Adolescent Self-Reported Use of Highly Effective Contraception: Does Provider Counseling Matter?

To examine associations between provider counseling about specific contraceptive methods and method choices reported by adolescents. A cross-sectional, secondary analysis of the local 2015 Youth Risk Behavior Survey, to which we added 2 new/modified questions about long-acting reversible contracepti...

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Bibliographic Details
Published in:Journal of pediatric & adolescent gynecology 2020-10, Vol.33 (5), p.529-535
Main Authors: Bostick, Erica A., Greenberg, Katherine B., Fagnano, Maria, Baldwin, Constance D., Halterman, Jill S., Yussman, Susan M.
Format: Article
Language:English
Subjects:
Adolescent
Adolescent contraceptive use
Adult
Confidentiality
Contraception Behavior - statistics & numerical data
Contraceptive counseling
Cross-Sectional Studies
Family Planning Services - statistics & numerical data
Female
Hormonal contraception
Humans
LARC
Long-acting reversible contraception
Long-Acting Reversible Contraception - statistics & numerical data
New York
Self Report
Students - psychology
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Summary:To examine associations between provider counseling about specific contraceptive methods and method choices reported by adolescents. A cross-sectional, secondary analysis of the local 2015 Youth Risk Behavior Survey, to which we added 2 new/modified questions about long-acting reversible contraception (LARC). Rochester, New York. Female students in 9th-12th grade in the Rochester City School District. An anonymous, standardized survey was administered to collect data. We studied associations between students’ reported contraceptive use and counseling (LARC, short-acting contraception [SAC], neither), health care factors, and potential risk/protective factors. Data were analyzed using bivariate and multivariate methods. Among 730 sexually active female respondents, 353/730 (49%) were African American and 182/730 (25%) were Other/Mixed race. 416/730 (57%) used no hormonal method at last sex, and 95/730 (13%) used LARC. 210/730 (29%) of participants recalled any LARC-specific counseling, and 265/730 (36%) any counseling on SAC. Recall of LARC and SAC counseling and use were significantly associated with speaking privately with a provider, but were not related to personal risk/protective factors. Multivariate analyses showed that recollection of LARC counseling was significantly associated with higher odds of using either LARC (adjusted odds ratio, 14.3; P 
ISSN:1083-3188
1873-4332
DOI:10.1016/j.jpag.2020.06.005