Adolescent Reproductive and Contraceptive Knowledge and Attitudes and Adult Contraceptive Behavior
Adolescent Reproductive and Contraceptive Knowledge and Attitudes and Adult Contraceptive Behavior
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DOI：
10.1007/s10995-017-2351-7
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发表时间：
2018-01-01
影响因子：
2.3
通讯作者：
Hayford, Sarah R.
中科院分区：
文献类型：
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作者：
Guzzo, Karen Benjamin;Hayford, Sarah R.
避孕无效和不一致的使用是常见的成年人，可能是由于有限的知识，生殖和不良的态度避孕。知识和态度首先在青春期形成。我们测试青少年的知识和态度是否对成年避孕行为有长期影响。方法使用全国青少年到成人健康纵向调查，我们的分析样本（n = 6662）包括在第一波（1995年; 15岁及以上的学生）被问及性和避孕问题，以及在第四波（2007 - 2008年）调查时性活跃且未怀孕的人。我们研究了青少年对避孕的态度，避孕套和生殖的知识，以及对避孕知识的信心是否可以预测成年避孕的有效性和一致性，使用logistic回归。结果在调整了一系列社会经济、人口统计学和生命历程因素的模型中，青春期对避孕的良好态度增加了（aOR 1.21，CI 1.08 - 1.36）成年后使用更有效的避孕方法，而不是使用效果较差或没有避孕方法，以及更准确的避孕套知识（aOR 1.07，CI 1.00-1.14）和更准确的生殖知识（aOR 1.07，CI 1.00-1.13）。对避孕态度更好的青少年成年后也更一贯地使用避孕方法（aOR 1.27，CI 1.14 - 1.43），避孕套知识更准确的青少年也是如此（aOR 1.10，CI 1.03 - 1.18）。结论青春期避孕态度、避孕套知识和生育知识对成年避孕行为有预测作用。结果表明，在青春期进行全面的性教育可以提高一生中有效的避孕行为。
Objectives Ineffective and inconsistent contraceptive use is common among adults, perhaps due to limited knowledge about reproduction and unfavorable attitudes toward contraception. Knowledge and attitudes are first developed in adolescence. We test whether adolescent knowledge and attitudes have long-term implications for adult contraceptive behavior. Methods Using the National Longitudinal Survey of Adolescent to Adult Health, our analytical sample (n = 6662) consists of those asked sex and contraception questions at Wave I (1995; students aged 15 and older) and who were sexually active and not pregnant at the time of the Wave IV (2007-2008) survey. We examined whether adolescent attitudes toward contraception, knowledge of condoms and reproduction, and confidence in contraceptive knowledge were predictive of adult contraceptive efficacy and consistency using logistic regression. Results In models adjusted for a range of socioeconomic, demographic, and life course factors, favorable attitudes toward contraception in adolescence increased the odds (aOR 1.21, CI 1.08-1.36) of using more effective methods rather than a less effective or no method of contraception in adulthood, as did more accurate condom knowledge (aOR 1.07, CI 1.00-1.14) and more accurate reproductive knowledge (aOR 1.07, CI 1.00-1.13). Adolescents with more favorable attitudes toward contraception also used contraception more consistently as adults (aOR 1.27, CI 1.14-1.43), as did those with more accurate condom knowledge (aOR 1.10, CI 1.03-1.18). Conclusions Attitudes towards contraception and knowledge about condoms and reproduction acquired during adolescence are predictive of adult contraceptive behavior. Results suggest that comprehensive sex education during adolescence could improve effective contraceptive behavior throughout the life course.