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U.S. Department of Health and Human Services Office of Disease Prevention and Health Promotion

Increase the proportion of sexually active adolescent females who used dual methods at last intercourse — FP‑05 Data Methodology and Measurement

On this page:  About this objective  |  Methodology  |  History

About this objective

Data

Data Source:  National Survey of Family Growth (NSFG), CDC/NCHS

National baseline: 20.4 percent of sexually active females aged 15 to 19 years used a condom and hormonal or intrauterine contraception at last intercourse, as reported in 2022-23

National target: 32.4 percent

Numerator
Number of sexually active females aged 15 to 19 years who used a condom and hormonal or intrauterine contraception at last intercourse.
Denominator
Number of sexually active females aged 15 to 19 years.
National target-setting method
Minimal statistical significance
National target-setting method details
Minimal statistical significance, assuming the same standard error for the target as for the baseline.
National target-setting method justification
Trend data were not available for this objective. The standard error was used to calculate a target based on minimal statistical significance, assuming the same standard error for the target as for the baseline. This method was used because it was a statistically significant improvement from the baseline.
National data collection frequency
Periodic

Methodology

Questions used to obtain the national baseline data

(For additional information, please visit the data source page linked above.)

From the 2022-2023 National Survey of Family Growth:

Numerator:

METH12M1-METH12M4 are recodes that measure contraceptive method use at last sex in the past 12 months.

  1. Pill
  2. Condom
  3. Partner's vasectomy
  4. Female sterilizing operation/tubal ligation
  5. Withdrawal
  6. Depo-Provera injectable
  7. Hormonal implant
  8. Rhythm or safe period by calendar
  9. Safe period by temperature or cervical mucus test
  10. Diaphragm
  11. Female condom, vaginal pouch
  12. Foam
  13. Jelly or cream
  14. Cervical cap
  15. Suppository, insert
  16. Today's sponge
  17. IUD
  18. Emergency contraception
  19. Other method
  20. Respondent sterile (aside from sterilizing operation above)
  21. Respondent's partner sterile (aside from vasectomy aboe)
  22. Lunelle injectable
  23. Contraceptive patch
  24. Contraceptive ring
  25. Has never used a method
  26. No method used
Denominator:

SEXP3MO is a recode that measures whether respondent had sex with a male in the past 3 months.

  1. Yes
  2. No

AGER: Respondent age at survey (Recode): 15-19

Methodology notes

Females are considered to have used a condom and hormonal or intrauterine method at last intercourse if they reported they were sexually active; partner used a condom and they used either birth control pills, hormonal injections, hormonal implants, hormonal patch, vaginal ring, or IUD at their last intercourse. Sexually active refers to females who have had intercourse in the 3 months prior to the survey.

History

Comparable HP2020 objective
Retained, which includes core objectives that are continuing from Healthy People 2020 with no change in measurement.
Revision History
Revised. 

In 2026, following a redesign of the NSFG survey, the baseline for this objective was revised from 24.1% as reported 2015-2017 to 20.4% as reported in 2022-2023. Using the original target-setting method, the target was also updated from 36.8% to 32.4%.
The objective statement will return from its current language, "Increase the proportion of sexually active adolescent females who use a most or moderately effective method of contraception at last intercourse," to its original wording, "Increase the proportion of sexually active adolescent females who use a condom and hormonal or intrauterine contraception at last intercourse." The measure and its crosswalk to the corresponding HP2020 measure will remain unchanged.
The numerator will now state: Number of sexually active females aged 15 to 19 years who used a condom and hormonal or intrauterine contraception at last intercourse.