Evaluating the effectiveness of workshop interventions on contraceptive use among first-year college students

This study tested the effectiveness of 4 interventions designed to affect contraceptive knowledge, attitudes, and use among first-year Syracuse University students in New York State in the US. Pre- and post-tests obtained data on demographic characteristics, sexual behavior, contraceptive knowledge, sexual opinions, contraceptive attitudes, and contraceptive progress on a 5-step scale. Group 1 (79 students) received contraceptive information (CI) only. Group 2 (76) received CI and a cognitively oriented intervention. Group 3 (73) received CI and an experience-oriented intervention. Group 4 (77) received a combined cognitively and experience-oriented intervention with CI. The control group included 57 people. 78% on the pretest, and 84% on the post-test, had engaged in sexual intercourse for the first time in high school. 200 indicated previous intercourse in the past 3 months. Groups varied significantly in their knowledge, beliefs, and practices. All groups had greater contraceptive knowledge than control groups. Greater behavior beliefs about contraceptive use occurred in Groups 1 and 2. Groups 3 and 4 showed greater increases in positive attitudes toward use. All intervention students showed greater increases in positive attitudes toward a contraceptive process. Greater increases in the intention to use birth control occurred in Groups 3 and 4. Groups 2, 3, and 4 showed greater increases in reported use of birth control. Group 4 intervention was the most effective for males. Females were influenced by all interventions. Findings affirm the importance of including attitudinal components in sexuality and contraception workshops.     

Predicting male and female contraceptive behavior: a discriminant analysis of groups high, moderate, and low in contraceptive effectiveness

An exploratory, multivariate study was carried out to assess (a) whether three contraceptive-effectiveness groups (high, moderate, and low) could be differentiated on the basis of variables that have been theoretically and empirically associated with contraceptive behavior and (b) whether an identified set of discriminating variables could accurately classify sexually active college students into these groups. Three hundred sixty-five sexually active, never-married college students (211 males and 154 females) completed instruments measuring variables related to contraception. Four separate discriminant analyses were performed, one for each sex for both their initial sexual encounter and their current sexual interactions. Discrimination and classification of the three contraceptive groups for both males' and females' initial sexual experience was not very successful. Moderate discrimination was achieved for the female current sexual activity subsample and good discrimination and classification was made for the currently sexually active male subsample. The results are discussed in terms of the implications of the findings for understanding contraceptive behavior of males and females, problems with the dependent variable of contraceptive use, and the mounting evidence that emotional orientation to sexuality influences contraceptive behavior.     

Mexican-American adolescent sexuality and sexual knowledge: an exploratory study

This article reports the findings of a study designed to examine the sexual knowledge, attitudes, and practices of low-income Mexican- American adolescents. The participants in the study were all about to begin a sex education program in a community health organization in East Los Angeles. The study involved 84 adolescents aged 14-19, 97% of who identified themselves as Mexican-American (the remainder identified themselves as Latino). 51 of the subjects were female and 33 male. The participants completed a 43-item questionnaire concerning demographics, sexual experience and contraceptive use, knowledge of birth control methods, and attitudes towards sexuality and birth control. Only 18 (21%) of the subjects indicated ever having sex. But among this group, 83% reported not using contraception during their last intercourse, and 61% reported never using contraception. Only 22% reported using contraception regularly. Concerning the knowledge of different birth control methods,many of the participants were able to list several methods, but their responses indicated a lack of accurate and specific knowledge about contraceptive methods. In addition to the 43-item questionnaire, 27 of the subjects also completed a sexual and contraceptive knowledge questionnaire. The topics included contraceptive effectiveness, the menstrual cycle, and fertilization. The scores on the questionnaire were low, with an average score of 33% of correct answers. Finally, all 84 participants responded to a sexual attitude questionnaire, which revealed a generally traditional attitude toward the importance of have children, virginity, and the relationship between sex and love.     

Parent-child communication about sex and young adolescents' sexual knowledge and attitudes

Previous studies indicate that adolescents whose parents talk to them about sex tend to be less sexually active and more likely to use an effective means of contraception. This study sought to determine the relationship between parent-child communication about sex and young adolescents' reproductive and contraceptive knowledge and sexual attitudes. Twenty-two 12- to 14-year-olds and their parents completed sexual-knowledge, sexual-attitude, and contraceptive-choice questionnaires. Families were divided into high-communication and low-communication groups. There were no significant differences in the sexual knowledge, attitudes, or contraceptive choices of the children in the two groups, but the correlation between parents' and children's sexual attitudes in the high-communication group was significantly higher than that of the low-communication group. Although this was a correlational study, it seems likely that the similarity in sexual values was the result of parent-child discussion about sex.     

