Medical College of Wisconsin
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Dual method use among a sample of first-year college women. Perspect Sex Reprod Health 2014 Jun;46(2):73-81

Date

04/02/2014

Pubmed ID

24684480

Pubmed Central ID

PMC4201449

DOI

10.1363/46e1014

Scopus ID

2-s2.0-84902372329 (requires institutional sign-in at Scopus site)   10 Citations

Abstract

CONTEXT: Dual method use-using one protective method to reduce the risk of STDs and another to prevent pregnancy-is effective but understudied. No prior studies have employed an event-level approach to examining characteristics associated with dual method use among college women.

METHODS: In 12 consecutive monthly surveys conducted in 2009-2010, data on 1,843 vaginal intercourse events were collected from 296 first-year college women. Women reported on their use of condoms and hormonal contraceptives during all events. Multilevel regression analysis was used to assess associations between event-, month- and person-level characteristics and hormonal use and dual method use.

RESULTS: Women used hormonal contraceptives during 53% of events and condoms during 63%. Dual method use was reported 28% of the time, and only 14% of participants were consistent users of dual methods. The likelihood of dual method use was elevated when sex partners were friends as opposed to romantic partners or ex-boyfriends (odds ratios, 2.5-2.8), and among women who had received an STD diagnosis prior to college (coefficient, 2.9); it also increased with level of religiosity (0.8). Dual use was less likely when less reliable methods were used (odds ratio, 0.2) and when women reported more months of hormonal use (0.8), were older than 18 (coefficient, -4.7) and had had a greater number of partners before college (-0.3).

CONCLUSIONS: A better understanding of the characteristics associated with dual method use may help in the design of potential intervention efforts.

Author List

Walsh JL, Fielder RL, Carey KB, Carey MP

Author

Jennifer L. Walsh PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Age Factors
Coitus
Condoms
Contraception
Contraception Behavior
Contraceptives, Oral, Hormonal
Female
Humans
Interpersonal Relations
Religion
Sexual Partners
Sexually Transmitted Diseases
Young Adult