Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection
Objective The objective of the study was to examine whether emergency contraceptive use predicts future sex at risk for pregnancy, pregnancy, or sexually transmitted infection among young women. Study Design A secondary analysis of control group participants (n = 718) from a recent trial of advanced...
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| Veröffentlicht in: | American journal of obstetrics and gynecology 2009-08, Vol.201 (2), p.146.e1-146.e6 |
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| container_issue | 2 |
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| container_title | American journal of obstetrics and gynecology |
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| creator | Sander, Petra M., MSPH Raymond, Elizabeth G., MD, MPH Weaver, Mark A., PhD |
| description | Objective The objective of the study was to examine whether emergency contraceptive use predicts future sex at risk for pregnancy, pregnancy, or sexually transmitted infection among young women. Study Design A secondary analysis of control group participants (n = 718) from a recent trial of advanced provision of emergency contraception was conducted. Results We found no association between use of emergency contraception and either pregnancy or infection. Recent use predicted decreased occurrence of subsequent sex at risk for pregnancy among women with a history of sexually transmitted infection (relative risk [RR], 0.39; 95% confidence interval [CI], 0.15-0.97), whereas ever having used predicted increased occurrence among women who either were highly effective method users (RR, 1.45; 95% CI, 1.05-2.01) or had no history of sexually transmitted infection (RR, 1.31; 95% CI, 1.04-1.65). Conclusion Information about prior emergency contraceptive use was not a useful predictor of subsequent pregnancy, infection, or sex at risk for pregnancy among these young women. |
| doi_str_mv | 10.1016/j.ajog.2009.05.015 |
| format | Article |
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Study Design A secondary analysis of control group participants (n = 718) from a recent trial of advanced provision of emergency contraception was conducted. Results We found no association between use of emergency contraception and either pregnancy or infection. Recent use predicted decreased occurrence of subsequent sex at risk for pregnancy among women with a history of sexually transmitted infection (relative risk [RR], 0.39; 95% confidence interval [CI], 0.15-0.97), whereas ever having used predicted increased occurrence among women who either were highly effective method users (RR, 1.45; 95% CI, 1.05-2.01) or had no history of sexually transmitted infection (RR, 1.31; 95% CI, 1.04-1.65). Conclusion Information about prior emergency contraceptive use was not a useful predictor of subsequent pregnancy, infection, or sex at risk for pregnancy among these young women.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2009.05.015</identifier><identifier>PMID: 19646565</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Biological and medical sciences ; Contraception - statistics & numerical data ; Contraception, Postcoital - statistics & numerical data ; Epidemiology. Vaccinations ; Female ; General aspects ; Gynecology. Andrology. Obstetrics ; Humans ; Infectious diseases ; Medical sciences ; Obstetrics and Gynecology ; postcoital contraception ; Predictive Value of Tests ; Pregnancy ; Pregnancy in Adolescence - statistics & numerical data ; Prevalence ; Randomized Controlled Trials as Topic - statistics & numerical data ; reproductive health care ; Risk Factors ; Risk-Taking ; Sexual Behavior - statistics & numerical data ; Sexually Transmitted Diseases - epidemiology ; sexually transmitted infections ; Young Adult</subject><ispartof>American journal of obstetrics and gynecology, 2009-08, Vol.201 (2), p.146.e1-146.e6</ispartof><rights>Mosby, Inc.</rights><rights>2009 Mosby, Inc.</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c538t-cc29c8aa86bd0a36a42edc323ad87dd0807558913e77041b68f2ba8ae8b0a6073</citedby><cites>FETCH-LOGICAL-c538t-cc29c8aa86bd0a36a42edc323ad87dd0807558913e77041b68f2ba8ae8b0a6073</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002937809005122$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21802705$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19646565$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sander, Petra M., MSPH</creatorcontrib><creatorcontrib>Raymond, Elizabeth G., MD, MPH</creatorcontrib><creatorcontrib>Weaver, Mark A., PhD</creatorcontrib><title>Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>Objective The objective of the study was to examine whether emergency contraceptive use predicts future sex at risk for pregnancy, pregnancy, or sexually transmitted infection among young women. Study Design A secondary analysis of control group participants (n = 718) from a recent trial of advanced provision of emergency contraception was conducted. Results We found no association between use of emergency contraception and either pregnancy or infection. Recent use predicted decreased occurrence of subsequent sex at risk for pregnancy among women with a history of sexually transmitted infection (relative risk [RR], 0.39; 95% confidence interval [CI], 0.15-0.97), whereas ever having used predicted increased occurrence among women who either were highly effective method users (RR, 1.45; 95% CI, 1.05-2.01) or had no history of sexually transmitted infection (RR, 1.31; 95% CI, 1.04-1.65). Conclusion Information about prior emergency contraceptive use was not a useful predictor of subsequent pregnancy, infection, or sex at risk for pregnancy among these young women.