The study was conducted to characterize the relationship between formal sex education and the use and type of contraceptive method used at coital debut among female adolescents.
This study employed a cross-sectional, nationally representative database (2002 National Survey of Family Growth). Contraceptive use and type used were compared among sex education groups [abstinence only (AO), birth control methods only (MO) and comprehensive (AM)]. Analyses also evaluated the association between demographic, socioeconomic, behavioral variables and sex education. Multiple logistic regression with adjustment for sampling design was used to measure associations of interest.
Of 1150 adolescent females aged 15���19 years, 91% reported formal sex education (AO 20.4%, MO 4.9%, AM 65.1%). The overall use of contraception at coitarche did not differ between groups. Compared to the AO and AM groups, the proportion who used a reliable method in the MO group (37%) was significantly higher (p=.03) (vs. 15.8% and 14.8%, respectively).
Data from the 2002 NSFG do not support an association between type of formal sex education and contraceptive use at coitarche but do support an association between abstinence-only messaging and decreased reliable contraceptive method use at coitarche.
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Published online: May 07, 2010
Accepted: March 30, 2010
Received in revised form: February 17, 2010
Received: September 9, 2009
���There were no sources of funding for this project.
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.