title: Urban adolescent females' views on the implant and contraceptive decision-making: a double paradox.
abstract: Focus groups and in-depth interviews were used to explore the decline in popularity of the contraceptive implant in a clinic-based sample of 41 ethnically diverse, urban, sexually active adolescents. While these teenagers' socioeconomic status and patterns of inconsistent contraceptive use made them potentially ideal implant recipients, they were unlikely to select this method. Negative media reports about the method were less influential than social conditions such as peer perspectives and gender relations. Oral networks that propagated misinformation went unchallenged because of the silence of satisfied users. Personal factors such as future orientation, autonomous decision-making and value of control also influenced contraceptive decision-making.
authors.affiliation: Los Angeles County Department of Health Services, USA.
authors.forename: H
authors.initials: H
authors.lastname: Kuiper
authors.forename: S
authors.initials: S
authors.lastname: Miller
authors.forename: E
authors.initials: E
authors.lastname: Martinez
authors.forename: L
authors.initials: L
authors.lastname: Loeb
authors.forename: P
authors.initials: P
authors.lastname: Darney
mesh_terms: D000293:Adolescent; D003268:Contraception Behavior; D003271:Contraceptive Agents, Female; D003430:Cross-Sectional Studies; D003657:Decision Making; D004343:Drug Implants; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016912:Levonorgestrel; D008402:Mass Media; D010379:Peer Group; D000297:Psychology, Adolescent; D012495:San Francisco; D012959:Socioeconomic Factors; D014504:Urban Health
chemical_list: D003271:Contraceptive Agents, Female; D004343:Drug Implants; D016912:Levonorgestrel