After considering health service use, preg- nancy history, and demographic characteristics, receipt of pelvic/Pap remained significantly associated with use of effective or highly effective methods of contraception. Adjusted odds ratio 1⁄4 1.86; 95% confidence interval (CI), 1.17e2.97. When we examined the relationship between pelvic/ Pap and use of effective or highly effective methods within time periods, we found that the odds of effective contraception use were higher among adolescents