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Contraception - statistics & numerical data</subject><subject>Contraception, Postcoital - statistics & numerical data</subject><subject>Epidemiology. Vaccinations</subject><subject>Female</subject><subject>General aspects</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Obstetrics and Gynecology</subject><subject>postcoital contraception</subject><subject>Predictive Value of Tests</subject><subject>Pregnancy</subject><subject>Pregnancy in Adolescence - statistics & numerical data</subject><subject>Prevalence</subject><subject>Randomized Controlled Trials as Topic - statistics & numerical data</subject><subject>reproductive health care</subject><subject>Risk Factors</subject><subject>Risk-Taking</subject><subject>Sexual Behavior - statistics & numerical data</subject><subject>Sexually Transmitted Diseases - epidemiology</subject><subject>sexually transmitted infections</subject><subject>Young Adult</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsuO1DAQjBCIHRZ-gAPyBU6boe2MH5HQSqvV8pBW4gCcLcfpDM5k7MFORuTvcTSj5XHgZNmuqu6u6qJ4SWFNgYq3_dr0YbtmAPUa-Boof1SsKNSyFEqox8UKAFhZV1JdFM9S6pcrq9nT4oLWYiO44Kuiv9tj3KK3M7HBj9FYPIzuiGRKSEwihuxN3GEkoSPdNE4RSXRpN5OEP6_IIeLWm0y-Isa3y9tkhmEmWcenvRtHbInzHdrRBf-8eNKZIeGL83lZfHt_9_X2Y3n_-cOn25v70vJKjaW1rLbKGCWaFkwlzIZhaytWmVbJtgUFknNV0wqlhA1thOpYY5RB1YARIKvL4vqke5iafabiMtagD9HlUWYdjNN__3j3XW_DUTPJQMlF4M1ZIIYfE6ZR712yOAzGY5iSFpJv-AZUBrIT0MaQUsTuoQgFvUSke71EpJeINHCdI8qkV3-295tyziQDXp8BJlkzdNlL69IDjlEFTMKCe3fCYTbz6DDqZF1OElsXs-O6De7_fVz_Q7eD8y5X3OGMqQ9T9DkmTXViGvSXZXuWXYIagFPGql_65sc9</recordid><startdate>20090801</startdate><enddate>20090801</enddate><creator>Sander, Petra M., MSPH</creator><creator>Raymond, Elizabeth G., MD, MPH</creator><creator>Weaver, Mark A., PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20090801</creationdate><title>Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection</title><author>Sander, Petra M., MSPH ; Raymond, Elizabeth G., MD, MPH ; Weaver, Mark A., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c538t-cc29c8aa86bd0a36a42edc323ad87dd0807558913e77041b68f2ba8ae8b0a6073</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Contraception - statistics & numerical data</topic><topic>Contraception, Postcoital - statistics & numerical data</topic><topic>Epidemiology. Vaccinations</topic><topic>Female</topic><topic>General aspects</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Obstetrics and Gynecology</topic><topic>postcoital contraception</topic><topic>Predictive Value of Tests</topic><topic>Pregnancy</topic><topic>Pregnancy in Adolescence - statistics & numerical data</topic><topic>Prevalence</topic><topic>Randomized Controlled Trials as Topic - statistics & numerical data</topic><topic>reproductive health care</topic><topic>Risk Factors</topic><topic>Risk-Taking</topic><topic>Sexual Behavior - statistics & numerical data</topic><topic>Sexually Transmitted Diseases - epidemiology</topic><topic>sexually transmitted infections</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sander, Petra M., MSPH</creatorcontrib><creatorcontrib>Raymond, Elizabeth G., MD, MPH</creatorcontrib><creatorcontrib>Weaver, Mark A., PhD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sander, Petra M., MSPH</au><au>Raymond, Elizabeth G., MD, MPH</au><au>Weaver, Mark A., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2009-08-01</date><risdate>2009</risdate><volume>201</volume><issue>2</issue><spage>146.e1</spage><epage>146.e6</epage><pages>146.e1-146.e6</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objective The objective of the study was to examine whether emergency contraceptive use predicts future sex at risk for pregnancy, pregnancy, or sexually transmitted infection among young women. Study Design A secondary analysis of control group participants (n = 718) from a recent trial of advanced provision of emergency contraception was conducted. Results We found no association between use of emergency contraception and either pregnancy or infection. Recent use predicted decreased occurrence of subsequent sex at risk for pregnancy among women with a history of sexually transmitted infection (relative risk [RR], 0.39; 95% confidence interval [CI], 0.15-0.97), whereas ever having used predicted increased occurrence among women who either were highly effective method users (RR, 1.45; 95% CI, 1.05-2.01) or had no history of sexually transmitted infection (RR, 1.31; 95% CI, 1.04-1.65). Conclusion Information about prior emergency contraceptive use was not a useful predictor of subsequent pregnancy, infection, or sex at risk for pregnancy among these young women.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>19646565</pmid><doi>10.1016/j.ajog.2009.05.015</doi><tpages>2</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Biological and medical sciences Contraception - statistics & numerical data Contraception, Postcoital - statistics & numerical data Epidemiology. Vaccinations Female General aspects Gynecology. Andrology. Obstetrics Humans Infectious diseases Medical sciences Obstetrics and Gynecology postcoital contraception Predictive Value of Tests Pregnancy Pregnancy in Adolescence - statistics & numerical data Prevalence Randomized Controlled Trials as Topic - statistics & numerical data reproductive health care Risk Factors Risk-Taking Sexual Behavior - statistics & numerical data Sexually Transmitted Diseases - epidemiology sexually transmitted infections Young Adult |
| title | Emergency contraceptive use as a marker of future risky sex, pregnancy, and sexually transmitted infection |
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