Perceived competence and contraceptive use during adolescence

Jennifer B. Hillman, Sonya Negriff, Lorah D. Dorn

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Background: Little is known about psychosocial correlates of different contraceptive methods in adolescence. Study Design: Cross-sectional analyses of 209 postmenarcheal girls [mean age (years)±SD=15.68±1.74], primarily Caucasian (62.8%) or African American (32.8%). Competence (activities and social) and rule-breaking behavior were assessed by the Youth Self Report (YSR; adolescent) and the Child Behavior Checklist (CBCL; parent). Three contraceptive-use groups were created: no hormonal contraceptive (n=142), combined oral contraceptives or the transdermal patch (COCs/patch, n=41), and depot medroxyprogesterone acetate (DMPA, n=20). Results: There was a significant effect of contraceptive-use group on competence (p=.003). The DMPA group had lower competence (CBCL activities and social; YSR social) than the no-hormonal-contraceptive and COCs/patch groups. The COCs/patch group scored lower than the no-hormonal-contraceptive group on YSR activities competence, but was not different from the DMPA group. Lastly, there was an effect of contraceptive-use group on CBCL (but not YSR) rule-breaking behavior (p=.029) with the DMPA group having higher rule-breaking behavior than the other groups. Conclusions: Type of contraceptive method was associated with parent and adolescent's perceived competence. For rule-breaking behavior, parental perception may be more relevant to contraceptive use.

Original languageEnglish (US)
Pages (from-to)249-253
Number of pages5
Issue number3
StatePublished - Mar 2010

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology


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