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Condom Use, Pregnancy, and STDs in Adolescent Females With and Without Type 1 Diabetes

University of Pittsburgh, School of Nursing, Department of Health Promotion and Development, Pennsylvania.

Denise Charron-Prochownik, PhD, CPNP

University of Pittsburgh, School of Nursing, 440 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15260. dcpro{at}pitt.edu

Susan Sereika, PhD

Julius Kitutu, PhD, MSc, MEd

University of Pittsburgh, School of Nursing, Department of Health Promotion and Development, Pennsylvania.

Karen Peterson, RN, MPH

Graduate School of Public Health, Department of Health Services Administration, University of Pittsburgh, Pennsylvania.

Dorothy Becker, MBBCh

Children's Hospital of Pittsburgh, Department of Endocrinology, Pennsylvania.

Scott Jacober, DO

Wayne State University, School of Medicine, Department of Endocrinology, Detroit, Michigan

Joan Mansfield, MD

Joslin Diabetes Center, Boston, Massachusetts

Neil H. White, MD, CDE

St. Louis Children's Hospital, Department of Endocrinology, Missouri.

PURPOSE

The purpose of this secondary analysis was to describe and compare adolescent females with and without diabetes in terms of use of condoms, pregnancy outcomes, and sexually transmitted disease (STD) outcomes.

METHODS

Data from a multisite, case-controlled, telephone survey study were used in a secondary analysis to evaluate the parameters stated in the purpose.

RESULTS

The 87 females with type 1 diabetes and 45 nondiabetic females who participated were 16 to 22 years old. Most were Caucasian, in high school, and lived with their parents. No demographic differences were noted between the groups. Of those sexually active, for both groups, the most common contraceptive method was male condoms. Four females with diabetes and 2 without diabetes reported an unplanned pregnancy. Three females with diabetes reported an STD infection (chlamydia or trichomonas). Five females with diabetes and 4 nondiabetic females had abnormal pap tests.

CONCLUSIONS

Adolescent females with and without diabetes engaged in less than optimally protected sexual activity, which increased their risk for unplanned pregnancies and STD infections. Further research is needed of the incidence, treatment, and short-term and long-term complications of STDs in adolescent females with diabetes.

The Diabetes Educator, Vol. 29, No. 1, 135-143 (2003)
DOI: 10.1177/014572170302900118


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