Oral contraceptive use may not preclude condom use: a study of non-pregnant African-American adolescent females.

Abstract:

OBJECTIVE:To determine the association between oral contraceptive and condom use, and laboratory-confirmed sexually transmitted infection (STI) among African-American adolescent females at a high risk of STI acquisition. METHODS:A cross-sectional study of 715 African-American adolescent females (15-21 years old) was conducted. Data collection included (a) an audio-computer-assisted self-interview and a self-collected vaginal swab for nucleic acid amplification testing of Trichomonas vaginalis, Chlamydia trachomatis and Neisseria gonorrhoeae. RESULTS:The age-adjusted odds ratio (AOR) indicated a modest protective effect of oral contraceptive use against unprotected vaginal sex (UVS) using a 60-day recall period (AOR = 0.66; 95% CI 0.43 to 0.99). The age-adjusted difference in mean frequency of UVS in the past 60 days was non-significant (p = 0.23) as was condom use at last sex (p = 0.34). The age-AOR relative to STI prevalence also showed a protective effect (AOR = 0.60; 95% CI 0.36 to 0.98) for those using oral contraceptives. CONCLUSION:The findings suggest that the use of oral contraceptives may not preclude safer sex practices for the prevention of STIs among high-risk African-American adolescent females.

journal_name

Sex Transm Infect

authors

Crosby RA,DiClemente RJ,Wingood GM,Salazar LF,Rose E,Sales JM,Caliendo AM

doi

10.1136/sti.2006.022442

subject

Has Abstract

pub_date

2007-06-01 00:00:00

pages

216-8

issue

3

eissn

1368-4973

issn

1472-3263

pii

83/3/216

journal_volume

83

pub_type

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