Condom practices of urban teens using Norplant contraceptive implants, oral contraceptives, and condoms for contraception

Darney, Philip D.; Callegari, Lisa S.; Swift, Allison; Atkinson, Elizabeth; Robert, Anne M.

doi:10.1016/s0002-9378(99)70664-2

Cited by 62 publications

(36 citation statements)

References 13 publications

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“…In a study of teenagers using Norplant ® , the pill or condoms, Darney and colleagues demonstrated that although use of Norplant was associated with a reduction in condom use, there were no differences in the rates of STIs related to the contraceptive method being used. 15 The authors concluded that teenagers do not use condoms consistently enough to prevent either pregnancy or infection.…”

Section: Discussionmentioning

confidence: 99%

Attitudes of women in Scotland to contraception: a qualitative study to explore the acceptability of long-acting methods

Glasier

Scorer²,

Bigrigg³

2008

j fam plann reprod health care

105

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Background and methodology Long-acting reversible contraception (LARC) (i.e. injections, implants and intrauterine methods) has the potential to reduce unintended pregnancies but in the UK these methods are under-used. To inform a campaign planned to increase awareness of LARC, eight focus discussion groups were held with 55 women in two cities in Scotland, UK. Trained interviewers sought spontaneous views of unintended pregnancy and contraception in general, and condoms and pills in particular, and attitudes towards health professionals giving contraceptive advice. Attitudes towards LARC were discussed both before and after women were given detailed information about the methods. ResultsWomen recognised the importance of using contraception but admitted to taking risks. Pills and condoms were familiar and acceptable despite undesirable side effects. Women were poorly informed about LARC, had firm but incorrect beliefs about their 213 IntroductionAlthough contraceptive prevalence rates in the developed world are high, 1 unintended pregnancy is common. In the UK the most popular contraceptives are condoms and pills; both rely on consistent and correct use and demand strict compliance for their effectiveness. Long-acting reversible methods of contraception (LARC) [i.e. intrauterine devices/intrauterine system (IUDs/IUS), implants and injectables] are highly effective, depend much less -if at all -on compliance for their effectiveness, and increasing their use has the potential to reduce unintended pregnancy. 2 Health professionals working in primary care settings in the UK have reservations about the long-term use of Depo-Provera ® , and about the side effects and continuation rates of Implanon ® , and many lack the necessary skills to insert implants and intrauterine contraceptives. safety and side effects, disliked any method which involved an invasive procedure and/or vaginal examination, and had rather a low opinion of advice given by health professionals. Accurate information was not wholly successful in dispelling negative views of LARC.Discussion and conclusions Many factors influence contraceptive choice. Attitudes towards methods are complex and may be difficult to change. Some barriers to LARC, including the need to see a health professional, cannot be overcome but giving more information about ease of use, reversibility, effects on weight and the positive experiences of other women, as well as describing these methods as lasting rather than longacting, may help improve acceptability. contraceptive implants, IUDs and the IUS is low in Scotland. 6 Recognising the potential of LARC to prevent unintended pregnancy, measures being used to monitor implementation of the National Sexual Health Strategy in Scotland 6 include increasing the uptake of LARC, and the Department of Health in England recently launched an initiative to promote LARC use. 7 The literature on acceptability of contraceptive methods is dominated by data from women already using those methods, often in the context of clinical trials...

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Section: Discussionmentioning

confidence: 99%

Attitudes of women in Scotland to contraception: a qualitative study to explore the acceptability of long-acting methods

Glasier

Scorer²,

Bigrigg³

2008

j fam plann reprod health care

105

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“…4,5 The uptake of LARC is low in Britain; only 10% of women aged 16 to 49 were using any LARC in 2005/06, UK Medical Eligibilty Criteria classification categories 1 A condition for which there is no restriction for the use of the contraceptive method 2 A condition where the advantages of using the method generally outweigh the theoretical or proven risks 3 A condition where the theoretical or proven risks usually outweigh the advantages of using the method 4 A condition which represents an unacceptable health risk if the contraceptive method is used. Table 2 compared with 23% of women using the oral contraceptive pill and 21% the condom.…”

Section: Contraceptionmentioning

confidence: 99%

Contraception

Glasier

2007

Medicine

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“…Poor adherence to these recommendations poses a challenge to reliable prevention of both STIs and pregnancy (5–7, 10, 11). Several studies have suggested that rates of dualmethod use among LARC users is lower than among users of other short acting reversible methods (10, 12–15). Available literature indicates that across women of all reproductive ages, there is low adherence to dual-method use (6, 10).…”

Section: Introductionmentioning

confidence: 99%

“…Varying risk perception (5, 15), partner discordance in condom preference (15), intermittent or partner specific condom use (5, 6, 13), and potential social desirability and recall bias (2, 10, 12) make accurate assessment of condom use difficult. Additionally, few studies specifically evaluate the correlation between reported changes in condom use and acquisition of STIs.…”

Section: Introductionmentioning

confidence: 99%

Condom use and incident sexually transmitted infection after initiation of long-acting reversible contraception

McNicholas

Klugman

Zhao

et al. 2017

American Journal of Obstetrics and Gynecology

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Background: Use of more effective contraception may lead to less condom use and increased incidence of sexually transmitted infection. Objective: The objective of this study was to compare changes in condom use and incidence of sexually transmitted infection acquisition among new initiators of long-acting reversible contraceptives to those initiating non-long acting reversible contraceptive methods. Study Design: This is a secondary analysis of the Contraceptive CHOICE Project. We included two sample populations of 12-month continuous contraceptive users. The first included users with complete condom data (baseline, 3, 6, and 12 months) (long-acting reversible contraceptive users: n=2371; other methods: n=575). The second included users with 12-month sexually transmitted infection data (long-acting reversible contraceptive users: n=2102; other methods: n=592). Self-reported condom use was assessed at baseline and at 3, 6, and 12 months following enrollment. Changes in condom use and incident sexually transmitted infection rates were compared using chi-square tests. Risk factors for sexually transmitted infection acquisition were identified using multivariable logistic regression. Results: Few participants in either group reported consistent condom use across all survey time points and with all partners (long-acting reversible contraceptive users: 5.2%; other methods: 11.3%, P<0.001). There was no difference in change of condom use at 3, 6 and 12 months compared to baseline condom use regardless of method type (p=0.65). A total of 94 incident sexually transmitted infections were documented, with long-acting reversible contraceptive users accounting for a higher proportion (3.9% vs. 2.0%; P=0.03). Initiation of a long-acting reversible contraceptive method was associated with increased sexually transmitted infection incidence (OR 2.0, 95% CI: 1.07, 3.72). Conclusions: Long-acting reversible contraceptive initiators reported lower rates of consistent condom use, but did not demonstrate a change in condom use when compared to pre-initiation behaviors. Long-acting reversible contraceptive users were more likely to acquire a sexually transmitted infection in the 12 months following initiation.

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Condom practices of urban teens using Norplant contraceptive implants, oral contraceptives, and condoms for contraception

Cited by 62 publications

References 13 publications

Attitudes of women in Scotland to contraception: a qualitative study to explore the acceptability of long-acting methods

Attitudes of women in Scotland to contraception: a qualitative study to explore the acceptability of long-acting methods

Contraception

Condom use and incident sexually transmitted infection after initiation of long-acting reversible contraception

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