{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T20:18:31Z","timestamp":1767212311093,"version":"3.40.5"},"reference-count":149,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T00:00:00Z","timestamp":1718668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"crossref","award":["1043693"],"award-info":[{"award-number":["1043693"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Introduction<\/jats:title>\n<jats:p>Despite a decline in unintended teenage pregnancy in Australia, rates remain higher amongst justice-involved adolescent girls, who are more likely to be from disadvantaged socio-economic backgrounds, have histories of abuse, substance use and\/or mental health issues. Furthermore, exposure to the criminal justice system may alter access to education and employment and opportunities, potentially resulting in distinct risk-factor profiles. We examine factors associated with unintended pregnancy, non-contraceptive use and Long-Acting Reversible Contraception (LARC) in a sample of sexually active, justice-involved adolescent girls from Western Australia and Queensland.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Data from the Mental Health, Sexual Health and Reproductive Health of Young People in Contact with the Criminal Justice System (MeH-JOSH) Study was analysed on 118 sexually active adolescent girls. Participants were aged between 14 and 17 years, purposefully sampled based on justice-system involvement and completed an anonymous telephone survey. We constructed two multivariate models taking reproductive outcomes as the dependent variables.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>Over one quarter (26%, 30\/118) reported a past unintended pregnancy, 54 did not use any contraception at their last sexual encounter, and 17 reported LARC use. Following adjustments in the multivariate analysis, lifetime ecstasy use was associated with both unintended pregnancy (aOR 3.795, p = 0.022) and non-contraception use (aOR 4.562, p = 0.004). A history of physical abuse was also associated with both any contraception (aOR 3.024, p = 0.041) and LARC use (aOR 4.892, p = 0.050). Identifying as Aboriginal &amp; Torres Strait Islander, education\/employment status and geographic location appeared to have no association.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Our findings suggest that justice-involved adolescent girls have distinct risk factors associated with unplanned pregnancy and contraception use compared to the general population, but more research is required to understand the mechanisms and contexts underlying these risk factors. How exposure to physical violence may encourage contraception and LARC use, in particular, warrants further attention as does the association with ecstasy use.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0304825","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T17:31:24Z","timestamp":1718731884000},"page":"e0304825","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":3,"title":["Factors associated with unintended pregnancy and contraceptive practices in justice-involved adolescent girls in Australia"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7456-0914","authenticated-orcid":true,"given":"Helene","family":"Smith","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2706-2925","authenticated-orcid":true,"given":"Mandy","family":"Wilson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8851-4126","authenticated-orcid":true,"given":"Basil","family":"Donovan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jocelyn","family":"Jones","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2679-2769","authenticated-orcid":true,"given":"Tony","family":"Butler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1960-1063","authenticated-orcid":true,"given":"Sally","family":"Nathan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Simpson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"issue":"6","key":"pone.0304825.ref001","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1016\/1054-139X(94)90491-K","article-title":"Prenatal care and maternal health during adolescent pregnancy: a review and meta-analysis","volume":"15","author":"TO Scholl","year":"1994","journal-title":"Journal of Adolescent Health"},{"key":"pone.0304825.ref002","doi-asserted-by":"crossref","first-page":"100109","DOI":"10.1016\/j.eurox.2020.100109","article-title":"A comparison of neonatal outcomes between adolescent and adult mothers in developed countries: A systematic review and meta-analysis.","volume":"6","author":"K Marvin-Dowle","year":"2020","journal-title":"European journal of obstetrics & gynecology and reproductive biology: X."},{"issue":"12","key":"pone.0304825.ref003","doi-asserted-by":"crossref","first-page":"e114843","DOI":"10.1371\/journal.pone.0114843","article-title":"Risk Assessment of Adverse Birth Outcomes in Relation to Maternal Age.","volume":"9","author":"YH Weng","year":"2014","journal-title":"PloS one."},{"issue":"3","key":"pone.0304825.ref004","doi-asserted-by":"crossref","first-page":"e0167395","DOI":"10.1371\/journal.pone.0167395","article-title":"Do children born to teenage parents have lower adult intelligence? 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