Sexual Activity and Weekly Contraceptive Discontinuation and Selection Among Young Adult Women in Michigan

Susannah E. Gibbs, Yasamin Kusunoki, Caroline Moreau

Research output: Contribution to journalArticle

Abstract

Understanding young women’s contraceptive and pregnancy prevention behaviors is important for helping women and their partners control if and when they have children. Prior research on associations between patterns of sexual activity and contraceptive behaviors is limited. We assessed the influence of recent sexual activity on discontinuation and selection of specific contraceptive methods. We used weekly data from the Relationship Dynamics and Social Life (RDSL) study, a longitudinal 2.5-year population-based project that sampled woman ages 18 and 19 (N = 1,003) in one Michigan county. We estimated logistic and multinomial regression models that accounted for clustering of weekly observations within partnerships and women. Weekly discontinuation of longer-acting methods declined with increasing sexual activity in the past month, as did discontinuation of shorter-acting hormonal methods. Sexual activity was associated with decreased selection of condoms relative to other methods. Future research into life events that lead to changes in the frequency of sexual activity may provide insight into times when women are at risk of contraceptive discontinuation. These findings underscore the importance of anticipatory guidance in contraceptive counseling so that when women change their contraceptive behavior they are equipped in advance with resources to make safe transitions between methods.

Original languageEnglish (US)
JournalJournal of Sex Research
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Contraceptive Agents
contraceptive
Sexual Behavior
young adult
Young Adult
Contraception Behavior
Condoms
Contraception
Cluster Analysis
Longitudinal Studies
Young Adults
Sexual
Counseling
pregnancy
counseling
Logistic Models
logistics
regression
Pregnancy
event

ASJC Scopus subject areas

  • Gender Studies
  • Sociology and Political Science
  • Psychology(all)
  • History and Philosophy of Science

Cite this

Sexual Activity and Weekly Contraceptive Discontinuation and Selection Among Young Adult Women in Michigan. / Gibbs, Susannah E.; Kusunoki, Yasamin; Moreau, Caroline.

In: Journal of Sex Research, 01.01.2019.

Research output: Contribution to journalArticle

@article{c6b650224376484ea21d5232d8ebc554,
title = "Sexual Activity and Weekly Contraceptive Discontinuation and Selection Among Young Adult Women in Michigan",
abstract = "Understanding young women’s contraceptive and pregnancy prevention behaviors is important for helping women and their partners control if and when they have children. Prior research on associations between patterns of sexual activity and contraceptive behaviors is limited. We assessed the influence of recent sexual activity on discontinuation and selection of specific contraceptive methods. We used weekly data from the Relationship Dynamics and Social Life (RDSL) study, a longitudinal 2.5-year population-based project that sampled woman ages 18 and 19 (N = 1,003) in one Michigan county. We estimated logistic and multinomial regression models that accounted for clustering of weekly observations within partnerships and women. Weekly discontinuation of longer-acting methods declined with increasing sexual activity in the past month, as did discontinuation of shorter-acting hormonal methods. Sexual activity was associated with decreased selection of condoms relative to other methods. Future research into life events that lead to changes in the frequency of sexual activity may provide insight into times when women are at risk of contraceptive discontinuation. These findings underscore the importance of anticipatory guidance in contraceptive counseling so that when women change their contraceptive behavior they are equipped in advance with resources to make safe transitions between methods.",
author = "Gibbs, {Susannah E.} and Yasamin Kusunoki and Caroline Moreau",
year = "2019",
month = "1",
day = "1",
doi = "10.1080/00224499.2018.1556239",
language = "English (US)",
journal = "Journal of Sex Research",
issn = "0022-4499",
publisher = "Routledge",

}

TY - JOUR

T1 - Sexual Activity and Weekly Contraceptive Discontinuation and Selection Among Young Adult Women in Michigan

AU - Gibbs, Susannah E.

AU - Kusunoki, Yasamin

AU - Moreau, Caroline

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Understanding young women’s contraceptive and pregnancy prevention behaviors is important for helping women and their partners control if and when they have children. Prior research on associations between patterns of sexual activity and contraceptive behaviors is limited. We assessed the influence of recent sexual activity on discontinuation and selection of specific contraceptive methods. We used weekly data from the Relationship Dynamics and Social Life (RDSL) study, a longitudinal 2.5-year population-based project that sampled woman ages 18 and 19 (N = 1,003) in one Michigan county. We estimated logistic and multinomial regression models that accounted for clustering of weekly observations within partnerships and women. Weekly discontinuation of longer-acting methods declined with increasing sexual activity in the past month, as did discontinuation of shorter-acting hormonal methods. Sexual activity was associated with decreased selection of condoms relative to other methods. Future research into life events that lead to changes in the frequency of sexual activity may provide insight into times when women are at risk of contraceptive discontinuation. These findings underscore the importance of anticipatory guidance in contraceptive counseling so that when women change their contraceptive behavior they are equipped in advance with resources to make safe transitions between methods.

AB - Understanding young women’s contraceptive and pregnancy prevention behaviors is important for helping women and their partners control if and when they have children. Prior research on associations between patterns of sexual activity and contraceptive behaviors is limited. We assessed the influence of recent sexual activity on discontinuation and selection of specific contraceptive methods. We used weekly data from the Relationship Dynamics and Social Life (RDSL) study, a longitudinal 2.5-year population-based project that sampled woman ages 18 and 19 (N = 1,003) in one Michigan county. We estimated logistic and multinomial regression models that accounted for clustering of weekly observations within partnerships and women. Weekly discontinuation of longer-acting methods declined with increasing sexual activity in the past month, as did discontinuation of shorter-acting hormonal methods. Sexual activity was associated with decreased selection of condoms relative to other methods. Future research into life events that lead to changes in the frequency of sexual activity may provide insight into times when women are at risk of contraceptive discontinuation. These findings underscore the importance of anticipatory guidance in contraceptive counseling so that when women change their contraceptive behavior they are equipped in advance with resources to make safe transitions between methods.

UR - http://www.scopus.com/inward/record.url?scp=85059901095&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85059901095&partnerID=8YFLogxK

U2 - 10.1080/00224499.2018.1556239

DO - 10.1080/00224499.2018.1556239

M3 - Article

C2 - 30632833

AN - SCOPUS:85059901095

JO - Journal of Sex Research

JF - Journal of Sex Research

SN - 0022-4499

ER -