title: Does discussing sexually transmissible infections or HIV with a parent increase condom use among young women using other contraceptive methods?
abstract: BACKGROUND
  Young people may be more likely to use condoms if they discuss sexual risks with their parents. However, no previous study has examined whether discussing sexual risks with a parent is differently associated with condom use among women using and not using other contraceptive methods.
  
  
  METHODS
  Using weighted data from the 2006-2008 National Survey of Family Growth, we examined condom use at last sex among 1206 sexually active unmarried women aged 15-24 years. Using logistic regression, we examined the association between condom use and discussing sexually transmissible infections (STIs) with parents before the age of 18 years, adjusted for women's characteristics (age, ethnicity, income and condom use at first sex). We estimated the predicted probability of condom use by whether women discussed STIs with parents, stratified by use of other contraceptive methods.
  
  
  RESULTS
  Overall, 53% of women used condoms at last sex. Among 564 women using other contraceptives, 42% used condoms, versus 64% of 642 women not using other contraceptive methods (P<0.01). After adjustment for covariates, the predicted probability of condom use among women using other contraceptives was 47% among women who discussed STIs with their parents (v. 31% of those not discussing STIs; P<0.01). Among women not using other contraceptives, the predicted probability of condom use remained 64% regardless of whether they discussed STIs with their parents.
  
  
  CONCLUSIONS
  Young women who use other contraceptive methods are less likely to use condoms, but discussing STIs with parents is associated with increased condom use among these women.
authors.affiliation: Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Atlanta, GA 30333, USA.
authors.forename: Heather
authors.initials: H
authors.lastname: Bradley
authors.forename: Jami S
authors.initials: JS
authors.lastname: Leichliter
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Gift
mesh_terms: D000293:Adolescent; D017280:Condoms / Q000706:statistics & numerical data*; D003268:Contraception Behavior; D003271:Contraceptive Agents, Female / Q000008:administration & dosage*; D005260:Female; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D010287:Parent-Child Relations; D012307:Risk Factors; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D014481:United States; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female