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Canadian Journal of Public Health

, Volume 93, Issue 6, pp 461–464 | Cite as

Contraception Among Young Women Attending High School in Rural Nova Scotia

  • Donald B. Langille
  • Jean Hughes
  • Gail Tomblin
  • Janet A. Rigby
Article

Abstract

Objective: To examine contraceptive methods used by rural adolescent women and sociodemographic factors associated with not using effective contraception.

Methods: Students in three Nova Scotia high schools participated in a survey concerning sexual activity, behaviours, and contraception used at last intercourse. Proportions using no effective contraception were examined with respect to socio-demographic variables.

Results: The overall response rate was 80%; 46% of 922 young women aged 15–19 had had intercourse in the previous year. Of these, 87% used effective contraception at last intercourse. Average school mark <80%, and having a father with less than high school education were associated with not using effective contraception. Mother’s education and employment, family structure, age of first intercourse and importance of religion were not associated with lack of contraception.

Interpretation: Using no, or ineffective, contraception at last intercourse was seen in fewer young women than has been seen in other Canadian studies. In addition to examining use of contraception in rural Canadian adolescents, the study provides evidence concerning factors for consideration in targeted interventions.

Résumé

Objectif: Examiner les méthodes anticonceptionnelles utilisées par les adolescentes en milieu rural et les facteurs socio-démographiques associés à la non-utilisation d’une méthode de contraception efficace.

Méthode: Les élèves de trois écoles secondaires de la Nouvelle-Écosse ont participé à un sondage sur l’activité sexuelle, les comportements et la méthode de contraception employée durant leur dernier rapport sexuel. Nous avons examiné la proportion d’élèves n’utilisant pas de méthode anticonceptionnelle efficace à la lumière de variables socio-démographiques.

Résultats: Le taux de réponse global était de 80%; 46% des 922 jeunes femmes de 15 à 19 ans avaient eu des rapports sexuels au cours de l’année précédente. De ce chiffre, 87% avaient utilisé une méthode anticonceptionnelle efficace durant leur dernier rapport. Des notes moyennes inférieures à 80% à l’école et le fait d’avoir un père n’ayant pas terminé ses études secondaires étaient associés à la non-utilisation d’une méthode anticonceptionnelle efficace, mais la scolarité et l’emploi de la mère, la structure familiale, l’âge du premier rapport sexuel et l’importance de la religion n’étaient pas associés à l’absence de contraception.

Interprétation: La non-utilisation d’une méthode anticonceptionnelle ou le recours à une méthode inefficace durant le dernier rapport sexuel ont été constatés chez un moindre nombre de jeunes femmes que dans d’autres études canadiennes. En plus de décrire l’utilisation de la contraception par les adolescentes canadiennes en milieu rural, l’étude fournit quelques données sur les facteurs à considérer dans les interventions ciblées.

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Copyright information

© The Canadian Public Health Association 2002

Authors and Affiliations

  • Donald B. Langille
    • 1
  • Jean Hughes
    • 2
  • Gail Tomblin
    • 2
  • Janet A. Rigby
    • 1
  1. 1.Department of Community Health and EpidemiologyDalhousie University, Clinical Research CentreHalifaxCanada
  2. 2.School of Nursing, Faculty of Health ProfessionsDalhousie UniversityCanada

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