Nationwide survey of contraceptive and sexually transmitted infection knowledge,attitudes and skills of university students in Portugal

Sexually transmitted infections and (STIs) unintended pregnancies are contemporary public health concerns. Understanding factors (e.g. knowledge, attitudes and skills) influencing sexual behaviours of university students are critical to develop targeted and tailored risk-reduction interventions for this vulnerable population. Thus, the goals of this study were to describe sexual behaviours and analyze differences between genders for sexual behaviours; to identify whether differences exist between genders and age groups regarding knowledge, attitudes and skills concerning contraceptive methods and STIs, and to evaluate the association of knowledge with attitudes and skills with sexual behaviour among university students in Portugal. The sample included 3278 students. Results show that the majority were sexually active and use condoms and oral contraceptives. In general, university students have high knowledge, positive attitudes and skills about contraception and STIs. Gender analyses indicated that women had greater knowledge, and more favourable attitudes, and higher skills toward contraceptive and STI preventive behaviour College students, in particular, face new challenges in sexual health and would benefit from more comprehensive education aimed at promoting healthy decision-making about family planning and STI prevention.     

Relationships Between Contraceptive Behavior and Love Attitudes,Sex Attitudes,and Self-Esteem

The current research took into account two previously developed models of effective contraceptive behavior, a model emphasizing interpersonal variables and a model emphasizing intrapersonal variables. The purpose was to identify variables related to contraception that could be addressed during contraceptive counseling and to aid persons in deciding the most effective contraceptive method within the context of an intimate relationship. The research used questionnaire responses from 350 male and female college undergraduates. Results indicated some support for aspects of both models, with modest relationships between contraceptive behavior and attitudes toward both love and sex, and self-esteem. The difficulties of developing a comprehensive model of contraceptive behavior are discussed, as are some practical implications of this research.     

Acceptability of personal hormone monitoring for contraception: longitudinal and contextual variables

A new contraceptive technology may advance the science of family planning but may do little to affect health if potential users do not deem it an acceptable method. The authors conducted an acceptability study of a newly developed contraceptive method--personal hormone monitoring. A sample of 480 English volunteers present at the 6th month of a 13-month longitudinal study completed surveys regarding their attitudes toward a personal hormone monitor for the purpose of contraception. The authors used the participants' responses to determine (a) the extent to which the participants accepted the monitor, (b) how their ratings of acceptability changed over time, (c) the extent to which contextual variables predicted changes in acceptability over time, and (d) whether those contextual variables predicted final acceptability of the monitor. Results suggested that no single method of family planning is best for everyone and specified the people for whom personal hormone monitoring may be most suitable.     

The Relationship Between Attitudes Toward Persons Who Are Gay and Persons With AIDS,and HIV and AIDS Knowledge

A total of 86 counseling students were assessed on their attitudes toward persons who are gay, attitudes toward persons with AIDS (Acquired Immune Deficiency Syndrome), and level of HIV (human immunodeficiency virus) and AIDS knowledge. Demographic data consisted of sex, age, and HIV- and AIDS-related training. Results indicated that the attitudinal and knowledge variables were correlated so that positive attitudes toward both groups corresponded with high levels of knowledge. There were no significant differences among these variables on the demographic factors. Implications of these results are discussed, with special emphasis placed on counselor education.     

Acceptability of Personal Hormone Monitoring for Contraception: Longitudinal and Contextual Variables

Abstract

A new contraceptive technology may advance the science of family planning but may do little to affect health if potential users do not deem it an acceptable method. The authors conducted an acceptability study of a newly developed contraceptive method–personal hormone monitoring. A sample of 480 English volunteers present at the 6th month of a 13-month longitudinal study completed surveys regarding their attitudes toward a personal hormone monitor for the purpose of contraception. The authors used the participants' responses to determine (a) the extent to which the participants accepted the monitor, (b) how their ratings of acceptability changed over time, (c) the extent to which contextual variables predicted changes in acceptability over time, and (d) whether those contextual variables predicted final acceptability of the monitor. Results suggested that no single method of family planning is best for everyone and specified the people for whom personal hormone monitoring may be most suitable.     

Social Determinants of Attitudes towards Women’s Premarital Sexuality among Female Turkish University Students

This paper explores the effects of demographic and attitudinal variables on attitudes toward women’s premarital sexuality in a sample of 277 undergraduate female students at Istanbul University, Turkey. The results of the research demonstrated that sexual attitudes best predicted the dependent variable in regression analysis. Once the variable sexual attitudes was excluded from the equation, mother’s education and personal religiosity were the best predictors of attitudes toward women’s premarital sexuality. For a more extensive version of this study, see     

Sexual activity and contraceptive use among low-income urban black adolescent females.

