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Arch Pediatr Adolesc Med. 2002 Apr;156(4):341-4.

Opportunities for appropriate care: health care and contraceptive use among adolescents reporting unwanted sexual intercourse.

Author information

  • 1Strong Children's Research Center and Division of Adolescent Medicine, Department of Pediatrics, University of Rochester Medical Center, 601 Elmwood Ave, Box 690, Rochester, NY 14642, USA.

Abstract

BACKGROUND:

Unwanted sexual contact, reported by 30% to 42% of young women and 10% to 34% of young men, has been associated with negative health outcomes and increased teenaged pregnancy.

OBJECTIVE:

To determine health services and contraceptive use among adolescents reporting unwanted sexual intercourse.

METHODS:

Random-digit dial methods were used to survey 1040 adolescents in Monroe County, New York; 389 (37%) were sexually active and answered a question about whether they had ever been forced or pressured to have sexual intercourse. The data were weighted to reflect the county population.

RESULTS:

Among sexually active adolescents, 20% of females and 7% of males reported unwanted intercourse (P<.001). For 37% of male and 17% of female adolescents, the survey was the first time they had disclosed the incident (P =.17). Among female adolescents reporting unwanted intercourse, 91% have a usual source of care and 62% reported a well visit in the previous 6 months. Female adolescents reporting unwanted sex were more likely to have wanted contraceptives but not gotten them because of fear their parents would find out (32% vs 11%; P =.01) and to have had sex without contraception (69% vs 52%; P =.05) than those who had not had unwanted sex.

CONCLUSIONS:

Many adolescents have been forced or pressured to have sexual intercourse. Although many have never told anyone about the incident, most have visited a primary care physician or clinician. Physicians and other clinicians should screen for a history of unwanted intercourse and provide needed referrals for counseling and/or contraceptive information.

PMID:
11929367
[PubMed - indexed for MEDLINE]
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