About this item:

684 Views | 457 Downloads

Author Notes:

Correspondence: Melissa Kottke, MD, MPH, MBA, 49 Jesse Hill Jr. Dr. SE, Atlanta, GA 3030, mkottke@emory.edu, Phone: 404-712-8730, Fax: 404-251-0143.

The authors would also like to acknowledge our study participants, the clinic staff at Grady Health System, and the entire study team that participated in this project.

The authors do not report any financial conflicts of interest.

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.


Research Funding:

This study was funded by the CDC as a Special Interest Project #20 through the Emory Prevention Research Center (Co-operative agreement number U48DP001909-01 Revised) in collaboration with the CDC’s Division of Reproductive Health.


  • Science & Technology
  • Life Sciences & Biomedicine
  • Obstetrics & Gynecology
  • Pediatrics
  • Dual method use
  • African American
  • Adolescent
  • Condoms

Use of Dual Methods for Protection from Unintended Pregnancy and Sexually Transmitted Diseases in Adolescent African American Women


Journal Title:

Journal of Pediatric and Adolescent Gynecology


Volume 28, Number 6


, Pages 543-548

Type of Work:

Article | Post-print: After Peer Review


OBJECTIVES: To characterize factors associated with dual method use in a sample of adolescent women. METHODS: We conducted a cross-sectional survey of sexually active African American females aged 14–19 years attending an urban Title X clinic in Georgia in 2012 (N=350). Participants completed a computerized survey assessing contraceptive and condom use at last two sexual encounters with their most recent partner. Dual method use was defined as use of a hormonal contraceptive or intrauterine device (IUD) plus condom. We applied multinomial logistic regression, using generalized estimating equations, to examine the adjusted association between dual method use (versus use of no methods or less effective methods alone, e.g. withdrawal) and select characteristics. RESULTS: Dual methods were used by 20.6% of participants at last sexual intercourse and 23.6% at next to last sexual intercourse. Having a previous sexually transmitted disease (STD) (aOR 2.30, 95%CI 1.26–4.18), negative attitudes towards pregnancy (aOR 2.25, 95%CI 1.19–4.28) and a mother who gave birth as a teen (aOR 2.34, 95%CI 1.21–4.52) were associated with higher odds of dual method use. Having no health insurance (aOR 0.39, 95%CI 0.18–0.82), ≥ 4 lifetime sexual partners (aOR 0.42, 95%CI 0.22–0.78), sex at least weekly (aOR 0.54, 95%CI 0.29–0.99), and agreeing to monogamy with the most recent partner (aOR 0.40, 95%CI 0.16–0.96) were associated with decreased odds of dual method use. CONCLUSIONS: Dual method use was uncommon in our sample. Efforts to increase use of dual methods should address individual and relationship factors.

Copyright information:

© 2015 North American Society for Pediatric and Adolescent Gynecology.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Creative Commons License

Export to EndNote