Contraceptive Technology Update
Contraceptive Implant Makes Inroads as Birth Control Option
Contraceptive implant makes inroads as birth control option Use of long-acting reversible methods continues, clinicians say Whether it's the intrauterine device (IUD) or the contraceptive implant, women are choosing long-acting reversible contraceptive (LARC) methods, say respondents to the 2013 ... (Publication: Contraceptive Technology Update)
Contraception Focus: Combined Hormones
Contraception focus: Combined hormones The contraceptive vaginal ring (NuvaRing, Merck & Co., Whitehouse Station, NJ) and the contraceptive patch (Evra, Ortho Women's Health & Urology, Raritan, NJ) offer two options for women who choose combined hormonal methods. Results of the 2013 Contraceptive ... (Publication: Contraceptive Technology Update)
Perspectives in Sexual and Reproductive Health
Dual Method Use Among a Sample Of First‐Year College Women
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.
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.
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).
A better understanding of the characteristics associated with dual method use may help in the design of potential intervention efforts.
Prime Time: Long‐Term Sexual Health Outcomes Of a Clinic‐Linked Intervention
Evidence about long‐term effects of preventive health services for youth with complex needs is lacking. Prime Time, a youth development intervention, aims to reduce pregnancy risk among vulnerable adolescent females seeking clinic services.
In a randomized trial, 253 sexually active females aged 13–17 who were at high risk for pregnancy were assigned to the Prime Time intervention or usual clinic services. The 18‐month intervention, initiated in 2007–2008, comprised regular meetings with case managers and participation in youth leadership groups. Trial participants completed surveys at baseline and 30 months. Regression analyses were used to evaluate differences between groups in sexual and psychosocial outcomes at follow‐up.
At 30 months, the intervention group reported more months of consistent condom use (adjusted means, 1.8 vs. 1.1) and dual contraceptive use (0.9 vs. 0.3) in the past seven months than did controls. The intervention was most effective in promoting consistent use among participants with relatively high levels of connectedness to family or school. Fifteen percent of intervention participants, but only 6% of controls, reported having abstained from sex in the past six months (adjusted odds ratio, 2.9). Moreover, among high school graduates, those in the intervention group were more likely than those in the control group to have enrolled in college or technical school (72% vs. 37%; odds ratio, 4.5).
Health services grounded in a youth development framework can lead to reductions in sexual risk among vulnerable youth that are evident one year following conclusion of services.
Guttmacher Policy Report
Guttmacher Institute Monthly State Policy Update
This update provides information on legislation,
as well as relevant executive branch actions and judicial decisions in states across the country