Differences between dual-method and non-dual-method protection use in a sample of young African American women residing in the Southeastern United States.
OBJECTIVE
To characterize dual-method protection users and report the prevalence of dual-method use among young adult African American women residing in the Southeastern United States.


METHODS
Analysis of baseline data from a randomized controlled trial.


METHODS
A clinic-based sample of young women enrolled in a randomized trial of a human immunodeficiency virus (HIV)-prevention program in Atlanta, Georgia, from June 2005 to June 2007.


METHODS
African American women aged 14 to 20 years who reported unprotected sexual activity in the past 6 months. Of the eligible adolescents, 94% (N = 701) were enrolled in the study and completed baseline assessments.


METHODS
Dual-method protection use as well as sociodemographic, individual-level, interpersonal-level, and community-level factors and interpersonal communication skills. Only data from the baseline assessment, before randomization, were used for the analysis.


RESULTS
A total of 102 participants (14.6%) were classified as dual-method protection users. After controlling for age and clinic, significant differences between dual-method users and non-dual-method users were found for impulsivity, self-esteem, social support, relationship style, partner communication self-efficacy, and fear of condom negotiation.


CONCLUSIONS
Dual-method protection use is low. Identification of factors that differentiate dual-method users from non-dual-method users at the individual, interpersonal, and community levels in this young African American sample suggests that HIV, sexually transmitted disease, and unintended pregnancy risk-reduction programs should address factors at each level, not simply the individual level, and that this may involve structural and/or clinical counseling practice changes in clinics that serve young women, to optimally facilitate dual-method protection use among young African American women in the Southeastern United States.
Department of Behavioral Science and Health Education, Emory University, Rollins School of Public Health, Atlanta, GA 30322, USA. jmcderm@emory.edu
Jessica M
JM
Sales
Teaniese P
TP
Latham
Ralph J
RJ
Diclemente
Eve
E
Rose
D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D015331:Cohort Studies; D017280:Condoms / Q000706:statistics & numerical data*; D003267:Contraception / Q000706:statistics & numerical data*; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D005260:Female; D005845:Georgia; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D012959:Socioeconomic Factors; D055815:Young Adult
D003271:Contraceptive Agents, Female