Gender, Race, Medicine
Contraceptive Method Choice among Youth in the United States: Importance of Relationship Context
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Research Findings
Understanding contraceptive use among young adults is important to preventing negative health outcomes, and much research has focused on the impact of relationship status. A 2011 study published in the journal Demography, “Contraceptive Method Choice Among Youth in the United States: The Importance of Relationship Context,” draws on data from the National Longitudinal Study of Adolescent Health to better understand the role of relationship type in frequency and type of contraceptive use for teenagers and young adults up to age 24.
In the study, the researchers classified relationships as one of five types, ranging from transitory liaisons to cohabitation. The association of the relationship type with the type of contraceptive use was then examined, as well as demographic factors, differences between the partners, and prior relationship experiences.
Key findings from the study include:
- Use of the detailed relationship typology revealed that “individuals may behave differently in different relationships.” For instance, women who were dating were more likely to use condoms or dual method contraception, while those living with a partner were less likely to report condom and dual method contraception.
- For those in less-committed relationships, familiarity with one’s partner increases condom use among women but reduces it among men.
- In the most committed relationships, women are less likely to use condoms or dual method contraception, but men are not.
- Both men and women are less likely to report contraceptive use in relationships with partners who are at least three years older.
Findings indicate that, for both men and women, difficulty communicating with partners may be a barrier for contraceptive use. The authors recommend that future studies focus on understanding the mechanisms that allow relationship context to influence contraceptive behavior.
Tags: gender, sexuality, youth
Teaching Notes
Media analysis
Read the issue-related New York Times article "Condom Use Is Highest for Young, Study Finds."
- If you were to revise the article based on knowledge of the study, what key changes would you make?
Analysis assignments
Read the study "Contraceptive Method Choice Among Youth in the United States: The Importance of Relationship Context."
- Summarize the study in fewer than 40 words.
- Express the study's key term(s) in language a lay audience can understand.
- Evaluate the study's limitations. (For example: Do the results conflict with those of other reliable studies? Are there weaknesses in the study's data or research design?)
Newswriting assignments
- Write a lead (or headline or nut graph) based on the study.
- Spend 60 minutes exploring the issue by accessing sources of information other than the study. Write a lead (or headline or nut graph) based on the study but informed by the new information. Does the new information significantly change what one would write based on the study alone?
- Interview two sources with a stake in or knowledge of the issue. Be prepared to provide them with a short summary of the study in order to get their response to it. Write a 400-word article about the study incorporating material from the interviews.
- Spend additional time exploring the issue and then write a 1,200-word background article, focusing on major aspects of the issue.




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