Adjusted odds ratio ¼ 1.86; 95% confidence interval (CI), 1.17e2.97.Adjusted odds ratio ¼ 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 who had received a Pap/pelvic examination in Period 1 (June 2006eMay 2008) but not in Period 2 (June 2008eMay 2010).