title: Determinants of multimethod contraceptive use in a sample of adolescent women diagnosed with psychological disorders.
abstract: OBJECTIVE
  Despite recommendations for concurrent use of contraceptives and condoms to prevent unintended pregnancy and STIs, multimethod contraceptive use among women is poor. This study examined individual-, interpersonal-, and environmental-level factors that predict multimethod use among sexually active adolescent women diagnosed with psychological disorders.
  
  
  METHODS
  This multisite study analyzed data from 288 sexually active adolescent women who provided sociodemographic, psychosocial, and behavioral data related to birth control and condom use.
  
  
  RESULTS
  34.7% of the participants reported multimethod use in the past three months. Controlling for empirically and theoretically relevant covariates, a multivariable logistic regression identified self-efficacy, multiple partners, pregnancy history, parental communication, parental norms about sex, and neighborhood cohesion as significant predictors of multimethod use.
  
  
  CONCLUSIONS
  While continued targeted messages about multi-method contraceptive use are imperative at the individual level, an uptake in messages targeting interpersonal- and environmental-level factors such as adolescents' parents and the broader community is urgently needed.
authors.affiliation: Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. dlang2@emory.edu
authors.forename: Delia L
authors.initials: DL
authors.lastname: Lang
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Sales
authors.forename: Laura F
authors.initials: LF
authors.lastname: Salazar
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: DiClemente
authors.forename: Richard A
authors.initials: RA
authors.lastname: Crosby
authors.forename: Larry K
authors.initials: LK
authors.lastname: Brown
authors.forename: Geri R
authors.initials: GR
authors.lastname: Donenberg
mesh_terms: D000293:Adolescent; D016009:Chi-Square Distribution; D017280:Condoms / Q000706:statistics & numerical data; D003268:Contraception Behavior / Q000523:psychology* / Q000706:statistics & numerical data; D005195:Family Relations; D005260:Female; D015438:Health Behavior; D006801:Humans; D007407:Interviews as Topic; D016015:Logistic Models; D001523:Mental Disorders / Q000523:psychology*; D016032:Randomized Controlled Trials as Topic; D012111:Residence Characteristics; D012725:Sexual Behavior / Q000523:psychology* / Q000706:statistics & numerical data