Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods

Sexually active young people face an increasing public health burden of unintended pregnancies and sexually transmitted diseases due to improper contraception. However, environmental and social factors related to young people’s contraception remain unclear. To identify the key factors, we applied en...

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Autores principales: Zongchao Liu, Zhi Lin, Wenzhen Cao, Rui Li, Lilong Liu, Hanbin Wu, Kun Tang
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/4aaa48e5ce324d78a02af14f7b5be798
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spelling oai:doaj.org-article:4aaa48e5ce324d78a02af14f7b5be7982021-11-25T17:14:01ZIdentify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods10.3390/children81109682227-9067https://doaj.org/article/4aaa48e5ce324d78a02af14f7b5be7982021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/968https://doaj.org/toc/2227-9067Sexually active young people face an increasing public health burden of unintended pregnancies and sexually transmitted diseases due to improper contraception. However, environmental and social factors related to young people’s contraception remain unclear. To identify the key factors, we applied ensemble machine learning methods to the data of 12,280 heterosexual Chinese college students who reported sexual intercourse experience in the National College Student Survey on Sexual and Reproductive Health in 2020 (NCSS-SRH 2020). In the order of variable importance, convenient access to contraceptives, certain attitudes towards sex, sexual health knowledge level, being an only-child, and purchasing a bachelor’s or master’s degree were positively associated with a high frequency of contraceptive use. In contrast, smoking, free access to contraceptives, a specific attitude towards marriage, and negotiation with a sexual partner were negatively associated with a higher frequency of contraceptive use. Our analysis provides insights into young people’s contraceptive use under a typically conservative culture of sexuality. Compared to previous studies, we thoroughly investigated internal and external factors that might impact young people’s decision on contraception while having sex. Under a conservative culture of sexuality, the effects of the external factors on young people’s contraception may outweigh those of the internal factors.Zongchao LiuZhi LinWenzhen CaoRui LiLilong LiuHanbin WuKun TangMDPI AGarticlepublic healthcontraceptionmachine learningyoung peoplePediatricsRJ1-570ENChildren, Vol 8, Iss 968, p 968 (2021)
institution DOAJ
collection DOAJ
language EN
topic public health
contraception
machine learning
young people
Pediatrics
RJ1-570
spellingShingle public health
contraception
machine learning
young people
Pediatrics
RJ1-570
Zongchao Liu
Zhi Lin
Wenzhen Cao
Rui Li
Lilong Liu
Hanbin Wu
Kun Tang
Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods
description Sexually active young people face an increasing public health burden of unintended pregnancies and sexually transmitted diseases due to improper contraception. However, environmental and social factors related to young people’s contraception remain unclear. To identify the key factors, we applied ensemble machine learning methods to the data of 12,280 heterosexual Chinese college students who reported sexual intercourse experience in the National College Student Survey on Sexual and Reproductive Health in 2020 (NCSS-SRH 2020). In the order of variable importance, convenient access to contraceptives, certain attitudes towards sex, sexual health knowledge level, being an only-child, and purchasing a bachelor’s or master’s degree were positively associated with a high frequency of contraceptive use. In contrast, smoking, free access to contraceptives, a specific attitude towards marriage, and negotiation with a sexual partner were negatively associated with a higher frequency of contraceptive use. Our analysis provides insights into young people’s contraceptive use under a typically conservative culture of sexuality. Compared to previous studies, we thoroughly investigated internal and external factors that might impact young people’s decision on contraception while having sex. Under a conservative culture of sexuality, the effects of the external factors on young people’s contraception may outweigh those of the internal factors.
format article
author Zongchao Liu
Zhi Lin
Wenzhen Cao
Rui Li
Lilong Liu
Hanbin Wu
Kun Tang
author_facet Zongchao Liu
Zhi Lin
Wenzhen Cao
Rui Li
Lilong Liu
Hanbin Wu
Kun Tang
author_sort Zongchao Liu
title Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods
title_short Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods
title_full Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods
title_fullStr Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods
title_full_unstemmed Identify Key Determinants of Contraceptive Use for Sexually Active Young People: A Hybrid Ensemble of Machine Learning Methods
title_sort identify key determinants of contraceptive use for sexually active young people: a hybrid ensemble of machine learning methods
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/4aaa48e5ce324d78a02af14f7b5be798
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