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Author Notes:

Correspondence should be addressed to Jennifer L. Brown, jennifer.brown@emory.edu

Academic Editor: Melissa J. Kottke


Research Funding:

This research was supported by a cooperative agreement from the National Institute of Mental Health to Emory University (R. J. DiClemente, PI: U01-MH066807), University of South Carolina (R. F. Valois, PI: U01-MH66802), Brown University (L. K. Brown, PI: U01-MH066785), Syracuse University (P. A. Vanable, PI: U01-MH66794), and University of Pennsylvania (D. Romer, PI: U01-MH066809).

J. L. Brown was supported by K12 GM000680 from the National Institute of General Medical Sciences.

J. M. Sales was supported by K01 MH085506 from the National Institute of Mental Health.

Additional support was provided by the Emory Center for AIDS Research (P30 AI050409).

Multiple Method Contraception Use among African American Adolescents in Four US Cities

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Journal Title:

Infectious Diseases in Obstetrics and Gynecology


Volume 2011, Number 2011


, Pages 1-7

Type of Work:

Article | Final Publisher PDF


We report on African American adolescents' (N = 850; M age = 15.4) contraceptive practices and type of contraception utilized during their last sexual encounter. Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select “safe” sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported. Perceived ability to select “safe” partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50). Female gender predicted hormonal birth control use (OR = 2.33), use of less effective contraceptive methods (e.g., withdrawal; OR = 2.47), and using no contraception (OR = 2.37). Respondents' age and partner type did not predict contraception use. Adolescents used contraceptive methods with limited ability to prevent both unintended pregnancies and STD/HIV. Adolescents who believed their partners posed low risk were more likely to use contraceptive practices other than condoms or no contraception. Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.

Copyright information:

© 2011 Jennifer L. Brown et al.

This is an Open Access work distributed under the terms of the Creative Commons Attribution 3.0 Unported License (http://creativecommons.org/licenses/by/3.0/).

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