Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria

Objectives Long-acting reversible contraception (LARC) provides continuous pregnancy prevention to women for a period of 3 to 12 years, and it is very safe and effective. The aim of this study was to determine the prevalence, determinants and willingness to use LARC among undergraduate female studen...

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Main Authors: Tope Michael Ipinnimo, Taofeek Adedayo Sanni, Kabir Adekunle Durowade, Olusegun Elijah Elegbede, Kayode Rasaq Adewoye, Oluseyi Adedeji Aderinwale, John Olujide Ojo, Ayo Kamal Alabi, Richard Dele Agbana, Joy Bosan
Format: Article
Language:English
Published: BMJ Publishing Group 2025-01-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/1/e087123.full
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author Tope Michael Ipinnimo
Taofeek Adedayo Sanni
Kabir Adekunle Durowade
Olusegun Elijah Elegbede
Kayode Rasaq Adewoye
Oluseyi Adedeji Aderinwale
John Olujide Ojo
Ayo Kamal Alabi
Richard Dele Agbana
Joy Bosan
author_facet Tope Michael Ipinnimo
Taofeek Adedayo Sanni
Kabir Adekunle Durowade
Olusegun Elijah Elegbede
Kayode Rasaq Adewoye
Oluseyi Adedeji Aderinwale
John Olujide Ojo
Ayo Kamal Alabi
Richard Dele Agbana
Joy Bosan
author_sort Tope Michael Ipinnimo
collection DOAJ
description Objectives Long-acting reversible contraception (LARC) provides continuous pregnancy prevention to women for a period of 3 to 12 years, and it is very safe and effective. The aim of this study was to determine the prevalence, determinants and willingness to use LARC among undergraduate female students attending public and private universities in Ekiti State, Southwest NigeriaDesign This survey employed a cross-sectional comparative study design.Setting Public and private universities in Ekiti State, Southwest Nigeria.Participants 418 female students in their undergraduate years at public and private universities (208 students in public universities and 210 students in private universities).Primary and secondary outcomes A semistructured questionnaire was used to gather data, and analysis was done using IBM SPSS V.25. Prevalence, willingness and determinants of LARC were determined and compared between public and private universities at the level of bivariate analysis using χ2. Multivariate regression analysis was used to determine the predictor of LARC use. The statistical significance level was placed at a p value of <0.05.Results The mean age of female undergraduate students was higher in public universities (21.1±2.5 years) than in private universities (19.3±2.1 years). The prevalence of LARC usage among the sexually active respondents was 12.5% for public universities and 12.7% for private universities. Determinants and predictors of LARC uptake among the students in both university settings were age, marital status and good knowledge of LARC. Only about one quarter (24.0% in public universities and 24.8% in private universities) were willing to take up LARC among the students in both settings.Conclusion The prevalence and willingness to take up LARC in the public and private universities are still low. Determinants and predictors of LARC uptake include age, marital status and good knowledge of LARC.
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spelling doaj-art-94b2ada62b334e08873998479637fe212025-01-09T15:20:09ZengBMJ Publishing GroupBMJ Open2044-60552025-01-0115110.1136/bmjopen-2024-087123Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest NigeriaTope Michael Ipinnimo0Taofeek Adedayo Sanni1Kabir Adekunle Durowade2Olusegun Elijah Elegbede3Kayode Rasaq Adewoye4Oluseyi Adedeji Aderinwale5John Olujide Ojo6Ayo Kamal Alabi7Richard Dele Agbana8Joy Bosan92 Department of Community Medicine, Federal Teaching Hospital, Ido-Ekiti, Nigeria1 Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria1 Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria1 Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria1 Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria3 Department of Obstetrics and Gynaecology, Federal Medical Centre, Abeokuta, Nigeria1 Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria1 Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria1 Department of Community Medicine, Afe Babalola University, Ado-Ekiti, Nigeria4 Department of Law, Afe Babalola University, Ado-Ekiti, NigeriaObjectives Long-acting reversible contraception (LARC) provides continuous pregnancy prevention to women for a period of 3 to 12 years, and it is very safe and effective. The aim of this study was to determine the prevalence, determinants and willingness to use LARC among undergraduate female students attending public and private universities in Ekiti State, Southwest NigeriaDesign This survey employed a cross-sectional comparative study design.Setting Public and private universities in Ekiti State, Southwest Nigeria.Participants 418 female students in their undergraduate years at public and private universities (208 students in public universities and 210 students in private universities).Primary and secondary outcomes A semistructured questionnaire was used to gather data, and analysis was done using IBM SPSS V.25. Prevalence, willingness and determinants of LARC were determined and compared between public and private universities at the level of bivariate analysis using χ2. Multivariate regression analysis was used to determine the predictor of LARC use. The statistical significance level was placed at a p value of <0.05.Results The mean age of female undergraduate students was higher in public universities (21.1±2.5 years) than in private universities (19.3±2.1 years). The prevalence of LARC usage among the sexually active respondents was 12.5% for public universities and 12.7% for private universities. Determinants and predictors of LARC uptake among the students in both university settings were age, marital status and good knowledge of LARC. Only about one quarter (24.0% in public universities and 24.8% in private universities) were willing to take up LARC among the students in both settings.Conclusion The prevalence and willingness to take up LARC in the public and private universities are still low. Determinants and predictors of LARC uptake include age, marital status and good knowledge of LARC.https://bmjopen.bmj.com/content/15/1/e087123.full
spellingShingle Tope Michael Ipinnimo
Taofeek Adedayo Sanni
Kabir Adekunle Durowade
Olusegun Elijah Elegbede
Kayode Rasaq Adewoye
Oluseyi Adedeji Aderinwale
John Olujide Ojo
Ayo Kamal Alabi
Richard Dele Agbana
Joy Bosan
Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria
BMJ Open
title Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria
title_full Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria
title_fullStr Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria
title_full_unstemmed Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria
title_short Comparative cross-sectional study on the prevalence, determinants and willingness to use long-acting reversible contraception among female students attending public and private universities in Ekiti State, Southwest Nigeria
title_sort comparative cross sectional study on the prevalence determinants and willingness to use long acting reversible contraception among female students attending public and private universities in ekiti state southwest nigeria
url https://bmjopen.bmj.com/content/15/1/e087123.full
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