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Adolescent Contraceptive Use and Parental Notification FREE

Efstratios Demetriou, MD, MPH; David W. Kaplan, MD, MPH
[+] Author Affiliations

Accepted for publication May 11, 1989.

Reprint requests to Adolescent Center, Childrens' 7, Boston City Hospital, 818 Harrison Ave, Boston, MA 02118 (Dr Demetriou).


Am J Dis Child. 1989;143(10):1166-1172. doi:10.1001/archpedi.1989.02150220056021.
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• Little research exists regarding the relationship between family communication and the sexual behavior and contraceptive use of adolescent females. A self-administered questionnaire was used to survey 196 adolescent females regarding communication with their parents about sexual issues and their reaction to proposed parental notification of the dispensing of prescription contraception. Parents of 80% of the subjects who were sexually experienced were aware of this activity. Parents of 80% of those subjects who had used contraception were aware of this use; 59% of these subjects informed their parents before their family planning visit. The majority of female adolescents (57%) were unwilling to communicate with their parents about sexual issues; 64% felt they should be able to receive prescription contraception without parental knowledge. Communication regarding sexual issues was related to lifetime contraceptive use. Eighteen percent of the sexually experienced subjects would not allow their parents to be notified of their family planning visit; 86% would use less effective contraception if family planning services were not sought. Our findings suggest that a parental notification policy will not compel all adolescents to inform parents about their contraceptive use; most adolescents will resort to less effective contraceptive methods.

(AJDC. 1989;143:1166-1172)

REFERENCES

Zelnik M, Kantner JF.  Sexual activity, contraceptive use and pregnancy among metropolitan-area teenagers: 1971-1979 . Fam Plann Perspect . 1980;;12:230-237.
Hayes CD, ed. Risking the Future: Adolescent Sexuality, Pregnancy, and Childbearing . Washington, DC: National Academy Press; 1987;:1.
Torres A, Forrest JD, Eisman S.  Family planning services in the United States, 1978-1979 . Fam Plann Perspect . 1981;;13:132-141.
Fox GL, Inazu JK.  Patterns and outcomes of mother-daughter communications about sexuality . J Soc Issues . 1980;;36:7-29.
Furstenberg FF.  Birth control experience among pregnant adolescents: the process of unplanned parenthood . Soc Prob . 1971;;19:192-203.
Furstenberg FF. Unplanned Parenthood: The Social Consequences of Teenage Childbearing . New York, NY: Free Press; 1976;.
Fox GL.  The family's role in adolescent sexual behavior . In: Ooms T, ed. Adolescent Pregnancy in a Family Context . Philadelphia, Pa: Temple University Press; 1981;:73-130.
Flaherty E, Maracek J. Psychological Factors Associated With Fertility Regulation Among Adolescents: Final Report to National Institute of Child Health and Human Development . Philadelphia, Pa: Philadelphia Management Corporation; 1982;.
Torres A, Forrest JD, Eisman S.  Telling parents: clinic policies and adolescents' use of family planning and abortion services . Fam Plann Perspect . 1980;;12:284-292.
Zabin LS, Clark SD.  Why they delay: a study of teenage family planning clinic patients . Fam Plann Perspect . 1980;;13:205-217.
Furstenberg FF, Herceg-Baron R, Shea J, Webb D.  Family communication and teenagers' contraceptive use . Fam Plann Perspect . 1984;; 16:163-170.
Furstenberg FF, Herceg-Baron R, Mann D, Shea J.  Parental involvement: selling family planning clinics short . Fam Plann Perspect . 1982;; 14:140-144.

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References

Zelnik M, Kantner JF.  Sexual activity, contraceptive use and pregnancy among metropolitan-area teenagers: 1971-1979 . Fam Plann Perspect . 1980;;12:230-237.
Hayes CD, ed. Risking the Future: Adolescent Sexuality, Pregnancy, and Childbearing . Washington, DC: National Academy Press; 1987;:1.
Torres A, Forrest JD, Eisman S.  Family planning services in the United States, 1978-1979 . Fam Plann Perspect . 1981;;13:132-141.
Fox GL, Inazu JK.  Patterns and outcomes of mother-daughter communications about sexuality . J Soc Issues . 1980;;36:7-29.
Furstenberg FF.  Birth control experience among pregnant adolescents: the process of unplanned parenthood . Soc Prob . 1971;;19:192-203.
Furstenberg FF. Unplanned Parenthood: The Social Consequences of Teenage Childbearing . New York, NY: Free Press; 1976;.
Fox GL.  The family's role in adolescent sexual behavior . In: Ooms T, ed. Adolescent Pregnancy in a Family Context . Philadelphia, Pa: Temple University Press; 1981;:73-130.
Flaherty E, Maracek J. Psychological Factors Associated With Fertility Regulation Among Adolescents: Final Report to National Institute of Child Health and Human Development . Philadelphia, Pa: Philadelphia Management Corporation; 1982;.
Torres A, Forrest JD, Eisman S.  Telling parents: clinic policies and adolescents' use of family planning and abortion services . Fam Plann Perspect . 1980;;12:284-292.
Zabin LS, Clark SD.  Why they delay: a study of teenage family planning clinic patients . Fam Plann Perspect . 1980;;13:205-217.
Furstenberg FF, Herceg-Baron R, Shea J, Webb D.  Family communication and teenagers' contraceptive use . Fam Plann Perspect . 1984;; 16:163-170.
Furstenberg FF, Herceg-Baron R, Mann D, Shea J.  Parental involvement: selling family planning clinics short . Fam Plann Perspect . 1982;; 14:140-144.

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