Jd. Fortenberry et al., CONTRACEPTIVE BEHAVIOR AND ADOLESCENT LIFE-STYLES - A STRUCTURAL MODELING APPROACH, Journal of research on adolescence, 7(3), 1997, pp. 307-329
Relations of contraceptive behavior, problem behaviors, and health-pro
tective behaviors were examined in an ethnically and socioeconomically
diverse sample of sexually active adolescents. First-order latent var
iables representing contraceptive use, alcohol use, drug use, aggressi
on, delinquency, diet, exercise, seatbelt use, and dental hygiene were
established, using multiple observed measures for each latent variabl
e. Relations among these first-order latent constructs of contraceptio
n, problem behaviors, and health behaviors were examined using second-
order confirmatory factor analysis. Three alternative models were comp
ared: a second-order factor of problem behavior alone accounting for v
ariation in contraceptive use; a second-order factor of health-protect
ive behavior alone accounting for variation in contraceptive use; and
second-order latent variables of both problem behavior and health-prot
ective behavior accounting for variation in contraceptive use. Models
including a path between health protection and contraception provided
the best fit for the data. The findings demonstrate substantial organi
zation among adolescent health and problem behaviors and suggest that
contraceptive behavior should be conceptualized within broader domains
of behavior.