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Author Notes:

Address correspondence to: Kristie Elizabeth North Clarke, MD, MSCR, Global Immunization Division, Centers for Disease Control and Prevention, 1600 Clifton Rd, MS A04, Atlanta, GA 30329; Phone: (404) 718-6551, vhz9@cdc.gov, kclarke2@cdc.gov (K.E.N. Clarke).

CDC staff were involved in the study design, analysis and interpretation of data, the writing of the report, and the decision to submit the report for publication.

Kristie Elizabeth North Clarke wrote the first draft of the report and no honorarium, grant, or other form of payment was given to anyone to produce the manuscript.

Everyone who contributed significantly to the work is listed as a coauthor.

The authors indicate no conflicts of interest.


Research Funding:

The study took place in Atlanta, Georgia and was supported by the US Centers for Disease Control and Prevention (CDC) through Cooperative Agreement U48DP001909-01.


  • Science & Technology
  • Life Sciences & Biomedicine
  • Obstetrics & Gynecology
  • Pediatrics
  • Contraception
  • Condoms
  • African American
  • Adolescent
  • Pregnancy
  • Sexually transmitted infection

Factors Associated with Contraceptive Use Differ between Younger and Older African-American Female Adolescents


Journal Title:

Journal of Pediatric and Adolescent Gynecology


Volume 29, Number 5


, Pages 448-453

Type of Work:

Article | Post-print: After Peer Review


Study Objective To examine differences in factors associated with contraceptive use between younger and older adolescent age groups, which has not previously been well described. Design Age group-specific analyses were performed on cross-sectional survey data to identify factors associated with any contraceptive use at last sex among younger (14- to 16-year-old) and older (17- to 19-year-old) sexually active African American female adolescents; interaction analyses were used to assess whether these associations differed by age. Setting Adolescent reproductive health clinic in Atlanta, Georgia. Participants Sexually active African American female adolescents 14-19 years of age. Interventions No intervention tested; cross-sectional design. Main Outcome Measure Self-reported contraceptive use during most recent vaginal sex with a male partner. Results The prevalence of contraceptive use at last sex was identical in both groups; however, factors associated with contraceptive use differed according to age. The only factor associated with contraceptive use in both age groups was involvement in decisions about sexual health in the most recent relationship. Associations between factors and contraceptive use significantly differed according to age. History of sexually transmitted infection, age difference with partner, discussion of condoms with partner, and concurrent partners were important factors among younger adolescents; worry about pregnancy and discussion of birth control with partner were important among older adolescents. Conclusion Factors associated with contraceptive use at last sex differ according to adolescent age; this should be considered when designing counseling and interventions for teens, as well as research.

Copyright information:

© 2016

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/).

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