Abstract
Objective: To examine contraceptive methods used by rural adolescent women and sociodemographic factors associated with not using effective contraception.
Methods: Students in three Nova Scotia high schools participated in a survey concerning sexual activity, behaviours, and contraception used at last intercourse. Proportions using no effective contraception were examined with respect to socio-demographic variables.
Results: The overall response rate was 80%; 46% of 922 young women aged 15–19 had had intercourse in the previous year. Of these, 87% used effective contraception at last intercourse. Average school mark <80%, and having a father with less than high school education were associated with not using effective contraception. Mother’s education and employment, family structure, age of first intercourse and importance of religion were not associated with lack of contraception.
Interpretation: Using no, or ineffective, contraception at last intercourse was seen in fewer young women than has been seen in other Canadian studies. In addition to examining use of contraception in rural Canadian adolescents, the study provides evidence concerning factors for consideration in targeted interventions.
Résumé
Objectif: Examiner les méthodes anticonceptionnelles utilisées par les adolescentes en milieu rural et les facteurs socio-démographiques associés à la non-utilisation d’une méthode de contraception efficace.
Méthode: Les élèves de trois écoles secondaires de la Nouvelle-Écosse ont participé à un sondage sur l’activité sexuelle, les comportements et la méthode de contraception employée durant leur dernier rapport sexuel. Nous avons examiné la proportion d’élèves n’utilisant pas de méthode anticonceptionnelle efficace à la lumière de variables socio-démographiques.
Résultats: Le taux de réponse global était de 80%; 46% des 922 jeunes femmes de 15 à 19 ans avaient eu des rapports sexuels au cours de l’année précédente. De ce chiffre, 87% avaient utilisé une méthode anticonceptionnelle efficace durant leur dernier rapport. Des notes moyennes inférieures à 80% à l’école et le fait d’avoir un père n’ayant pas terminé ses études secondaires étaient associés à la non-utilisation d’une méthode anticonceptionnelle efficace, mais la scolarité et l’emploi de la mère, la structure familiale, l’âge du premier rapport sexuel et l’importance de la religion n’étaient pas associés à l’absence de contraception.
Interprétation: La non-utilisation d’une méthode anticonceptionnelle ou le recours à une méthode inefficace durant le dernier rapport sexuel ont été constatés chez un moindre nombre de jeunes femmes que dans d’autres études canadiennes. En plus de décrire l’utilisation de la contraception par les adolescentes canadiennes en milieu rural, l’étude fournit quelques données sur les facteurs à considérer dans les interventions ciblées.
Footnotes
Acknowledgement: This study was funded by the Social Science and Humanities Research Council of Canada, file no. 829-1-999-1024.
References
- 1.Henshaw SK. Unintended pregnancy in the United States. Fam Plann Perspect. 1998;30:24–29. doi: 10.2307/2991522. [DOI] [PubMed] [Google Scholar]
- 2.Fraser AM, Brockert JE, Ward RH. Association of young maternal age with adverse reproductive outcomes. N Engl J Med. 1995;332:1113–17. doi: 10.1056/NEJM199504273321701. [DOI] [PubMed] [Google Scholar]
- 3.Federal, Provincial,Territorial Working Group on Adolescent Reproductive Health. Report on adolescent reproductive health. Health and Welfare Canada, Health Services and Promotion Branch. 1989. [Google Scholar]
- 4.Maynard RA. Kids Having Kids: A Robin Hood Foundation Special Report on the Costs of Adolescent Childbearing. New York: The Robin Hood Foundation; 1996. [Google Scholar]
- 5.Hoffman SD. Teenage childbearing is not so bad after all… or is it? A review of the new literature. Fam Plann Perspect. 1998;30:236–39,243. doi: 10.2307/2991610. [DOI] [PubMed] [Google Scholar]
- 6.Roos N, Black C, Frohlich N, Decoster C, Cohen MM, Tataryn DJ, et al. A population based health information system. Medical Care. 1995;33:DS13. doi: 10.1097/00005650-199512001-00005. [DOI] [PubMed] [Google Scholar]
- 7.Advisory Committee on Population Health. Strategies for Population Health: Investing in the Health of Canadians. 1994. [Google Scholar]
- 8.Dryburgh H. Teenage pregnancy. Heath Reports. 2000;12:9–19. [PubMed] [Google Scholar]
- 9.Nova Scotia Department of Health. Teenage Pregnancy Rates: A Process in Data Organization. 1999. [Google Scholar]
