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JOURNAL OF ADOLESCENT HEALTH CARE 1987;8:300-314
Abstracts of Papers Presented At the Annual Meeting of The Society for Adolescent
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LONGTERn FOLLOW UP OF ORAL CONTRACEPTIVE CDnPLIANCE IN ADDLESCENTS IN A PRtVATI. PRACTICE AND HOSPtTAL CLINIC. K,,thryn Klsln, M.D.. P.~th~,mnn Gmce. l&D.. S. Juan Emans. H.D. Elizabeth R. Woods, “.“.. nepartnent Of Pl?dluerics. Howard Wedlcnl School. i’hn Chlldren’n Ilospital. Boatoe I”.\.
Poor canpllance ulth the UBO oi orul ~strii.cptivcs nnnng sw~ally active odokacunta often r‘ltlult8 in unwanted praSno”cy. Host previous studio8 oxrmlnlnK fnctore ansoelatsd with compliance hwo tollwad adotawanto for ahow intewal~ of l-3 months or have eollsctcd dotn prlnArll9 on Inn~t city cllnlc putisnta. Ihla study followed 110 adotoaeents S4v.n Norlnyl 1*35 In an adolescent private practice and a hospital ellnlc PrO8P‘~tIV019 for a “,*a” duration of 13.5t3.7 mos (Iasf,E 1-22 moo). The maan [email protected] va8 17.StZ.O yra. and rho athnle nakcup ~8 55% white. 39X hlnfk. and 6X ntCcr. Compliance we defined as keepin appnlntmonte end either using contraception II* prescribed or discontinuing only if “OL eexuolly act4va.
t.m~linnco vaa aosoeintod with: 1. hiSlw low1 of fat,“cr’s education tn=.OODS~: 2. cotlone bound In-.0X): f. older trr.0261: A. white (e-.0261:
contrawption. teen&tgcrs IemonatraLe ~1 reluoLanec to utlllzo the.% r~~o~vaee.. Clln4C4aw, Ilnd ra%mrchorS alike hO”I 3ttfclptsd to analyze adolescent contyawptlvo tnhavlur 10 an eWxL ta Idostify varlablas ublch lnflu~nae this risk-trklnS behuulor. Suoh knoultrdgs could rrllw tbc developnent of models to allcvlato the 0~~00s barriers to contrnoeptiue health Care, and help Identify thaw tte”naSers who we at Jl$nlflomt rlak for B” unplWUW‘t pre&nsncry. Many ot- th9 lardor studtwt UT adoleswznt ~o”truw~tLw beh0VlOr hwe been attleoroLlou1 Ln “atWO end haYe beon lnelylect 10 UnlvaPlZItc and bivsriatc aadas. Tbo purfmso of this atu,y ~85 LO test il !“UltiVBrldte theoretlcul model uhich prsdlcts (0 the doelaion lo “~0 oontraoeptivaa and 481 the crholae or ” apac4r4c method. The1 model C0”9,9\3 or: prcmarits, .%?xua, Jtendords und
enper1enues --a frequency or 0QLt.U~ --> pet-feivod probability of pre~nnmy ..a co~nlt‘vc 091e3mLnC"t 0r pre(lnmoy -> contreccptive JCtlYlty. nlha model YPP test& Ming a rCCUnt MtiOnPl (U.S.A.) repr%MtdtlVt SBVmpie Of ~O~~~~ltd. s@xu:~lly actlvc females i~des 15 to 20 years (n:1310). The model was tested U?lillS nvltlpla regresslo” anai*ysiJ. the nubeber 0r YCBPS 0r sexual f30twity and Ihc freqWW7 or Atendance .t religious services We BJJDcLated ulth zoita1 frequency (R x .,I. pt.‘J3011. Coital frsquency. Post “enarchlal age and years dating wre cmaociated with co”trace,,tl”e “a‘? (R i .23, p<.OOOl). httitude toward praqnaney. previously having received professional birth cantrol IVLCE, c~mplinnce uitb first contraceptive method, coitnl frequency tied professional level or the JOULES 0r their rlrat family planning service.3 “ert also assoc4aLed with contr~ceptlve “se (R i ~34, p<.OOOI). These data support the model and prwMe inslsht into the decision process used by adolescents :.a Lake contraceptive risks.
