AI Article Synopsis
- The study used Bronfenbrenner's ecological systems theory to explore why some adolescent mothers either never or sometimes use condoms.
- Interviews and surveys were conducted with 636 adolescent mothers shortly after delivery and then again at 6 and 12 months postpartum.
- Key findings showed that factors like partner refusal, intimate partner violence, and maternal monitoring significantly influenced condom usage, highlighting the need for comprehensive interventions to promote safe sexual practices in this group.
Article Abstract
Objectives: We used Bronfenbrenner's ecological systems theory to identify factors that predicted never or sometimes using condoms in a multiethnic cohort of adolescent mothers.
Methods: We interviewed adolescent mothers within 48 hours of delivery and surveyed them 6 and 12 months after delivery (n = 636). We used multinomial logistic regression to identify individual-, dyad-, family-, and peer and community-level factors associated with never or sometimes using versus always using condoms during intercourse at 12 months postpartum.
Results: Pregnancy status, partner refusal to use condoms, intimate partner violence, and race/ethnicity predicted both never and sometimes using condoms. Condom use 6 months earlier and church attendance also predicted never using condoms, whereas maternal monitoring was an additional predictor for sometimes using condoms.
Conclusions: Overlapping yet distinct risk profiles predicted never or sometimes using versus always using condoms. Factors from multiple levels of influence affected the condom use behaviors of adolescent mothers indicating that multilevel interventions are needed to promote safer sexual practices among these young women.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4504383 | PMC |
| http://dx.doi.org/10.2105/AJPH.2007.131870 | DOI Listing |
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