- 10.Fu H, Darroch JE, Haas T, Ranjit N. Contraceptive failure rates: New estimates from the 1995 National Survey of Family Growth. Fam Plann Perspect. 1999;31:56–63. doi: 10.2307/2991640. [DOI] [PubMed] [Google Scholar]
- 11.Jones EF, Forrest JD. Contraceptive failure rates based on the 1988 NSFG. Fam Plann Perspect. 1992;24:12–19. doi: 10.2307/2135719. [DOI] [PubMed] [Google Scholar]
- 12.Fisher WA, Boroditsky R. Sexual activity, contraceptive choice, and sexual and reproductive health indicators among single Canadian women aged 15–29: Additional findings from the Canadian Contraceptive Study. Can J Human Sexuality. 2000;9:79–93. [Google Scholar]
- 13.The McCreary Centre Society. Adolescent Health Survey, Province of British Columbia. 1993. [Google Scholar]
- 14.Senf JH, Price CQ. Young adults, alcohol and condom use: What is the connection? J Adolesc Health. 1994;15:238–44. doi: 10.1016/1054-139X(94)90509-6. [DOI] [PubMed] [Google Scholar]
- 15.Petridou E, Zavitsanos X, Dessypris N, Frangakis C, Mandyla M, Doxiadis S, et al. Adolescents in high-risk trajectory: Clustering of risky behavior and the origins of socioeconomic health differentials. Prev Med. 1997;26:215–19. doi: 10.1006/pmed.1996.0130. [DOI] [PubMed] [Google Scholar]
- 16.Zaleski EH, Schiaffino KM. Religiosity and sexual risk-taking behavior during the transition to college. J Adolescence. 2000;23:223–27. doi: 10.1006/jado.2000.0309. [DOI] [PubMed] [Google Scholar]
- 17.Miller BC, Moore KA. Adolescent sexual behavior, pregnancy and parenting: Research through the 1980’s. J Marriage Fam. 1990;52:1025–44. doi: 10.2307/353317. [DOI] [Google Scholar]
- 18.Galambos NL, Tilton-Weaver LC. Multiple-risk behaviour in adolescents and young adults. Health Reports. 1998;10:9–20. [PubMed] [Google Scholar]
- 19.Lammers C, Ireland M, Resnick M, Blum R. Influences on adolescents’ decision to postpone onset of sexual intercourse: A survival analysis of virginity among youths aged 13 to 18 years. J Adolesc Health. 2000;26:42–48. doi: 10.1016/S1054-139X(99)00041-5. [DOI] [PubMed] [Google Scholar]
- 20.Langille DB, Beazley R, Shoveller J, Johnston G. Prevalence of high risk sexual behaviour in adolescents attending school in a county in Nova Scotia. Can J Public Health. 1994;85:227–30. [PubMed] [Google Scholar]
- 21.Santelli JS, Warren CW, Lowry R, Sogolow E, Collins J, Kann L, et al. The use of condoms with other contraceptive methods among young men and young women. Fam Plann Perspect. 1997;29:261–67. doi: 10.2307/2953414. [DOI] [PubMed] [Google Scholar]
- 22.Thomas BH, DiCenso A, Griffith L. Adolescent sexual behaviour: Results from an Ontario sample. Part II: Adolescent use of protection. Can J Public Health. 1998;89:94–97. doi: 10.1007/BF03404396. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Langille DB, Beazley R, Delaney M, Langille DJ, Doncaster-Scott H. Report on pregnancy rates, sexual health knowledge, sexual behaviours and sources of sexual health education and information of students at Amherst Regional High School. Halifax: Dalhousie University; 1997. [Google Scholar]
- 24.Langille DB, Tomblin Murphy G, Hughes J, Rigby JA. Nova Scotia high school students’ interactions with physicians for sexual health information and services. Can J Public Health. 2001;92:219–22. doi: 10.1007/BF03404310. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Boroditsky R, Fisher W, Sand M. The 1995 Canadian contraceptive study. Journal SOGC. 1996;18:1–30. doi: 10.1016/S0849-5831(16)30241-5. [DOI] [Google Scholar]
- 26.Poulin C. Nova Scotia Student Drug Use 1996. Halifax, NS: Nova Scotia Department of Health; 1996. [Google Scholar]
- 27.Poulin C. Nova Scotia Student Drug Use 1998. Halifax, NS: Nova Scotia Department of Health; 1998. [Google Scholar]
- 28.Mauldon J, Luker K. The effects of contraceptive education on method use at first intercourse. Fam Plann Perspect. 1996;28:19–24. doi: 10.2307/2135958. [DOI] [PubMed] [Google Scholar]
- 29.Hanson SL, Myers DE, Ginsburg AL. The role of responsibility and knowledge in reducing outof- wedlock childbearing. J Marriage Fam. 1987;49:241–56. doi: 10.2307/352297. [DOI] [Google Scholar]
- 30.Santelli JS, Beilensen P. Risk factors for adolescent sexual behavior, fertility and sexually transmitted disease. J School Health. 1992;62:271–79. doi: 10.1111/j.1746-1561.1992.tb01243.x. [DOI] [PubMed] [Google Scholar]
- 31.Moore KA, Driscoll AH, Lindberg LD. A statistical portrait of adolescent sex, contraception, and childbearing. Washington, DC: National Campaign to Prevent Teen Pregnancy; 1998. [Google Scholar]
- 32.Personal Communication: Mr. Mark Smith. Population Health Research Unit, Dalhousie University. 2002. [Google Scholar]