A modified form of Nathanson and Becker's (1983) Health Belief Model Questionnaire and other measures designed to assess cognitive processing were administered to low-income black adolescent female clients of an inner-city comprehensive health care clinic. The purpose of the study was to explore determinants of sexual activity and contraceptive use. Subjects were classified as not sexually active (n = 50), sexually active/noncontracepting (n = 20), or sexually active/contracepting (n = 72). Not sexually active subjects tended to be younger, more career motivated, to have a father at home, to be more influenced by family values, and to have more conservative attitudes regarding adolescent sexuality than did sexually active subjects. Sexually active/noncontracepting subjects tended to report fewer benefits and more barriers to the use of contraception. Level of cognitive processing did not differ among the three groups, but was at a lower-than-expected level for age. Finally, inconsistent contraceptive use was common to both sexually active groups.     

Young adults' contraceptive practices: an investigation of influences

This study investigated young adults' contraceptive behaviors and attitudes through application of a comprehensive, theoretical framework. Specifically, a social-psychological approach to understanding preventive behaviors (e.g., contraceptive practices), was developed, incorporating the Health Belief Model and other factors, which offered a means for evaluating the extent to which contraceptive behaviors were influenced by individual and group characteristics. The study group consisted of 283 unmarried students at several schools who were, on average, 19 years of age. Results suggested that effective contraceptive behavior associated most strongly with respondents' perceiving relatively few barriers to their use of contraception, their maintenance of extensive interpersonal skills, and their regarding peer norms as consistent with effective contraceptive behavior. Findings also underlined a need for continuing education about sexuality and contraception. Dangerous misinformation prevailed regarding respondents' knowledge of areas that include anatomy, physiology, and appropriate use of effective contraceptive methods. Finally, results implied a need to consider broad behavioral, social, and interpersonal issues as they relate to young adults' effective contraceptive behavior. Future studies of contraceptive risk taking are encouraged to examine both individual and social factors affecting sexual and contraceptive practices if unplanned pregnancy is to be minimized, if not eliminated.     

Community health nurses' knowledge of, attitudes toward, and involvement with adolescent contraceptive services

A national sample of community health nurses were surveyed to assess their knowledge of, attitudes toward, and involvement with reproductive health services. Results indicated that slightly more than half of the nurses provided or administered contraceptive services to adolescents, although 73% worked in settings where contraceptive services were provided to adolescents. However, only 3.6% indicated that adolescents were their primary client population. The majority (64.3%) stated that they felt as prepared to work with adolescents as they did with adult clients. While 98% were aware that most adolescents are sexually active before seeking family planning services, a minority correctly answered questions about pregnancy and contraception among adolescents. Ninety-five percent agreed that contraceptives should be available to adolescents, and 90% agreed that parental consent should not be required for adolescents seeking contraceptive services. Yet only 21.5% were aware of the implications of the Adolescent Family Life Act.     

Pink triangles: antecedents and consequences of perceived workplace discrimination against gay and lesbian employees.

A model of perceived sexual orientation discrimination was tested in a national sample of 534 gay and lesbian employees. The effects of legislation, organizational policies and practices, and work group composition on perceived sexual orientation discrimination were examined, as well as the attitudinal and organizational outcomes associated with discrimination. Gay employees were more likely to report discrimination when employed in groups that were primarily heterosexual and in organizations that lacked supportive policies and were not covered by protective legislation. Disclosure of sexual orientation at work was related to discrimination and antecedent variables. Perceived discrimination was associated with negative work attitudes and fewer promotions. Organizational policies and practices had the strongest impact on perceived discrimination and were directly related to outcomes.     

Matching the message to the process: the relative ordering of knowledge,attitudes, and practices in behavior change research

The authors empirically investigated the relative ordering of knowledge, attitudes, and practices in behavior change models and its relation to communicating health-related information. Considerable research has been conducted in the area of behavior change to identify and measure the presence of knowledge, attitudinal, and practice levels for many behaviors. The literature is reviewed. The authors' investigation consisted of interviewing 1680 men and women in Lima, Cusco, Huaraz, Puno, and Chimbote--5 large Peruvian cities--in 3 urban probability household surveys conducted in August 1994, January 1995, and January 1996. Six possible knowledge, attitude, and practice permutations are developed with regard to contraception in Peru. People may use contraceptive methods before they become fully knowledgeable about their chosen methods. In so doing, these users may become misinformed about contraceptive practice and become dissatisfied contraceptive users who discontinue contraceptive use. Media campaigns designed to inform the public can help produce a more satisfied and sustainable contraceptive user base. The informed choice approach can be the basis for effective communication strategies.     

