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The Adolescent Heterosexual Relationship and Its Association With the Sexual and Contraceptive Behavior of Black Females FREE

Robert H. DuRant, PhD; Susan Jay, MD
[+] Author Affiliations

Accepted for publication July 25, 1989.

Presented to the Southern Society for Pediatric Research, New Orleans, La, February 2, 1989.

Reprints not available.


Am J Dis Child. 1989;143(12):1467-1472. doi:10.1001/archpedi.1989.02150240089025.
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• We tested the hypothesis that the nature of the heterosexual relationship would be associated with the contraceptive and sexual behavior among three groups of females: those with a boyfriend who agreed to be interviewed (n=31); those whose boyfriends refused to be interviewed (n=38); and those without a single identifiable boyfriend (n 44). A pretested questionnaire was administered to a random sample of 113 black females aged 12 to 18 years from a lower socioeconomic population. The three groups did not differ in age, Tanner stage, previous pregnancies, or in demographic variables. Females with boyfriends were more likely than others to be currently sexually active. Overall, 47.8% of the sample was sexually active. Females whose boyfriends were interviewed were more likely to feel that having a baby would ruin their life. Among sexually active females (n = 54), a higher percentage of females whose boyfriends were interviewed (90%) were currently using a prescription method of birth control and demonstrated higher previous contraceptive compliance. There were no differences between the groups with boyfriends in the degree that the females felt their boyfriends supported their use of birth control; those without boyfriends perceived less support. Six months after the initial interview, a higher percentage of sexually active females had a boyfriend as compared with other subjects. Although the 31 females and their boyfriends differed in the mean scores of several sexual behavior and attitude scales, the girls' and their boyfriends' scores on these scales were moderately correlated. These findings suggest that the nature of the heterosexual relationship may influence both the sexual and the contraceptive behavior of black female adolescents.

(AJDC. 1989;143:1467-1472)

REFERENCES

Widdle KD, McKenry PC, Leigh GK.  Adolescent sexual behavior: trends and issues in research . J Adolesc Res Soc Forces . 1988;;3:245-257.
Biddle BJ, Bank BJ, Morlin MM.  Parental and peer influence on adolescents . J Adolesc Res Soc Forces . 1980;;58:1057-1079.
Jay S, DuRant RH, Linden CW, Shoffitt T, Litt IF.  The effect of peer counselors on adolescent compliance with oral contraceptives . Pediatrics . 1984;;73:126-131.
Shaw F, Zelnik M.  Parent and peer influence on sexual behavior, contraceptive use and pregnancy experience of young women . J Marriage Fam . 1981;;67:339-348.
Billy JOG, Rodgers JL, Udrez JR.  Adolescent sexual behavior and friendship choice . J Adolesc Res Soc Forces . 1984;;2:653-678.
Billy JOG, Udrez JR.  Patterns of adolescent friendship and effects on sexual behavior . Soc Psychiatr Q . 1985;;48:27-41.
Billy JOG, Landale, NS, Grady, WR, Zimmerle DM.  Effects on sexual activity on adolescent social and psychological development . Soc Psychiatr Q . 1988;;51:190-212.
DuRant RH, Jay S.  A social psychological model of female adolescents compliance with contraceptives . Semin Adolesc Med . 1987;;3:135-144.
Jay MS, Bridges CE, Gottlieb AA, DuRant RH.  Adolescent contraception: an update . Adolesc Pediatr Gynecol . 1988;;1:83-95.
DuRant RH, Seymore C, Jay S. Adolescents' compliance with therapeutic regiments. In: Hendee W, ed. The Health Care of Adolescents. San Francisco, Calif: Jossey-Bass Inc Publishers. In Press.
DuRant RH, Jay S, Linder CW, Shoffitt T, Litt I.  The influence of psychosocial factors on adolescent compliance with oral contraceptives . J Adolesc Health Care . 1984;;45:1-6.
Litt IF, Cuskey WR, Rudd S.  Identifying adolescents at risk for noncompliance with contraceptive therapy . J Pediatr . 1980;;96:742-745.
Nadelson CC, Notman M, Gillon JW.  Sexual knowledge and attitudes of adolescents' relationship to contraceptive use . Obstet Gynecol . 1980;; 55:340-345.
Freeman EW, Rickels K, Mudd BH, Huggins GR.  Never pregnant adolescents and family planning programs: contraceptive continuation and pregnancy risk . Am J Public Health . 1982;;72:815-822.
Nowicki J, Strickland BR.  A locus of control scale for children . J Consult Clin Psychol . 1973;; 40:148-154.
Coopersmith S. Coopersmith Self-esteem Inventory (Short Form) . Palo Alto, Calif: Consulting Psychologic Press; 1981;.
Smith DL, DuRant RH, Carter TI.  Social integration, victimization and anomia . Criminology . 1978;;16:395-402.
Williams RL, Cheyne KL, Houtkooper LK, Lohman TG.  Adolescent self-assessment of sexual maturation . J Adolesc Health Care . 1988;;9:480-482.
Scales P.  Males and morals: teenage contraceptive behavior amid the double standard . Fam Coord . 1977;;26:211-222.
Freeman EW, Rickels K, Huggins GR, Garcia CR.  Adolescent contraceptive use: comparisons of male and female attitudes and information . Am J Public Health . 1980;;70:790-797.
Vadies E, Hall D.  Adolescent males: attitudes towards abortion, contraception and sexuality . Adv Plann Parenthood . 1978;;352-361.
Rivara FP, Sweeney PJ, Henderson BF.  A study of low socioeconomic status, black teenage fathers and thus nonfather peers . Pediatrics . 1985;;75:648-656.
Jorgensen S, King S, Torrey B.  Dyadic and social network influences on adolescent exposure to pregnancy risk . J Marriage Fam . 1980;;40:141-155.

