Contraceptive Method Choice Among Young Adults: Influence of Individual and Relationship Factors.
Contraceptive Method Choice Among Young Adults: Influence of Individual and Relationship Factors.
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DOI：
10.1080/00224499.2017.1419334
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发表时间：
2018-11
影响因子：
3.6
通讯作者：
Agnew CR
中科院分区：
文献类型：
--
作者：
Harvey SM;Oakley LP;Washburn I;Agnew CR
由于与避孕行为有关的决定往往是由年轻人在特定关系的背景下做出的，这种关系背景可能会影响避孕药具的使用。这里的数据来自对536名来自加州东洛杉矶的黑人、西班牙裔和白人年轻人的面对面结构化访谈。我们在一年多的时间里，四次收集了每个人在所有性伙伴关系中的特定伴侣关系和避孕数据。使用三水平多项逻辑回归模型，我们检验了预测避孕使用的个体和关系因素。结果表明，个体因素和关系因素都能预测避孕措施的使用，但各因素因方法而异。与只使用避孕套相比，报告更强烈的伴侣排他性和关系承诺的参与者更有可能只使用激素/长效方法或效果较差/不使用方法。那些更多地参与性决策的人更有可能使用任何方法，而不是效果较差或没有方法，更有可能只使用避孕套或双重方法，而不是只使用激素/长效方法。此外，仅对女性来说，那些报告更有关系承诺的人更有可能使用激素/长效方法或效果较差/无方法，而不是双重方法。总之，互动关系的质量和动态（承诺和性决策）显著预测避孕措施的使用。
Because decisions related to contraceptive behavior are often made by young adults in the context of specific relationships, the relational context likely influences use of contraceptives. Data presented here are from in-person structured interviews with 536 Black, Hispanic, and White young adults from East Los Angeles, California. We collected partner-specific relational and contraceptive data on all sexual partnerships for each individual, on four occasions, over one year. Using three-level multinomial logistic regression models we examined individual and relationship factors predictive of contraceptive use. Results indicated that both individual and relationship factors predicted contraceptive use but factors varied by method. Participants reporting greater perceived partner exclusivity and relationship commitment were more likely to use hormonal/long-acting methods only or a less effective/no method versus condoms only. Those with greater participation in sexual decision-making were more likely to use any method over a less effective/no method and were more likely to use condoms only or dual methods versus a hormonal/long-acting method only. Additionally, for women only, those who reported greater relationship commitment were more likely to use hormonal/long-acting methods or a less effective/no method versus a dual method. In summary, interactive relationship qualities and dynamics (commitment and sexual decision-making) significantly predicted contraceptive use.
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影响因子：
4.4
作者：
Bauman, LJ;Berman, R
通讯作者：
Berman, R
影响因子：
2.9
作者：
Higgins, Jenny A.;Smith, Nicole K.;Fortenberry, J. Dennis
通讯作者：
Fortenberry, J. Dennis
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Lindberg, Laura Duberstein
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Lindberg, Laura Duberstein
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作者：
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通讯作者：
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