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Associations Between Sex Education and Contraceptive Use Among Heterosexually Active, Adolescent Males in the United States

1 March 2017
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Publication Date
January 2017

Original Abstract
This study examined associations between reports of receiving education on topics commonly included in sex education (e.g., abstinence only, comprehensive) prior to age 18聽years and聽contraceptive use聽at the last sex among heterosexually active, 15- to 20-year-old males in the United States.

Cross-sectional data from 539 males participating in the 2011鈥2013 National Survey of Family Growth were analyzed. Bivariate and multinomial聽logistic regression聽analyses adjusting for confounding estimated associations between receipt of seven sex education topics (e.g., information on聽HIV/AIDS, how to say no to sex) and contraceptive use at the last sex (i.e., dual barrier and female-controlled effective methods, female-controlled effective method only, barrier method only, and no method).

Nearly, all participants (99%) reported receiving sex education on at least one topic. Education on sexually transmitted diseases (94.7%) and HIV/AIDS (92.0%) were the most commonly reported topics received; education on where to get birth control was the least common (41.6%). Instruction about birth control methods (adjusted odds ratio [AOR]聽= 3.01; 95% confidence interval [CI]聽= 1.32鈥6.87) and how to say no to sex (AOR聽= 3.39; CI聽= 1.33鈥8.64) were positively associated with dual聽contraception聽compared to no use. For each additional sex education topic respondents were exposed to, their odds of using dual methods compared to no method was 47% greater (AOR聽= 1.47; CI聽= 1.16鈥1.86).

Exposure to a larger number of sex education topics is associated with young men's report of dual contraception use at the last sex. Comprehensive sex education, focusing on a range of topics, may be most effective at promoting safer sex among adolescent males.

Reference聽
Jaramillo, N., Buhi, E., P. Elder, J. and L. Corliss, H. (2017). Associations between sex education and contraceptive use among heterosexually active, adolescent males in the United States.聽Journal of Adolescent Health. DOI: doi.org/10.1016/j.jadohealth.2016.11.025.

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