The use of dual or two methods for pregnancy and HIV prevention amongst 18–24-year-olds in a cross-sectional study conducted in South Africa

• Published in: Contraception (Stoneham) Vol. 87; no. 6; pp. 782 - 789
• Main Authors: Seutlwadi, Lebogang, Peltzer, Karl
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-06-2013; Elsevier
• Subjects: Adolescent; Adolescent Behavior - ethnology; Adult; Biological and medical sciences; Condom use; Contraception; Contraception Behavior - ethnology; Cross-Sectional Studies; Dual-method use; Female; Genital system. Reproduction; Gynecology. Andrology. Obstetrics; Health Behavior - ethnology; Health Impact Assessment; Health Knowledge, Attitudes, Practice; Health Policy; Health Surveys; HIV Infections - epidemiology; HIV Infections - ethnology; HIV Infections - prevention & control; Human viral diseases; Humans; Immunodeficiencies; Immunodeficiencies. Immunoglobulinopathies; Immunopathology; Infectious diseases; Interpersonal Relations; Male; Medical sciences; Obstetrics and Gynecology; Patient Compliance - ethnology; Pharmacology. Drug treatments; Population survey; Prevalence; Primary Prevention - methods; Sex Characteristics; Sexual Behavior - ethnology; Socioeconomic Factors; South Africa; South Africa - epidemiology; Viral diseases; Viral diseases of the lymphoid tissue and the blood. Aids; Young Adult; Youth; Africa; South Africa; Condom use; Dual-method use; Youth; South Africa; Population survey; Contraception; Immunopathology; Condom; Retroviridae; AIDS; Immune deficiency; Lentivirus; Dual method; Infection; Virus; Pregnancy; Prevention; Local administration; Viral disease; Cross sectional study; Female; Contraceptive; Human immunodeficiency virus
• ISSN: 0010-7824; 1879-0518
• DOI: 10.1016/j.contraception.2012.09.026

Abstract Introduction The use of dual (for pregnancy and disease prevention) or two methods of contraceptives is recommended for the prevention of unwanted pregnancies and protection against sexually transmitted diseases such as HIV. The study aims to assess the prevalence and explore factors associated with the use of dual or two methods among young people aged 18 to 24 years in South Africa. Methods Factors associated with use of dual or two methods among young people aged 18 to 24 years in South Africa were investigated by individual interviews. The final sample included 1127 males and 1007 females from four provinces (Eastern Cape, Gauteng, KwaZulu-Natal and Mpumalanga) who reported to have ever had sex. Results The study found among men (18–24 years) 10.4% and among women (18–24 years) 15.4%, current use of dual or two methods was reported. In multivariate analyses, among women, lower poverty, not being unemployed, having concurrent sexual partners and higher sexual intercourse frequency in the past month were associated with use of dual or two methods, while for men, contraceptive methods knowledge, greater relationship control and higher sexual intercourse frequency in the past month were associated with use of dual or two methods. Conclusion The use of dual or two methods remains low. Innovative ways are needed for the promotion and increased use of dual or two methods.