Teen Contraceptive Use

1. Teen Contraceptive Use

2. Our presentation covers 3 areas: New data on contraceptive use among teens aged 15-19 Implications About the National Campaign and Putting What Works to Work (PWWTW) This presentation presents information on contraceptive use among sexually experienced teens, including : • trends in contraceptive use, • the proportion who have ever used contraception, • types of contraception used, • consistency of contraceptive use, and • reasons why teen girls stop using contraception. This presentation presents information on contraceptive use among sexually experienced teens, including : • trends in contraceptive use, • the proportion who have ever used contraception, • types of contraception used, • consistency of contraceptive use, and • reasons why teen girls stop using contraception.

3. Data used in this presentation 1988, 1995, and 2002 National Survey of Family Growth (NSFG) 1988 and 1995 National Survey of Adolescent Males (NSAM) Data are for teens aged 15-19 unless other wise noted Dual method use refers to using both a condom and hormonal method of contraception Since the National Survey of Family Growth did not include men until 2002, we use data from the National Survey of Adolescent Males for information about contraceptive use from 1988 and 1995.Since the National Survey of Family Growth did not include men until 2002, we use data from the National Survey of Adolescent Males for information about contraceptive use from 1988 and 1995.

4. Contraceptive use has increased since 1995 for both boys and girls The proportion of teens using any method of contraception decreased slightly between 1988 and 1995 and increased between 1995 and 2002. There has been a consistent increase in the proportion of teens (girls and boys) using condoms and dual methods of contraception at last sexThe proportion of teens using any method of contraception decreased slightly between 1988 and 1995 and increased between 1995 and 2002. There has been a consistent increase in the proportion of teens (girls and boys) using condoms and dual methods of contraception at last sex

5. Almost all sexually experienced teen girls have ever used contraception More than 9 in 10 teen girls have ever used a condom 6 in 10 teen girls have ever used the pill More than half of teen girls have ever used withdrawal While it is encouraging to note that many teen girls report having ever used contraception in their lifetime, some are not using the most effective methods available. While it is encouraging to note that many teen girls report having ever used contraception in their lifetime, some are not using the most effective methods available.

6. The percent of teen girls who have ever used contraception varies by race/ethnicity (NSFG 2002) There are important racial/ethnic differences in terms of contraceptive useThere are important racial/ethnic differences in terms of contraceptive use

7. Contraceptive Use at First Sex (among sexually experienced teens) More than one quarter of girls and one in five teen boys did not use a method of contraception first time they had sex In general, a smaller proportion of Hispanic teens used a method of contraception the first time they had sex compared to non-Hispanic black and non-Hispanic white peers The male condom is the most common method of contraception used by teens the first time they have sex

8. Methods of Contraception Used at First Sex, NSFG 2002

9. Contraceptive use at first sex increases with age at first sex (NSFG 2002)

10. A majority of sexually active teens used contraception the last time they had sex Nine in ten sexually active teen boys and more than eight in ten sexually active teen girls used contraception at last sex Most sexually active teens used a condom at last sex Approximately one in five teen girls and almost one quarter of teen boys used both a hormonal method and a condom the last time they had sex

11. Contraceptive Use at Last Sex Among Sexually Active Teen Girls, NSFG 2002

12. Contraceptive Use at Last Sex Among Sexually Active Teen Boys, NSFG 2002

13. A majority of sexually active teens used contraception both the first and last time they had sex (NSFG 2002)

14. Consistency of Use Almost half (48%) of never-married teens boys who had sex in the past year used a condom every time they had sex Less than one third (28%) of never-married teen girls who had sex in the past year used a condom every time they had sex

15. Teens who stopped using contraception Almost one third of sexually experienced teen girls who have ever used a method of contraception have stopped using a method More than half of these girls reported that they stopped using the pill The most common reason for stopping contraceptive use was side effects

16. Reasons for stopping contraceptive use (NSFG 2002) Note that this is restricted to teen girls who are sexually experienced, have ever used a method of contraception, and report having ever stopped using that method.Note that this is restricted to teen girls who are sexually experienced, have ever used a method of contraception, and report having ever stopped using that method.

17. Comparing teens and older women The proportion of teen girls who used contraception the last time they had sex is similar to the proportion of unmarried women in their twenties who used contraception the last time they had sex Teen girls are more likely to use condoms and dual methods of contraception than older women

18. Contraceptive Use at Last Sex Among Sexually Active, Unmarried Women, NSFG 2002

19. What it all means… Contraceptive use is getting better, but there is still room for improvement There is good news and bad news on the types of contraception that teens are using Since 1995 the proportion of teens who have used a method of contraception has increased. In particular there have been important increases in the percent of teens who use condoms and those who use dual methods of contraception. However, more than half also say that they have used withdrawal as a method.Since 1995 the proportion of teens who have used a method of contraception has increased. In particular there have been important increases in the percent of teens who use condoms and those who use dual methods of contraception. However, more than half also say that they have used withdrawal as a method.

20. What it all means… There are gender differences in contraceptive use among teens There are some important racial/ethnic differences in contraceptive use among teens Myths may be a powerful disincentive to use contraception According to the 2002 NSFG, teen boys are slightly more likely to report using contraception than teen girls. In addition, Hispanic teens (both boys and girls) are slightly less likely to report using contraception. Most teen girls report that they stopped using a particular method of contraception because of side effects. Only 2% said they did not use it b/c it was too expensive.According to the 2002 NSFG, teen boys are slightly more likely to report using contraception than teen girls. In addition, Hispanic teens (both boys and girls) are slightly less likely to report using contraception. Most teen girls report that they stopped using a particular method of contraception because of side effects. Only 2% said they did not use it b/c it was too expensive.

21. Finally… Practitioners, parents, and other caring adults must continue to work with young people to help them choose and use a method of contraception consistently and accurately—every time—whether it be a barrier method or hormonal method—or better yet, both

22. About the Campaign The Campaign’s mission is to improve the well-being of children, youth, and families by preventing teen pregnancy. Our goal is to reduce the rate of teen pregnancy by one-third between 2006 and 2015.

23. Putting What Works To Work PWWTW is a Cooperative Agreement funded by the Centers for Disease Control and Prevention (CDC). Goal: Enhance the ability of state and local organizations to incorporate science-based approaches into their teen pregnancy prevention efforts.

24. PWWTW: How? Produce high-quality, research-based, user-friendly materials. Use these materials to encourage states, communities, and national organizations to incorporate research-based practices into their work. Go beyond the “usual suspects” and reach out to media executives, state legislators, funders and other opinion leaders.

25. Thank You!