Adolescent Dual Use of Condoms and Hormonal Contraception: Trends and Correlates 1991-2001

John E. Anderson, U.S. Centers for Disease Control and Prevention (CDC)
John S. Santelli, U.S. Centers for Disease Control and Prevention (CDC)
Brenda Colley Gilbert, U.S. Centers for Disease Control and Prevention (CDC)

Background. Use of condoms with hormonal contraceptive methods (dual use) is recommended for adolescents at increased risk for sexually transmitted infections and pregnancy. Objectives. Use national surveys to estimate trends and correlates of dual use in adolescents, make recommendations for prevention programs. Data and Methods. 6 Youth Risk Behavior Surveys (1991-2001) of 9th-12th graders conducted 1991-2001. We estimate trends using regression models, and evaluate correlates using chi-square and multiple logistic regression analysis. Results. Condom use increased and pill use declined, partly offset by injectable contraceptives (measured in 1999 and 2001). Dual use increased throughout the 1991-2001 period. 7.2% (95% C.I. 6.4-8.0%) reported condom plus a hormonal method in 2001. 32% (29.5-34.7%) of all hormonal users also used condom. White students, younger, those in lower grades were more likely to be dual users. Increased dual use was not associated with increased sexual or drug use risk behaviors. Conclusions. Programs need to promote the dual protection among those most at risk.