There’s been no noteworthy change in the percentage of young unmarried men who say they use some form of contraception, but more are choosing the withdrawal method, according to new data from the National Center for Health Statistics (NCHS), part of the Centers for Disease Control and Prevention (CDC).
For the period 2011-2015, nearly 82% of unmarried men aged 15 to 44 years who had sexual intercourse in the previous 3 months said they or their female partner had used some method of contraception during their last episode of sexual intercourse, up slightly from about 80% in 2002.
Nearly 60% of unmarried men reported using any male method of contraception (condom, withdrawal, or vasectomy) at last sexual intercourse during the period 2011-2015, up from 52% in 2002. About 45% reported using the male condom in 2011-2015 ― virtually the same as in 2002, according to the NCHS data brief, which was published online August 31.
However, use of the withdrawal method increased from about 10% in 2002, to 15% in 2006-2010, to 19% in 2011-2015. Use of withdrawal among young single men decreased with increasing age, with percentages ranging from 26% among men aged 15 to 19 years to 12% among those aged 35 to 44 years.
Use of the withdrawal method was higher among men who had never been married (23%) compared to divorced men (16%) and cohabiting men (13%). Use of withdrawal was similar across the Hispanic-origin and race groups, at around 18% to 19%.
Use of the male condom also decreased with increasing age, with percentages ranging from about 76% among single men aged 15 to 19 years to 26% among those aged 35 to 44 years. Male condom use was highest among men aged 15 to 44 who had never been married (61%), followed by divorced men (35%) and cohabiting men (24%). More non-Hispanic black men (54%) reported using condoms during their last episode of sexual intercourse than non-Hispanic white men (44%) and Hispanic men (42%).
There has been no marked increase in vasectomy rates among young unmarried men (1.0% in 2002 and 1.4% in 2011-2015).
Kimberly Daniels, PhD, and Joyce Abma, PhD, from the NCHS Division of Vital Statistics, Reproductive Statistics Branch, say the findings in their data brief are based primarily on interview data from the National Survey for Family Growth (NSFG) data files.
They note that the percentage of pregnancies that are unintended is higher among unmarried men and women than among married couples. They also note that the bulk of research on contraceptive use has relied on data collected from women.
“It is potentially useful to examine men’s reports of contraceptive method use, particularly for the use of male methods, because different patterns may be seen among men compared with women. Additional NSFG data are available to allow further analyses of contraceptive use as reported by men,” the authors write.
NCHS. Data brief 284. Published online August 31, 2017. Full text
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