Evidence map›Paper›PMID 30825541›Full record

ArticleJournal of pediatric and adolescent gynecology2019

Being on the Safe Side: A Qualitative Study of Condom Use Motivations According to Contraceptive Type among Adolescents in Atlanta, Georgia.

Riley J Steiner, Andrea Swartzendruber, Katherine Cushing, Laura M Gaydos, Karen Pazol, Michael R Kramer, Stephanie Holt, Jessica M Sales

Abstract read
In one paragraph

Article in Journal of pediatric and adolescent gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Riley J SteinerDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, Georgia. Electronic address: riley.steiner@emory.edu.
Andrea SwartzendruberDepartment of Epidemiology and Biostatistics, University of Georgia College of Public Health, Athens, Georgia.
Katherine CushingDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, Georgia.
Laura M GaydosDepartment of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, Georgia.
Karen PazolDivision of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, Georgia.
Michael R KramerDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia.
Stephanie HoltDepartment of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
Jessica M SalesDepartment of Behavioral Sciences and Health Education, Emory University Rollins School of Public Health, Atlanta, Georgia.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

STUDY

objectiveQuantitative data suggest that adolescent users of long-acting reversible contraception (LARC), compared with short-acting methods (pill, patch, ring, depot medroxyprogesterone acetate [DMPA]), might be less likely to use condoms. We qualitatively describe and explain adolescent contraceptive users' motivations for condom use, including variation according to contraceptive type.

designIndividual, in-depth qualitative interviews, analyzed thematically.

settingParticipants were recruited from public family planning clinics and an adolescent medicine clinic, as well as university and other community settings in Atlanta, Georgia.

participantsSexually active contraceptive users aged 17-19 years old (n = 30), including LARC (n = 10), DMPA (n = 10), and oral contraceptive (n = 10) users.

resultsOf the 30 participants, most (n = 25; 83%) used condoms with their more effective contraceptive method, although 11 of 25 used them inconsistently (44%). Oral contraceptive users were particularly motivated to use condoms for pregnancy prevention, because of concerns about contraceptive method efficacy and a desire to be on "the safe side." In contrast, LARC users were primarily motivated by sexually transmitted infection (STI) prevention. DMPA users' motivations were more mixed. Across contraceptive type, factors influencing condom use motivations included sexual health education, personal awareness and/or experience, and perceived consequences and risk.

conclusionBecause all participants were using an effective contraceptive method, it is notable that pregnancy prevention was a prominent motivator for using condoms, although LARC users reported STI prevention to be a more important motivation. Parental and school-based sexual health education that clearly addresses STI prevention in addition to pregnancy prevention has the potential to influence condom use motivations and behavior.

Indexed as

Health Knowledge, Attitudes, PracticeAdolescentCondomsContraceptionContraception BehaviorFemaleGeorgiaHumansLong-Acting Reversible ContraceptionMaleQualitative ResearchSexual BehaviorSexually Transmitted DiseasesYoung AdultAdolescentsCondomsLong-acting reversible contraceptionSexually transmitted infections

Identifiers

PMID30825541
PMCPMC10402929

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.