Sixteen to nineteen year olds' use of, and beliefs about, contraceptive services

Unwanted pregnancies, sexually transmitted diseases and unprotected sex in young people highlight a need to improve the provision of contraceptive ser vices for this age group. The aim of the present study was to examine young men and women's use of and beliefs about, contraceptive services. A questi onnaire was completed by 967 16 to 19 year olds from South Thames concernin g their use of and beliefs about, a range of services which provide contrac eption. The results showed variability in both service use and beliefs about servic es which related to the respondent's sexual experience and gender. In terms of use, the chemist and the condom machine had been used by the largest nu mber of respondents, with more men using the condom machine and women favou ring the GP or family planning clinic. In terms of beliefs, the condom mach ine was regarded as the easiest and most comfortable to use but the least c onfidential for all respondents with men reporting higher ratings for ease of use than women and non virgins reporting more positive beliefs for all c riteria. The results are discussed in terms of the implications for health education. It is suggested that contraception use in young people could be promoted by embracing rather than challenging this variability Accordingly, health edu cation interventions would involve providing young people with information about contraception services which was designed to be in line, rather than conflict, with their existing concerns and beliefs. Such nit approach would enable them to make informed choices about the kind of contraceptive servi ce which matched their own personal needs.