Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study
Objective There is a decline in contraceptive use among sexually active unmarried young women in Ghana. This study assessed the prevalence of contraceptive knowledge and use, and the determinant of contraceptive use among sexually active unmarried young women in Ghana.Design This was a nationally re...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2021-02-01
|
| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/2/e043890.full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846163939672457216 |
|---|---|
| author | Felix Boakye Oppong Divine Darlington Logo Senyo Yao Agbedra Anthony Agyapong Adomah Seidu Amenyaglo Kingsley Arhin-Wiredu Samuel Afari-Asiedu Kenneth Ayuurebobi Ae-Ngibise |
| author_facet | Felix Boakye Oppong Divine Darlington Logo Senyo Yao Agbedra Anthony Agyapong Adomah Seidu Amenyaglo Kingsley Arhin-Wiredu Samuel Afari-Asiedu Kenneth Ayuurebobi Ae-Ngibise |
| author_sort | Felix Boakye Oppong |
| collection | DOAJ |
| description | Objective There is a decline in contraceptive use among sexually active unmarried young women in Ghana. This study assessed the prevalence of contraceptive knowledge and use, and the determinant of contraceptive use among sexually active unmarried young women in Ghana.Design This was a nationally representative cross-sectional survey, using data from the 2017 Ghana Maternal Health Survey. Weighted logistic regression was used to assess the association between background and obstetric characteristics of young women and contraceptive use.Setting Ghana.Participants A total of 809 sexually active unmarried adolescent girls (15–19 years) and young women (20–24 years).Primary and secondary outcome measures Knowledge and use of both modern and traditional contraceptive methods.Results Knowledge of at least one modern and traditional contractive method was 99.8% and 95.0%, respectively. The prevalence of contraceptive use was 43%—with 34% modern and 9% traditional methods. From the unadjusted analyses, age (p=0.002), past pregnancy (p<0.001), abortion in the past 5 years (p=0.007) and history of childbirth (p=0.025) were independently associated with contraceptive use, whereas education (p=0.072), place of residence (p=0.702), household wealth (p=0.836) and age at first sex (p=0.924) were not independently associated with contraceptive use. In the adjusted analysis, contraceptive use was significantly higher among respondents with secondary education compared with those with primary education (OR 2.43, 95% CI 1.31 to 4.49, p=0.017), and was higher among respondents with a history of pregnancy (OR 2.13, 95% CI 1.48 to 3.06, p<0.001).Conclusion There is a significant gap between knowledge and use of contraceptives among the study population. While intensifying knowledge of adolescents and young women on contraceptives, adolescent-friendly corners should be established at vantage points to increase utilisation and to prevent societal stigma on young women who access contraceptives services. |
| format | Article |
| id | doaj-art-d4fc355a276e48708424d8e013064ceb |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d4fc355a276e48708424d8e013064ceb2024-11-18T21:40:09ZengBMJ Publishing GroupBMJ Open2044-60552021-02-0111210.1136/bmjopen-2020-043890Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional studyFelix Boakye Oppong0Divine Darlington Logo1Senyo Yao Agbedra2Anthony Agyapong Adomah3Seidu Amenyaglo4Kingsley Arhin-Wiredu5Samuel Afari-Asiedu6Kenneth Ayuurebobi Ae-Ngibise7Global Statistical Consult, Accra, GhanaResearch and Development Division, Ghana Health Service, Accra, Ghana3 Sunyani Municipal Health Directorate, Ghana Health Service, Sunyani, Ghana1 Global Statistical Institute, Techiman, Ghana4 Department of Global and International Health, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana3 Sunyani Municipal Health Directorate, Ghana Health Service, Sunyani, Ghana5 Kintampo Health Research Centre, Kintampo, GhanaKintampo Health Research Centre, Research and Development Division, Ghana Health Service, Kintampo North Municipality, GhanaObjective There is a decline in contraceptive use among sexually active unmarried young women in Ghana. This study assessed the prevalence of contraceptive knowledge and use, and the determinant of contraceptive use among sexually active unmarried young women in Ghana.Design This was a nationally representative cross-sectional survey, using data from the 2017 Ghana Maternal Health Survey. Weighted logistic regression was used to assess the association between background and obstetric characteristics of young women and contraceptive use.Setting Ghana.Participants A total of 809 sexually active unmarried adolescent girls (15–19 years) and young women (20–24 years).Primary and secondary outcome measures Knowledge and use of both modern and traditional contraceptive methods.Results Knowledge of at least one modern and traditional contractive method was 99.8% and 95.0%, respectively. The prevalence of contraceptive use was 43%—with 34% modern and 9% traditional methods. From the unadjusted analyses, age (p=0.002), past pregnancy (p<0.001), abortion in the past 5 years (p=0.007) and history of childbirth (p=0.025) were independently associated with contraceptive use, whereas education (p=0.072), place of residence (p=0.702), household wealth (p=0.836) and age at first sex (p=0.924) were not independently associated with contraceptive use. In the adjusted analysis, contraceptive use was significantly higher among respondents with secondary education compared with those with primary education (OR 2.43, 95% CI 1.31 to 4.49, p=0.017), and was higher among respondents with a history of pregnancy (OR 2.13, 95% CI 1.48 to 3.06, p<0.001).Conclusion There is a significant gap between knowledge and use of contraceptives among the study population. While intensifying knowledge of adolescents and young women on contraceptives, adolescent-friendly corners should be established at vantage points to increase utilisation and to prevent societal stigma on young women who access contraceptives services.https://bmjopen.bmj.com/content/11/2/e043890.full |
| spellingShingle | Felix Boakye Oppong Divine Darlington Logo Senyo Yao Agbedra Anthony Agyapong Adomah Seidu Amenyaglo Kingsley Arhin-Wiredu Samuel Afari-Asiedu Kenneth Ayuurebobi Ae-Ngibise Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study BMJ Open |
| title | Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study |
| title_full | Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study |
| title_fullStr | Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study |
| title_full_unstemmed | Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study |
| title_short | Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15–24 years in Ghana: a nationally representative cross-sectional study |
| title_sort | determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15 24 years in ghana a nationally representative cross sectional study |
| url | https://bmjopen.bmj.com/content/11/2/e043890.full |
| work_keys_str_mv | AT felixboakyeoppong determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy AT divinedarlingtonlogo determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy AT senyoyaoagbedra determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy AT anthonyagyapongadomah determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy AT seiduamenyaglo determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy AT kingsleyarhinwiredu determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy AT samuelafariasiedu determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy AT kennethayuurebobiaengibise determinantsofcontraceptiveuseamongsexuallyactiveunmarriedadolescentgirlsandyoungwomenaged1524yearsinghanaanationallyrepresentativecrosssectionalstudy |