Barrier contraception in the teenager: a comparison of four methods in adolescent girls.
The use-effectiveness and continuation rates of 4 methods of contraception were studied during a 2 year follow-up period in a group of 405 teenage girls.  Results were compared in 2 groups of adolescents, 1 of highly motivated, high socioeconomic status girls (A) and 1 of poorly motivated, low socioeconomic status adolescent clinic patients (B).  The method of contraception was selected by the girls, who were instructed in their proper use.  Results showed good rates of continuation among girls of the 1st group as compared to those of the 2nd group.  Pregnancy rates after 24 months of use, as calculated by Pearl's formula, was 3.6 and 5.4 respectively with the use of a condom, and 5.8 and 10.8 when the diaphragm was used.  When using vaginal foam alone, the rates were 4.2 and 12.3 and with the rhythm method, 8.5 and 13.1.  The foam-alone method was unpopular in both groups.  No serious side effects or complications were recorded.  The study demostrated a reasonable acceptability and use-effectiveness for barrier contraceptives.  It is suggested that these harmless and complication-free methods, especially the condom and diaphragm, may be reasonable alternatives for the more modern methods in teens of all socioeconomic strata; an effort must be made to educate and instruct the poorly motivated and encourage them to present themselves for regular follow-up.
Goldman
J A
JA
Dicker
D
D
Feldberg
D
D
Samuel
N
N
Resnik
R
R
D000293:Adolescent; D000367:Age Factors; D001519:Behavior; D001723:Birth Rate; D017280:Condoms; D003267:Contraception; D003268:Contraception Behavior; D003270:Contraceptive Agents; D003271:Contraceptive Agents, Female; D003274:Contraceptive Devices, Female; D003625:Data Collection; D003710:Demography; D004467:Economics; D005069:Evaluation Studies as Topic; D005193:Family Planning Services; D005298:Fertility; D012252:Natural Family Planning Methods; D010342:Patient Acceptance of Health Care; D010352:Patient Dropouts; D011153:Population; D011154:Population Characteristics; D011157:Population Dynamics; D018873:Pregnancy Rate; D011253:Pregnancy in Adolescence; D012106:Research; D012725:Sexual Behavior; D012959:Socioeconomic Factors; D013089:Spermatocidal Agents; D013223:Statistics as Topic; D014622:Vaginal Creams, Foams, and Jellies
D003270:Contraceptive Agents; D003271:Contraceptive Agents, Female; D013089:Spermatocidal Agents; D014622:Vaginal Creams, Foams, and Jellies
Adolescent Pregnancy; Adolescents; Adolescents, Female; Age Factors; Barrier Methods; Behavior; Condom; Contraception; Contraception Continuation--statistics; Contraceptive Agents; Contraceptive Agents, Female; Contraceptive Effectiveness; Contraceptive Methods; Contraceptive Usage; Data Analysis; Data Collection; Demographic Factors; Dropouts; Economic Factors; Evaluation; Evaluation Methodology; Family Planning; Family Planning, Behavioral Methods; Fertility; Fertility Measurements; Macroeconomic Factors; Method Acceptability--indications; Pearl's Formula; Population; Population Characteristics; Population Dynamics; Pregnancy Rate--statistics; Qualitative Evaluation; Quantitative Evaluation; Reproductive Behavior--determinants; Research Methodology; Rhythm Method, Calendar; Socioeconomic Factors; Spermicidal Contraceptive Agents; Use-effectiveness; Vaginal Barrier Methods; Vaginal Diaphragm; Vaginal Foam; Vaginal Spermicides; Youth