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Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey

BACKGROUND: Adolescent reproductive health has not continued to receive the attention it deserves since the start of the HIV epidemic. In South Africa, high numbers of adolescent women report pregnancies that are unwanted and yet few have accessed available termination of pregnancy services. Enablin...

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Detalles Bibliográficos
Autores principales: MacPhail, Catherine, Pettifor, Audrey E, Pascoe, Sophie, Rees, Helen V
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2190760/
https://www.ncbi.nlm.nih.gov/pubmed/17963521
http://dx.doi.org/10.1186/1741-7015-5-31
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author MacPhail, Catherine
Pettifor, Audrey E
Pascoe, Sophie
Rees, Helen V
author_facet MacPhail, Catherine
Pettifor, Audrey E
Pascoe, Sophie
Rees, Helen V
author_sort MacPhail, Catherine
collection PubMed
description BACKGROUND: Adolescent reproductive health has not continued to receive the attention it deserves since the start of the HIV epidemic. In South Africa, high numbers of adolescent women report pregnancies that are unwanted and yet few have accessed available termination of pregnancy services. Enabling contraception use is vital for meeting the goals of HIV prevention. METHODS: A nationally representative survey of South African 15–24 year olds was undertaken. Participants completed a questionnaire on sexual behaviour and provided an oral fluid sample for HIV testing. Analysis of the data was restricted to women (n = 6217), particularly those who reported being sexual active in the last 12 months (n = 3618) and was conducted using svy methods in the program STATA 8.0 to take account of sampling methods. Univariate and multivariate analyses were conducted to explore factors associated with contraceptive use. RESULTS: Two thirds of all women reported having ever been sexually active and among these 87% were sexually active in the past 12 months. Among women who reported currently being sexually active, 52.2% reported using contraceptives. There was evidence of association between contraceptive use and being employed or a student (vs unemployed); fewer sex partners; type of last sex partner; having talked to last partner about condom use and having ever been pregnant. CONCLUSION: Specific emphasis must be placed on encouraging young women to use contraceptive methods that offer protection against pregnancy and STIs/HIV. Our consistent finding of a relationship between discussing condom use with partners and condom use indicates the importance of involvement of male partners in women's contraceptive decisions.
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spelling pubmed-21907602008-01-11 Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey MacPhail, Catherine Pettifor, Audrey E Pascoe, Sophie Rees, Helen V BMC Med Research Article BACKGROUND: Adolescent reproductive health has not continued to receive the attention it deserves since the start of the HIV epidemic. In South Africa, high numbers of adolescent women report pregnancies that are unwanted and yet few have accessed available termination of pregnancy services. Enabling contraception use is vital for meeting the goals of HIV prevention. METHODS: A nationally representative survey of South African 15–24 year olds was undertaken. Participants completed a questionnaire on sexual behaviour and provided an oral fluid sample for HIV testing. Analysis of the data was restricted to women (n = 6217), particularly those who reported being sexual active in the last 12 months (n = 3618) and was conducted using svy methods in the program STATA 8.0 to take account of sampling methods. Univariate and multivariate analyses were conducted to explore factors associated with contraceptive use. RESULTS: Two thirds of all women reported having ever been sexually active and among these 87% were sexually active in the past 12 months. Among women who reported currently being sexually active, 52.2% reported using contraceptives. There was evidence of association between contraceptive use and being employed or a student (vs unemployed); fewer sex partners; type of last sex partner; having talked to last partner about condom use and having ever been pregnant. CONCLUSION: Specific emphasis must be placed on encouraging young women to use contraceptive methods that offer protection against pregnancy and STIs/HIV. Our consistent finding of a relationship between discussing condom use with partners and condom use indicates the importance of involvement of male partners in women's contraceptive decisions. BioMed Central 2007-10-28 /pmc/articles/PMC2190760/ /pubmed/17963521 http://dx.doi.org/10.1186/1741-7015-5-31 Text en Copyright © 2007 MacPhail et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
MacPhail, Catherine
Pettifor, Audrey E
Pascoe, Sophie
Rees, Helen V
Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey
title Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey
title_full Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey
title_fullStr Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey
title_full_unstemmed Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey
title_short Contraception use and pregnancy among 15–24 year old South African women: a nationally representative cross-sectional survey
title_sort contraception use and pregnancy among 15–24 year old south african women: a nationally representative cross-sectional survey
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2190760/
https://www.ncbi.nlm.nih.gov/pubmed/17963521
http://dx.doi.org/10.1186/1741-7015-5-31
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