{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T09:44:12Z","timestamp":1790675052615,"version":"4.1.0"},"reference-count":33,"publisher":"American Public Health Association","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p> Although young adults in the United States are at increased risk for sexually transmitted infections (STIs) and unintended pregnancy, they do not report high rates of dual-method use (condoms plus other contraception) for prevention. We used prospective qualitative data from 69 urban Puerto Rican and African American individuals aged 18 to 25 years to determine how they managed these risks in their heterosexual relationships during a 4- to 8-week period. Hormonal or long-acting contraceptive use, condoms, and withdrawal were the most common unintended pregnancy prevention strategies; condoms, STI testing, and perceived fidelity were dominant among STI prevention strategies. We need to shift the focus from dual-method use toward a broader concept of dual protection to be more responsive to young adults\u2019 concerns, perceptions, and priorities. <\/jats:p>","DOI":"10.2105\/ajph.2011.300461","type":"journal-article","created":{"date-parts":[[2012,1,19]],"date-time":"2012-01-19T20:44:11Z","timestamp":1327005851000},"page":"449-456","source":"Crossref","is-referenced-by-count":14,"title":["Strategies for Managing the Dual Risk of Sexually Transmitted Infections and Unintended Pregnancy Among Puerto Rican and African American Young Adults"],"prefix":"10.2105","volume":"102","author":[{"given":"Marion W.","family":"Carter","sequence":"first","affiliation":[{"name":"At the time of writing, Marion W. Carter, Joan Marie Kraft, and Kendra Hatfield-Timajchy were with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Linda Hock-Long and Dare Henry-Moss were with the Family Planning Council of Southeastern Pennsylvania, Philadelphia. Merrill Singer was with the University of Connecticut at Storrs."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Hock-Long","sequence":"additional","affiliation":[{"name":"At the time of writing, Marion W. Carter, Joan Marie Kraft, and Kendra Hatfield-Timajchy were with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Linda Hock-Long and Dare Henry-Moss were with the Family Planning Council of Southeastern Pennsylvania, Philadelphia. Merrill Singer was with the University of Connecticut at Storrs."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan Marie","family":"Kraft","sequence":"additional","affiliation":[{"name":"At the time of writing, Marion W. Carter, Joan Marie Kraft, and Kendra Hatfield-Timajchy were with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Linda Hock-Long and Dare Henry-Moss were with the Family Planning Council of Southeastern Pennsylvania, Philadelphia. Merrill Singer was with the University of Connecticut at Storrs."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dare","family":"Henry-Moss","sequence":"additional","affiliation":[{"name":"At the time of writing, Marion W. Carter, Joan Marie Kraft, and Kendra Hatfield-Timajchy were with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Linda Hock-Long and Dare Henry-Moss were with the Family Planning Council of Southeastern Pennsylvania, Philadelphia. Merrill Singer was with the University of Connecticut at Storrs."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendra","family":"Hatfield-Timajchy","sequence":"additional","affiliation":[{"name":"At the time of writing, Marion W. Carter, Joan Marie Kraft, and Kendra Hatfield-Timajchy were with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Linda Hock-Long and Dare Henry-Moss were with the Family Planning Council of Southeastern Pennsylvania, Philadelphia. Merrill Singer was with the University of Connecticut at Storrs."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Merrill","family":"Singer","sequence":"additional","affiliation":[{"name":"At the time of writing, Marion W. Carter, Joan Marie Kraft, and Kendra Hatfield-Timajchy were with the Division of Reproductive Health, Centers for Disease Control and Prevention, Atlanta, GA. Linda Hock-Long and Dare Henry-Moss were with the Family Planning Council of Southeastern Pennsylvania, Philadelphia. Merrill Singer was with the University of Connecticut at Storrs."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"issue":"6","key":"bib1","first-page":"1","volume":"58","author":"Gavin L","year":"2009","journal-title":"MMWR Surveill Summ"},{"key":"bib2","volume-title":"Sexually Transmitted Disease Surveillance, 2008","author":"Centers for Disease Control and Prevention"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31818eb90e"},{"key":"bib4","volume-title":"HIV Surveillance Report, 2009","author":"Centers for Disease Control and Prevention"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1363\/3809006"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31818d3cad"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(06)28262-4"},{"issue":"30","key":"bib8","first-page":"1","author":"Abma JC","year":"2010","journal-title":"Vital Health Stat 23"},{"key":"bib9","first-page":"1","volume":"25","author":"Chandra A","year":"2005","journal-title":"Vital Health Stat 23"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.01.038"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1097\/01.OLQ.0000078628.84288.66"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.2307\/2991611"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(03)00018-1"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(00)00210-X"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1348\/135910706X111294"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1300\/J013v39n01_02"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2006.10.003"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1177\/1524839903259308"},{"key":"bib19","doi-asserted-by":"publisher","DOI":"10.1016\/S0277-9536(99)00060-X"},{"key":"bib20","doi-asserted-by":"publisher","DOI":"10.1177\/1090198105284840"},{"key":"bib21","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2010.516335"},{"key":"bib22","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200203000-00007"},{"key":"bib23","volume-title":"Contraceptive Technology","author":"Hatcher RA","year":"2007"},{"key":"bib24","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/765917"},{"key":"bib25","doi-asserted-by":"publisher","DOI":"10.1080\/00224490009552022"},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181f2e292"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2010.07.016"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181901cba"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69662-1"},{"key":"bib30","volume-title":"The Fog Zone: How Misperceptions, Magical Thinking, and Ambivalence Put Young Adults at Risk for Unplanned Pregnancy","author":"Kaye K","year":"2009"},{"key":"bib31","doi-asserted-by":"publisher","DOI":"10.1363\/4210210"},{"key":"bib32","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.12.008"},{"key":"bib33","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.50.6.437"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2011.300461","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T22:58:43Z","timestamp":1652137123000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2011.300461"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,3]]}},"alternative-id":["10.2105\/AJPH.2011.300461"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2011.300461","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3]]}}}