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PEDIATRICS Vol. 107 No. 5 May 2001, pp. 1116-1119

Exposure to X-Rated Movies and Adolescents' Sexual and Contraceptive-Related Attitudes and Behaviors

Received May 17, 2000; accepted Dec 7, 2000.

Gina M. Wingood*, Ralph J. DiClemente*, Dagger , §, Kathy Harringtonparallel , Suzy Daviesparallel , Edward W. Hook III, and M. Kim Oh#

From the * Rollins School of Public Health, Department of Behavioral Sciences and Health Education; Dagger  Emory University School of Medicine, Department of Pediatrics; § Emory University School of Medicine, Department of Medicine (Infectious Diseases);  School of Public Health, Department of Health Behavior, University of Alabama, Birmingham, Alabama; parallel  School of Medicine, Department of Medicine, Division of Infectious Diseases, University of Alabama, Birmingham, Alabama; and # School of Medicine, Department of Pediatrics, University of Alabama, Birmingham, Alabama.

Objectives.  To examine the association between exposure to X-rated movies and teens' contraceptive attitudes and behaviors.

Methods.  Black females, 14 to 18 years old (n = 522) were recruited from adolescent medicine clinics, health departments, and school health clinics.

Results.  Exposure to X-rated movies was reported by 29.7% of adolescents. Exposure to X-rated movies was associated with being more likely to have negative attitudes toward using condoms (odds ratio [OR]: 1.4), to have multiple sex partners (OR: 2.0), to have sex more frequently (OR: 1.8), to not have not used contraception during the last intercourse (OR: 1.5), to have not used contraception in the past 6 months (OR: 2.2), to have a strong desire to conceive (OR: 2.3), and to test positive for chlamydia (OR: 1.7).

Conclusions.  Additional research is needed to understand the impact of X-rated movies on adolescents' sexual and contraceptive health.  Key words:  media, adolescents, sexual behaviors, contraception.


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