Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 2004

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Effects of a community-based sex education and reproductive health service

program on contraceptive use of unmarried youths in Shanghai.

AUTHORS

Lou C; Wang B; Shen Y; Gao E

SOURCE

Journal of Adolescent Health. 2004 May;34(5):433-440.

ABSTRACT

The purpose was to evaluate the effectiveness of a youth friendly intervention in promoting one safe sex behavior -

contraception and condom use among unmarried young people aged 15-24 years in Shanghai, China. The study was

conducted in two towns of a suburban area of Shanghai (one as the intervention and the other as the control), with

comparable socio-cultural economic and demographic characteristics. The intervention intended to build awareness

and offer counseling and services related to sexuality and reproduction among unmarried youths, in addition to the

routine program activities, which were exclusively provided in the control site. Baseline surveys were conducted in

both sites before the implementation of the intervention, and similar surveys were conducted in both sites 20 months

after the intervention had been initiated to test the feasibility and effectiveness of the intervention. In total, 1220

unmarried young people from the intervention site and 1007 from the control site, including 1304 out-of-school youths

and 923 high school students, were recruited, and about 92% of them were successfully followed up. Four main

measures were examined (i.e., ever contraceptive use, current regular contraceptive use, ever condom use, and

contraceptive use at onset of sexual intercourse-if it occurred during the course of the intervention). The reasons for

nonuse of contraceptives, the status of joint decision on contraception and the first method used were also

assessed. Data were analyzed using Logistic regression models with dichotomous measures of contraceptive use

and Generalized Estimating Equations (GEEs) with repeated measures. At baseline, there was no statistical

difference in contraceptive use between the intervention and control groups. After intervention, the proportions

reporting regular contraceptive use and condom use in the intervention group were much higher than that in the

control group (p < .001). A group x time interaction effect (p < .0001) was found for regular contraceptive use and ever

condom use. Logistic regression analysis with dichotomous measures of contraceptive use and GEEs with repeated

measures showed similar results. The regular contraceptive use and ever condom use were correlated with

subject's occupation and family economic status, respectively. After adjusting for demographic factors, the subjects

from the intervention group were 14.58 (OR) times as likely to use contraceptives at onset of intercourse as those

from the control group (95%CI: 8.55- 24.87, p < .0001). Similar results were found for both females and males. A

multifaceted intervention program that provided information and skills, as well as counseling and services, appears

to have positive influences on contraceptive practice and condom use among unmarried young females and males in

suburban Shanghai. (PubHealth.info Document ID: CONT1T 536-06)

PubHealth.info NOTE: The author(s) of this article titled, "Effects of a community-based sex education and

reproductive health service program on contraceptive use of unmarried youths in Shanghai.", is(are) Lou C; Wang B;

Shen Y; Gao E. The source of this article is "Journal of Adolescent Health. 2004 May;34(5):433-440.". This article

was published in 2004 in English language(s). (PubHealth.info® Document ID: CONT1T 536-06. All rights reserved

with PubHealth.info) PIN: 536

This article is peer-reviewed.

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