Dual contraceptive method use, or using a highly effective contraceptive method plus a barrier method like condoms, is gaining attention as a strategy for preventing unplanned pregnancy and sexually transmitted diseases. We investigated rates of dual method use among a sample of youth in urban alternative schools, and explored the relationship between dual method use and sexual partner type. The study analyzed data from 765 students enrolled in 11 district-run continuation high schools in northern California. We explored the association between dual method use and sexual partner type (steady only, a mix of steady and non-steady, and non-steady only) using logistic regression. Differences in dual rates by partner type were statistically significant, with higher rates of dual methods use reported among young people reporting non-steady sexual partners only, as compared to those with steady partners only. The data illustrate that young people in alternative school settings could gain from further intervention on the benefits, skills, and challenges of using two methods of contraception as opposed to one with both steady and non-steady sexual partners.
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Centers for Disease Control and Prevention. (2012). Sexual experience and contraceptive use among female teens: United States, 1995, 2002, and 2006–2010. Morbidity and Mortality Weekly Report, 61(17), 297–301.
Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., et al. (2012). Youth risk behavior surveillance: United States, 2011. Morbidity and Mortality Weekly Report Surveillance Summaries, 61(4), 1–162.
Eisenberg, D., Allsworth, J., Zhao, Q., & Peipert, J. (2012). Correlates of dual-method contraceptive use: An analysis of the Nation Survey of Family Growth (2006–2008). Infectious Diseases in Obstetrics and Gynecology. doi:10.1155/2012/717163.
Gilliam, M. L., Davis, S. D., Neustadt, A. B., & Levey, E. J. (2009). Contraceptive attitudes among inner-city African American female adolescents: Barriers to effective hormonal contraceptive use. Journal of Pediatric and Adolescent Gynecology, 22(2), 97–104.
Goldstein, R. L., Upadhyay, U. D., & Raine, T. R. (2013). With pills, patches, rings, and shots: who still uses condoms? A longitudinal cohort study. Journal of Adolescent Health, 52(1), 77–82.
Grunbaum, J., Lowry, R., & Kann, L. (2001). Prevalence of health-related behaviors among alternative high school students as compared with students attending regular high schools. Journal of Adolescent Health, 2(29), 337–343.
Manlove, J., Welti, K., Barry, M., Peterson, K., Schelar, E., & Wildsmith, E. (2011). Relationship characteristics and contraceptive use among young adults. Perspectives on Sexual and Reproductive Health, 43(2), 119–128.
Matson, P. A., Adler, N. E., Millstein, S. G., & Ellen, J. M. (2011). Developmental changes in condom use among urban adolescent females: Influence of partner context. Journal of Adolescent Health, 48(4), 386–390.
Morroni, C., Heartwell, S., Edwards, S., Zieman, M., & Westhoff, C. (2014). The impact of oral contraceptive initiation on young women’s condom use in 3 American cities: Missed opportunities for intervention. PLoS ONE. doi:10.1371/journal.pone.0101804.
Murray, C. C., Hatfield-Timajchy, K., Kraft, J. M., Bergdall, A. R., Habel, M. A., Kottke, M., et al. (2013). In their own words: Romantic relationships and the sexual health of young African American women. Public Health Reports, 128(Suppl 1), 33–42.
O’Leary, A. (2011). Are dual-method messages undermining STI/HIV prevention? Infectious Diseases in Obstetrics and Gynecology. doi:10.1155/2011/691210.
Romer, A., Shew, M. L., Ofner, S., Gilliam, M. L., Martins, S. L., & Fortenberry, J. D. (2013). Depot medroxyprogesterone acetate use is not associated with risk of incident sexually transmitted infections among adolescent women. Journal of Adolescent Health, 52(1), 83–88.
Sieving, R. E., Bearinger, L. H., Resnick, M. D., Pettingell, S., & Skay, C. (2007). Adolescent dual method use: Relevant attitudes, normative beliefs, and self-efficacy. Journal of Adolescent Health, 40(3), 275.e15.
Tyler, C. P., Whiteman, M. K., Kraft, J. M., Zapata, L. B., Hillis, S. D., Curtis, K. M., et al. (2014). Dual use of condoms with other contraceptive methods among adolescents and young women in the United States. Journal of Adolescent Health, 54, 169–175.
Williams, R., & Fortenberry, J. D. (2013). Dual use of long-acting reversible contraceptives and condoms among adolescents. Journal of Adolescent Health, 52(4), S29–S34.
The study was supported by the National Institute of Child Health and Human Development (HD#041856). The authors gratefully acknowledge the contributions to this research project by the educators, research staff, and tracking staff who helped ensure the project was implemented successfully. Additionally, we express our sincere appreciation to the district representatives, principals, teachers, school staff, and students who participated in the study.
Conflict of interest
The authors have no conflicts of Interest.
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Coyle, K.K., Peterson, A.J., Franks, H.M. et al. Dual Contraceptive Method Use Among Youth in Alternative Schools. J Primary Prevent 37, 561–567 (2016). https://doi.org/10.1007/s10935-016-0453-4
- Adolescent contraception
- Adolescent condom use
- Dual method contraception
- Health education
- Urban populations