA

Received 27 June 2011; Accepted 28 August 2011

Academic Editor: C. Escudero

Copyright © 2011 Robert P. Pack 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.


Purpose. To identify correlates of combined hormonal contraception and condom use (dual method use) compared with no methods, condoms only or hormonal contraception only. Data are from a baseline assessment of 335 youth (52% female) enrolled in an intervention trial. Multinomial logistic regression identified theory-based factors associated with dual method use. At last intercourse 47% of respondents used dual methods, 29% condom only, 14% hormonal contraception only, and 10% no methods. No method users were less likely than dual-method users to feel “dirty” about pregnancy, to have ask about historical condom use, to have more than two partners, to view condom use as normative for boys and more likely to perceive pregnancy risk as remote. Hormonal-contraception-only users were more likely to have sex weekly and perceive sex as pleasurable for girls, and less likely to view condom use as normative for boys and to ask a partner to use a condom. Condom-only users were more likely to perceive pregnancy chance as remote, and less likely to have more than two partners and to want peers to think they were virgins. Interventions should include benefits of dual methods while counseling about the negative impact of STI and unplanned teen pregnancy.