The effect of sexual behavior and a pregnancy on contraceptive method switching among black female teens

Marilyn B. Hirsch, Laurie Schwab Zabin, Rosalie Streett, Ellen Hoffman-Goldwasser, Christine Fitzgerald, Esther Vines, Susannah Sagan, Janet B. Hardy

Research output: Contribution to journalArticlepeer-review

Abstract

Little is known about determinants of contraceptive method switching and few reports use data that can link events that occur close in time. Using retrospective information from the sexual calendars of black female teens who attended a reproductive health clinic, determinants of method switching in four areas were investigated. Method switchers, those who switched from an unprepared to a prepared method (n = 62) and those who switched from a prepared to an unprepared method (n = 18), were matched with nonswitchers who used the same initial method. Associations between switching and changes in the frequency of intercourse, sexual abstinence, and pregnancy were found. It is suggested that abstinence may have a different role in switching from each type of method. Counselors need to emphasize the importance of method continuation, even when sex has not occurred for a short period of time.

Original languageEnglish (US)
Pages (from-to)289-294
Number of pages6
JournalJournal of Adolescent Health Care
Volume10
Issue number4
DOIs
StatePublished - Jul 1989

Keywords

  • Contraception behavior Contraceptive method switching

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health

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