Multilevel predictors of inconsistent condom use among adolescent mothers

Bethanie S. Van Horne, Constance M. Wiemann, Abbey Berenson, Irwin B. Horwitz, Robert J. Volk

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Objectives. We used Bronfenbrenner's ecological systems theory to identify factors that predicted never or sometimes using condoms in a multiethnic cohort of adolescent mothers. Methods. We interviewed adolescent mothers within 48 hours of delivery and surveyed them 6 and 12 months after delivery (n=636). We used multinomial logistic regression to identify individual-, dyad-, family-, and peer and community-level factors associated with never or sometimes using versus always using condoms during intercourse at 12 months postpartum. Results. Pregnancy status, partner refusal to use condoms, intimate partner violence, and race/ethnicity predicted both never and sometimes using condoms. Condom use 6 months earlier and church attendance also predicted never using condoms, whereas maternal monitoring was an additional predictor for sometimes using condoms. Conclusions. Overlapping yet distinct risk profiles predicted never or sometimes using versus always using condoms. Factors from multiple levels of influence affected the condom use behaviors of adolescent mothers indicating that multilevel interventions are needed to promote safer sexual practices among these young women.

Original languageEnglish (US)
JournalAmerican Journal of Public Health
Volume99
Issue numberSUPPL. 2
DOIs
StatePublished - 2009

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Condoms
Mothers
Systems Theory
Adolescent Behavior
Postpartum Period
Ecosystem
Logistic Models
Pregnancy

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Multilevel predictors of inconsistent condom use among adolescent mothers. / Van Horne, Bethanie S.; Wiemann, Constance M.; Berenson, Abbey; Horwitz, Irwin B.; Volk, Robert J.

In: American Journal of Public Health, Vol. 99, No. SUPPL. 2, 2009.

Research output: Contribution to journalArticle

Van Horne, Bethanie S. ; Wiemann, Constance M. ; Berenson, Abbey ; Horwitz, Irwin B. ; Volk, Robert J. / Multilevel predictors of inconsistent condom use among adolescent mothers. In: American Journal of Public Health. 2009 ; Vol. 99, No. SUPPL. 2.
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