Contraceptive Use Patterns Among Teens and Young Adults

青少年和年轻人的避孕药具使用模式

• 批准号: 6607591
• 负责人: JENNIFER S MANLOVE
• 金额: $ 23.94万
• 依托单位: CHILD TRENDS, INC.
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-08-08 至 2005-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6607591
• 关键词: adolescence (12-20); behavioral /social science research tag; clinical research; communication; contraceptives; disease /disorder prevention /control; dyadic interaction; family planning; family structure /dynamics; female; gender difference; human data; longitudinal human study; male; motivation; peer group; pregnancy; racial /ethnic difference; sex behavior; sex education; sex partner; sexually transmitted diseases; socioeconomics; socioenvironment; women's health; young adult human (21-34)

The specific aim of the proposed project is to enhance our understanding of how to sustain recent improvements in contraceptive use at first sex so that teens and young adults can become more consistent contraceptive users. The proposed project will examine patterns of contraceptive use and consistency across sexual relationships, within current cohorts of teens and young adults. Our premise is that contraceptive use must be negotiated and sustained within each new sexual relationship. Understanding why teens and young adults use contraception consistently, as well as understanding patterns of inconsistent use, will help inform strategies to prevent unintended pregnancy and STIs. Analyses by race/ethnicity will help address disparities in reproductive health among racial and ethnic minorities. Additional sub-population analyses will include comparisons of teens and young adults, and males and females. The proposed project will incorporate an ecological framework, which posits that behaviors among teens and young adults will be influenced by factors from multiple domains of their lives. We will incorporate multi-level and multi-process models to examine how contraceptive use patterns are shaped by individual knowledge and motivations, characteristics of each sexual relationship (including partner characteristics and sexual activity), peer environments and family background, including parent-child communication. We will also examine the influence of school, community, and policy variables, such as sex education programs and the presence of economic opportunities. The project will analyze month-by-month histories of contraceptive use and sexual relationships within two cycles of the National Survey of Family Growth (1995, 2001) and information on sexual relationships and contraceptive use patterns within three waves of the National Longitudinal Study of Adolescent Health.

拟议项目的具体目的是加强我们对如何保持最近在第一次性行为中避孕用具使用方面的改进的理解，以便青少年和年轻人能够成为更一致的避孕用具使用者。拟议的项目将在当前的青少年和年轻人队列中检查避孕用具的使用模式和跨性关系的一致性。我们的前提是，避孕药的使用必须在每一次新的性关系中谈判并持续下去。了解青少年和年轻人为什么一直使用避孕药具，以及了解不一致使用的模式，将有助于制定预防意外怀孕和性传播感染的战略。按种族/族裔进行的分析将有助于解决种族和族裔少数群体在生殖健康方面的差异。其他亚人群分析将包括对青少年和年轻人以及男性和女性的比较。拟议的项目将纳入一个生态框架，该框架假设青少年和年轻人的行为将受到来自他们生活的多个领域的因素的影响。我们将结合多层次和多过程模型，研究个人知识和动机、每种性关系的特征(包括伴侣特征和性行为)、同伴环境和家庭背景(包括亲子沟通)是如何形成避孕使用模式的。我们还将研究学校、社区和政策变量的影响，例如性教育项目和经济机会的存在。该项目将在两个周期的“全国家庭成长调查”(1995、2001)内逐月分析避孕用具使用和性关系的历史，并在“全国青少年健康纵向研究”的三个周期内分析有关性关系和避孕用具使用模式的信息。