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

Brown, Jennifer L.; Hennessy, Michael; Sales, jessica; DiClemente, Ralph J.; Salazar, Laura F.; Vanable, Peter A.; Carey, Michael P.; Romer, Dan; Valois, Robert F.; Brown, Larry K.; Stanton, Bonita

doi:10.1155/2011/765917

Cited by 18 publications

(13 citation statements)

References 33 publications

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“…Several studies have examined factors associated with seronegative women's selection and use of contraceptive methods [96, 97, 101–103]. Among studies of adult HIV-seropositive women, the majority have been conducted in international settings, primarily in Africa [104–110], with few studies from the USA [111].…”

Section: Factors That Influence Contraceptive Choice May Impact Hiv Riskmentioning

confidence: 99%

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

et al. 2014

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Effective family planning with modern contraception is an important intervention to prevent unintended pregnancies which also provides personal, familial, and societal benefits. Contraception is also the most cost-effective strategy to reduce the burden of mother-to-child HIV transmission for women living with HIV who wish to prevent pregnancy. There are concerns, however, that certain contraceptive methods, in particular the injectable contraceptive depot medroxyprogesterone acetate (DMPA), may increase a woman's risk of acquiring HIV or transmitting it to uninfected males. These concerns, if confirmed, could potentially have large public health implications. This paper briefly reviews the literature on use of contraception among women living with HIV or at high risk of HIV infection. The Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) recommendations place no restrictions on the use of hormonal contraceptive methods by women with or at high risk of HIV infection, although a clarification recommends that, given uncertainty in the current literature, women at high risk of HIV who choose progestogen-only injectable contraceptives should be informed that it may or may not increase their risk of HIV acquisition and should also be informed about and have access to HIV preventive measures, including male or female condoms.

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Section: Factors That Influence Contraceptive Choice May Impact Hiv Riskmentioning

confidence: 99%

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

et al. 2014

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“…Previous research has also highlighted the important influence of relationship context on the decision to use withdrawal (Brown et al, 2011;Whittaker et al, 2010). As a couple's relationship grows more serious, the perceived risk of sexually transmitted infections (STIs) may be de-emphasized, while pregnancy prevention becomes the primary focus (Brown et al, 2011;Fennell, 2014;Whittaker et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

“Is That A Method of Birth Control?” A Qualitative Exploration of Young Women’s Use of Withdrawal

Arteaga

Gómez

2015

The Journal of Sex Research

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Despite its ubiquity, withdrawal is understudied as a family planning method. We investigated the context of and decision-making around withdrawal use, drawing on in-depth, qualitative interviews with 38 Black and Latina women (ages 18-24). We examined contraceptive use histories to understand when and why participants used withdrawal. The majority of participants (n = 29; 76%) had used withdrawal in their lifetimes, though two-thirds of users mentioned withdrawal in their contraceptive histories only after interviewer prompts.Withdrawal was primarily used during transitions between contraceptive methods and when other methods were not desired. Relationship context was also an important factor, as many used withdrawal to increase intimacy with their partners; because they felt condoms were no longer necessary due to monogamy; or to fulfill their partners' preferences to increase sexual pleasure.Our findings indicate that decision-making around withdrawal is embedded in situational and relational contexts. Future research should explore how healthcare providers and sex educators can engage young women in discussions of withdrawal's benefits and constraints. A harm reduction framework, which recognizes that optimal use of withdrawal is preferable to not using a pregnancy prevention method at all, may inform the ways that withdrawal can be addressed in clinical and educational settings.

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“…Extant literature suggest that historically a male condom has been one of the most common forms of contraception among African American adolescents. 90–92 Thus, even though the frequency of birth control use measure did not capture condom use specifically, it can be assumed that a condom was used by the teens as a form of birth control at least some of the time. To mitigate the individual limitations of these two measures, we considered them together as a latent variable whose greater values are likely be a stronger indicator of risk than either variable considered separately.…”

Section: Discussionmentioning

confidence: 99%

The role of young adult social bonds, substance problems, and sexual risk in pathways between adolescent substance use and midlife risky sexual behavior among urban African Americans.

Zebrak¹,

Green²

2017

Psychology of Addictive Behaviors

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African Americans are disproportionately affected by HIV/AIDS and other sexually transmitted infections (STIs) relative to other racial groups. Although substance use has been linked to risky sexual behavior, our understanding of how these associations develop over the life course remains limited, particularly the role of social bonds. This study uses structural equation modeling to examine pathways from adolescent substance use to young adult sexual risk, substance problems, and social bonds and then to midlife risky sexual behavior among African American men and women, controlling for childhood confounders. Data come from four assessments, one per developmental period, of a community-based urban African American cohort (N=1242) followed prospectively from ages 6–42 years. We find that greater adolescent substance use predicts greater young adult substance problems and increased risky sexual behavior, both of which in turn predict greater midlife sexual risk. Although greater adolescent substance use predicts fewer young adult social bonds for both genders, less young adult social bonding is unexpectedly associated with decreased midlife risky sexual behavior among women, and not related for men. Substance use interventions among urban African American adolescents may have both immediate and long-term effects on decreasing sexual risk behaviors. Given the association between young adult social bonding and midlife risky sex among females, number of social bonds should not be used as a criterion for determining who to screen for sexual risk among African American women. Future studies should explore other aspects of social bonding in linking substance use and risky sexual behavior over time.

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

Cited by 18 publications

References 33 publications

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

Contraceptive Methods and Risk of HIV Acquisition or Female-to-Male Transmission

“Is That A Method of Birth Control?” A Qualitative Exploration of Young Women’s Use of Withdrawal

The role of young adult social bonds, substance problems, and sexual risk in pathways between adolescent substance use and midlife risky sexual behavior among urban African Americans.

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