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References

Widdle KD, McKenry PC, Leigh GK.  Adolescent sexual behavior: trends and issues in research . J Adolesc Res Soc Forces . 1988;;3:245-257.
Biddle BJ, Bank BJ, Morlin MM.  Parental and peer influence on adolescents . J Adolesc Res Soc Forces . 1980;;58:1057-1079.
Jay S, DuRant RH, Linden CW, Shoffitt T, Litt IF.  The effect of peer counselors on adolescent compliance with oral contraceptives . Pediatrics . 1984;;73:126-131.
Shaw F, Zelnik M.  Parent and peer influence on sexual behavior, contraceptive use and pregnancy experience of young women . J Marriage Fam . 1981;;67:339-348.
Billy JOG, Rodgers JL, Udrez JR.  Adolescent sexual behavior and friendship choice . J Adolesc Res Soc Forces . 1984;;2:653-678.
Billy JOG, Udrez JR.  Patterns of adolescent friendship and effects on sexual behavior . Soc Psychiatr Q . 1985;;48:27-41.
Billy JOG, Landale, NS, Grady, WR, Zimmerle DM.  Effects on sexual activity on adolescent social and psychological development . Soc Psychiatr Q . 1988;;51:190-212.
DuRant RH, Jay S.  A social psychological model of female adolescents compliance with contraceptives . Semin Adolesc Med . 1987;;3:135-144.
Jay MS, Bridges CE, Gottlieb AA, DuRant RH.  Adolescent contraception: an update . Adolesc Pediatr Gynecol . 1988;;1:83-95.
DuRant RH, Seymore C, Jay S. Adolescents' compliance with therapeutic regiments. In: Hendee W, ed. The Health Care of Adolescents. San Francisco, Calif: Jossey-Bass Inc Publishers. In Press.
DuRant RH, Jay S, Linder CW, Shoffitt T, Litt I.  The influence of psychosocial factors on adolescent compliance with oral contraceptives . J Adolesc Health Care . 1984;;45:1-6.
Litt IF, Cuskey WR, Rudd S.  Identifying adolescents at risk for noncompliance with contraceptive therapy . J Pediatr . 1980;;96:742-745.
Nadelson CC, Notman M, Gillon JW.  Sexual knowledge and attitudes of adolescents' relationship to contraceptive use . Obstet Gynecol . 1980;; 55:340-345.
Freeman EW, Rickels K, Mudd BH, Huggins GR.  Never pregnant adolescents and family planning programs: contraceptive continuation and pregnancy risk . Am J Public Health . 1982;;72:815-822.
Nowicki J, Strickland BR.  A locus of control scale for children . J Consult Clin Psychol . 1973;; 40:148-154.
Coopersmith S. Coopersmith Self-esteem Inventory (Short Form) . Palo Alto, Calif: Consulting Psychologic Press; 1981;.
Smith DL, DuRant RH, Carter TI.  Social integration, victimization and anomia . Criminology . 1978;;16:395-402.
Williams RL, Cheyne KL, Houtkooper LK, Lohman TG.  Adolescent self-assessment of sexual maturation . J Adolesc Health Care . 1988;;9:480-482.
Scales P.  Males and morals: teenage contraceptive behavior amid the double standard . Fam Coord . 1977;;26:211-222.
Freeman EW, Rickels K, Huggins GR, Garcia CR.  Adolescent contraceptive use: comparisons of male and female attitudes and information . Am J Public Health . 1980;;70:790-797.
Vadies E, Hall D.  Adolescent males: attitudes towards abortion, contraception and sexuality . Adv Plann Parenthood . 1978;;352-361.
Rivara FP, Sweeney PJ, Henderson BF.  A study of low socioeconomic status, black teenage fathers and thus nonfather peers . Pediatrics . 1985;;75:648-656.
Jorgensen S, King S, Torrey B.  Dyadic and social network influences on adolescent exposure to pregnancy risk . J Marriage Fam . 1980;;40:141-155.

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