Contraceptive method choice among youth in the United States: the importance of relationship context

美国青少年避孕方法选择:关系背景的重要性

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Abstract

We examine the relationship characteristics associated with contraceptive method choice within young people's nonmarital sexual relationships, using data from retrospective relationship histories available in the third wave (2001-2002) of the National Longitudinal Study of Adolescent Health. Data-reduction techniques produce a detailed multidimensional characterization of relationship commitment for nonmarital sexual relationships. We then use multilevel analysis to estimate associations between two key relationship characteristics-relationship commitment and couple heterogamy-and the type of contraceptive method used at last sexual intercourse within each relationship. Results indicate that for a given individual, contraceptive method choice varies across relationships as a function of these characteristics, even after we account for important individual and family characteristics and prior relationship experiences.

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