Purpose: To describe reported contraception use in HIV infected and HIV uni
nfected but at-risk female adolescents, and determine associations with the
reported consistent use of effective contraception methods, including its
association with pregnancy.
Methods: HIV infected and at-risk female youth, aged 13-18 years, who were
sexually active and reporting no intention to become pregnant, were include
d. Contraception use data from three consecutive visits (approximately 6 mo
nths apart) were used.
Results: Ninety-four percent of HIV infected and 89% of at-risk subjects re
ported choosing a main contraception method with demonstrated efficacy when
used consistently. Approximately 50% chose partner condoms. HIV infected y
outh were more likely to report 100% a partner condom use in the past 3 mon
ths (73% vs. 46%; OR 3.3; 95% CI: 1.7-5.6). At-risk youth were 2.5 times mo
re likely than HIV infected subjects to report using nothing (95% CI: 1.1-5
.8). Slightly more than half (56%) demonstrated the consistent reporting of
effective methods (CREM) of contraception. In multivariate analysis, HIV i
nfection (OR 4.0; 95% CI: 2.2-8.2) and AfricanAmerican race (OR 2.7; 95% CI
: 1.1-6.6) were significantly associated with CREM. Subjects reporting inco
nsistent or unreliable contraception use had higher 1-year pregnancy rates
than CREM subjects (32% vs. 14%; p =.002):
Conclusions: Only half of HIV infected and at-risk youth reported using eff
ective contraception consistently, despite its availability. Additionally,
regardless of reported contraceptive use, the rates of unplanned pregnancy
were unacceptably high. Society for Adolescent Medicine, 2001.