Uncovering Withdrawal Use among Sexually Active US Adolescents: High Prevalence Rates Suggest the Need for a Sexual Health Harm Reduction Approach

Autor/inn/en	Laris, B. A.; Barrett, Mia; Anderson, Pamela; Kesler, Kari; Gerber, Andrea; Baumler, Elizabeth; Coyle, Karin
Titel	Uncovering Withdrawal Use among Sexually Active US Adolescents: High Prevalence Rates Suggest the Need for a Sexual Health Harm Reduction Approach
Quelle	In: Sex Education: Sexuality, Society and Learning, 21 (2021) 2, S.208-220 (13 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Laris, B. A.) ORCID (Kesler, Kari)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1468-1811
DOI	10.1080/14681811.2020.1768524
Schlagwörter	Sexuality; Health Behavior; High School Students; Student Attitudes; Contraception; Sex Education; Program Effectiveness; Teaching Methods; Incidence; Pregnancy; Prevention; Correlation; Student Surveys; Risk; Student Characteristics + Suchen Sie Ihr Suchwort? Sexualität; Health behaviour; Gesundheitsverhalten; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Schülerverhalten; Empfängnisverhütung; Sex instruction; Sexualaufklärung; Sexualerziehung; Sexualkunde; Teaching method; Lehrmethode; Unterrichtsmethode; Vorkommen; Schwangerschaft; Prävention; Vorbeugung; Korrelation; Schülerbefragung; Risiko
Abstract	This paper explores the use of withdrawal as a harm reduction approach to adolescent pregnancy prevention and its association with condom use. Data come from a baseline survey of a randomised controlled trial to test the effectiveness of FLASH, a sexual health education curriculum. Study participants completed electronic self-report surveys in health classes in their first or second year of high school (age range 14.1-17.9, mean 15.3 years). One-hundred and ninety-one students (12% of full sample) reported engaging in vaginal intercourse in the 3 months prior to the survey; of these, 66.0% reported using withdrawal as a birth control method, without significant differences by race, gender, region or birth control beliefs. Withdrawal was often used in combination with condoms (55.5%), periodic abstinence (40.0%) and birth control pills (13.4%). The effectiveness of withdrawal and its prevalence suggest an opportunity to reflect on how withdrawal is taught -- moving from avoiding its use to a harm reduction approach to help sexually active youth avoid risk, reduce risk and reduce potential harm associated with sexual behaviours. Rather than focusing on withdrawal as risky, youth-serving professionals should acknowledge young people's efforts to prevent pregnancy and recognise the social and relational contexts of contraceptive choices. (As Provided).
Anmerkungen	Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01