Reasons for unprotected sex include biological imperatives, risk-taking, pregnancy ambivalence, relationship strengthening, lack of contraception or knowledge of and cost of contraception, lack of negotiating power, significant and/or heightened sexual desire (Foster, Higgins, Biggs, Holtby & Brindis (2011). Paterno & Jordan (2012 p.258) define unprotected sex as “engaging in sexual activity without the use of a method to prevent pregnancy and/or sexually transmitted infections”. The findings underscore the importance of tailoring programs on the basis of clients' risk profiles.According to Eston and Buss (2007), humans engage in sex for a number of reasons including genetic and social dispositions to procreate as well as physical motivations, goal attainment, emotional empowerment, security, spiritual/religious beliefs and personality traits. The peer provider model appears to be a promising addition to the mix of service delivery models, particularly for certain subgroups of clients. The full model was particularly effective for females who were Hispanic, had been born to adolescent mothers or had had more than one sexual partner in the six months before their first clinic visit.

Females who received all components of the model were more likely than those who received only clinical services to return for an annual exam (2.2) and to make three or more visits during the study period (1.7). There were no significant differences in male birth control or condom use between first and last visits. Multivariable analyses examined differences in outcomes between clients' first and last clinic visits, and by whether clients received only clinical services or other components of the model (outreach and telephone follow-up) as well.įemale clients were significantly more likely at their last visit than at their first visit to report consistent birth control use (odds ratio, 1.9), use at last intercourse (1.8) and use of effective methods (3.5), and were significantly less likely to report consistent condom use (0.7). The use of peer providers in family planning clinics has been proposed as a strategy that could better serve sexually active adolescent populations.īaseline and follow-up survey data from 1,424 female and 166 male adolescent clients of five California community health clinics were analyzed to assess the effectiveness of a peer provider model between 19.

Brindis mix