This report aims to identify factors which are related to use of oral
contraceptives at an early age, A self-administered questionnaire was
completed at schools in 1988 and 1992 in southern and western Finland
(N = 1339). Sexually experienced girls (mean age 15.8 years) who had a
nswered the question concerning their oral contraceptive use were incl
uded (N = 389), Logistic regression analysis was used to compare oral
contraceptive users (N = 121) with the group of non-users, Total numbe
r of coital experiences was associated with oral contraceptive use: th
e odds ratio for those having at least 10 coital experiences was 6.30
compared with those with only one intercourse, The proportion was 73%
among oral contraceptive users and 30% among non-users. Girls using or
al contraceptives perceived more often (67%) that parents accept their
sexual relationship (30% among non-users), Oral contraceptive users w
ere less afraid of getting pregnant (9% compared with 31% among non-us
ers) and felt more often that sex was very important in their life (31
and 13%, respectively), Other factors that entered the model were age
at menarche, having a steady partner and frequency of disco visits, W
hen a young girl asks for oral contraceptives, she is probably at true
risk of pregnancy, and regular contraception should be considered bot
h in view of effective prevention of pregnancies and sexually transmit
ted diseases.