Perceived Contraceptive Attributes and Method Choice1

This research investigated the relationship of perceived contraceptive attributes to contraceptive choice. More specifically, the study a) examined what attributes women perceive as important in their choice of a contraceptive method; b) compared women who use the vaginal sponge with women who use oral contraceptives or the diaphragm on perceived importance of attributes; and c) compared sponge users with pill users and diaphragm users on perceived characteristics of three contraceptive methods. Data were collected in telephone interviews from a national sample of 330 current sponge users and 330 women who use other forms of female contraception. Those attributes that were rated highest concerned effectiveness and safety, whereas those that were rated lowest focused on convenience of use and interference with sexual activity. Women differed somewhat by user status on the attributes they believe are important in contraceptive choice, with each group emphasizing those attributes characterizing their own method. Moreover. each user group perceived their own method more favorably than did users of other methods. Perceptions of specific contraceptive methods. particularly the sponge. were more predictive of user status than were general importance ratings.     

Risk taking as a predictor of adolescent sexual activity and use of contraception

A hypothesis of high-risk behaviors associated with adolescent sexual activity and lack of contraceptive use was tested in a longitudinal random sample of both male and female youths. The data were part of the Rutgers Health and Human Development Project. 1380 subjects were ascertained by random telephone calling were given self-report questionnaires and personality profiles including the Zuckerman's Sensation Seeking Scale, and Jackson's Personality Research Form in 1979 and 1981. Incidence of sexual activity and use of contraceptives increased with age from age 12-21. Cohort effects were apparent with use of some contraceptive methods. Of the variables indicating risk- taking, disinhibition, impulsivity and experience seeking, there were significant associations between sexual activity and disinhibition and experience seeking, for females. There were no significant associations between these variables and sexual activity in males. Contrary to the hypothesis, there were no relationships between either consistency of birth control use or reliability of the method used and behavioral indicators of risk-taking. Thus this 1st study in the field that included both males and females from the general population, as opposed to college students, found that sexually active adolescents were higher risk-takers than virgins, but no relationship between risk-taking and effectiveness of contraception was observed.     

Religion and Attitudes Toward Family Planning Issues Among US Adults

Although religion is an important influence on a variety of social attitudes, the relationship between religion and views on family planning remains underexplored, especially in terms of attitudes relating to public policy. Using data from a nationally-representative survey (N = 1,500) fielded in 1998, we examine the influence of religious affiliation, subcultural identification, and attendance on three aspects of attitudes toward contraception in the public sphere. Specifically, we explore opinions regarding the public consequences of contraception and the responsibility for making contraception available as part of health care services in the United States. More frequent religious attendance is linked to less-approving opinions about contraception and less support for its provision by the US government and health insurers. Catholic affiliation is not consistently associated with the examined opinions, and we find mixed results for conservative Protestants. Including religious subcultural identities yields additional information, with born-again Christians reporting less positive opinions about the consequences of contraceptive availability, while evangelical identity is linked to negative views on policy aimed at increasing access to family planning services. These findings contribute to knowledge about the relationship between religion and attitudes toward policy-relevant aspects of contraception, as well as the broader social influences of religious subcultural identification.     

An Examination of Young Adolescents' Knowledge of and Attitude Toward Sexuality According to Perceived Contraceptive Responsibility1

A total of 442 ninth-grade, black, inner city adolescents participated in a survey of their knowledge of human reproduction, level of self-esteem, and attitudes toward birth control and sexual intercourse. Ninety-two percent of the females and 33% of the males responded that they or they and their partner were responsible for using birth control. The 148 males perceiving contraceptive responsibility as belonging to their partner or no one were most accepting of sexual intercourse and agreed that teenage parenthood is an index of adulthood. Girls were nearly unanimous in their low level of acceptance of sexual intercourse. Annual birth statistics from their high school indicate, however, that a minimum of 13% of these ninth-grade girls will become pregnant in the ensuing academic year. The apparent contradictions of young adolescents' knowledge of and attitudes toward sexuality are discussed in the context of developmental theory.     

An exploratory study assessing relations of demographic characteristics with police recruits' attitudes toward abuse of children and abusive parents

The purpose of this exploratory study was to assess the relationships of demographic characteristics with attitudes toward abusive parents and abused children in a convenience sample of 183 police recruits. Police academy training staff invited recruits to complete a questionnaire which contained three vignettes and a 36-item questionnaire that depicted child neglect, sexual abuse, physical abuse, and demographic information. Analysis of responses showed that African Americans and Latinos reported more negative attitudes of anger, disgust, sadness, and discomfort toward an abusive parent than the Euro-American group. Women reported more negative attitudes toward an abused child and also more positive attitudes of sympathy and caring toward an abused child. Results partially support previous research suggesting demographic characteristics influence report of attitudes toward abusive parents and abused children. These findings about the influence of demographic characteristics on positive and negative emotional reactions toward abusive parents and abused children add to the literature.