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Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study

BACKGROUND: Modern contraceptive use has been shown to influence population growth, protect women’s health and rights, as well as prevent sexually transmitted infections (STIs) for barrier contraceptive methods such as condoms. The present study aimed at assessing the level of utilization and factor...

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Autores principales: Kawuki, Joseph, Gatasi, Ghislaine, Sserwanja, Quraish, Mukunya, David, Musaba, Milton W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9447358/
https://www.ncbi.nlm.nih.gov/pubmed/36068524
http://dx.doi.org/10.1186/s12905-022-01956-y
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author Kawuki, Joseph
Gatasi, Ghislaine
Sserwanja, Quraish
Mukunya, David
Musaba, Milton W.
author_facet Kawuki, Joseph
Gatasi, Ghislaine
Sserwanja, Quraish
Mukunya, David
Musaba, Milton W.
author_sort Kawuki, Joseph
collection PubMed
description BACKGROUND: Modern contraceptive use has been shown to influence population growth, protect women’s health and rights, as well as prevent sexually transmitted infections (STIs) for barrier contraceptive methods such as condoms. The present study aimed at assessing the level of utilization and factors associated with modern contraceptive use among sexually active adolescent girls in Rwanda. METHODS: We used secondary data from the Rwanda Demographic and Health Survey (RDHS) 2020 data of 539 sexually active adolescent girls (aged 15 to 19 years). Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to assess the association between various socio-demographics and modern contraceptive use using SPSS version 25. Modern contraception included the use of products or medical procedures that interfere with reproduction from acts of sexual intercourse. RESULTS: Of the 539 sexually active girls, only 94 (17.4%, 95% CI: 13.8–20.1) were using modern contraceptives. Implants (69.1%) and male condoms (12.8%) were the most used options. Modern contraceptive use was positively associated with older age (AOR = 10.28, 95% CI: 1.34–78.70), higher educational level (AOR = 6.98, 95% CI: 1.08–45.07), history of having a sexually transmitted infection (AOR = 8.27, 95% CI: 2.54–26.99), working status (AOR = 1.72, 95% CI: 1.03–2.88) and being from a female-headed household (AOR = 1.96, 95% CI: 1.12–3.43). However, not being in a union (AOR = 0.18, 95% CI: 0.10–0.35) and region (AOR = 0.28, 95% CI: 0.10–0.80) had negative associations. CONCLUSIONS: To promote utilisation of modern contraceptives, family planning campaigns need to place more emphasis on the younger, unmarried adolescents, as well as those with lower educational levels. Consideration of household and regional dynamics is also highlighted.
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spelling pubmed-94473582022-09-06 Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study Kawuki, Joseph Gatasi, Ghislaine Sserwanja, Quraish Mukunya, David Musaba, Milton W. BMC Womens Health Research BACKGROUND: Modern contraceptive use has been shown to influence population growth, protect women’s health and rights, as well as prevent sexually transmitted infections (STIs) for barrier contraceptive methods such as condoms. The present study aimed at assessing the level of utilization and factors associated with modern contraceptive use among sexually active adolescent girls in Rwanda. METHODS: We used secondary data from the Rwanda Demographic and Health Survey (RDHS) 2020 data of 539 sexually active adolescent girls (aged 15 to 19 years). Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to assess the association between various socio-demographics and modern contraceptive use using SPSS version 25. Modern contraception included the use of products or medical procedures that interfere with reproduction from acts of sexual intercourse. RESULTS: Of the 539 sexually active girls, only 94 (17.4%, 95% CI: 13.8–20.1) were using modern contraceptives. Implants (69.1%) and male condoms (12.8%) were the most used options. Modern contraceptive use was positively associated with older age (AOR = 10.28, 95% CI: 1.34–78.70), higher educational level (AOR = 6.98, 95% CI: 1.08–45.07), history of having a sexually transmitted infection (AOR = 8.27, 95% CI: 2.54–26.99), working status (AOR = 1.72, 95% CI: 1.03–2.88) and being from a female-headed household (AOR = 1.96, 95% CI: 1.12–3.43). However, not being in a union (AOR = 0.18, 95% CI: 0.10–0.35) and region (AOR = 0.28, 95% CI: 0.10–0.80) had negative associations. CONCLUSIONS: To promote utilisation of modern contraceptives, family planning campaigns need to place more emphasis on the younger, unmarried adolescents, as well as those with lower educational levels. Consideration of household and regional dynamics is also highlighted. BioMed Central 2022-09-06 /pmc/articles/PMC9447358/ /pubmed/36068524 http://dx.doi.org/10.1186/s12905-022-01956-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Kawuki, Joseph
Gatasi, Ghislaine
Sserwanja, Quraish
Mukunya, David
Musaba, Milton W.
Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study
title Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study
title_full Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study
title_fullStr Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study
title_full_unstemmed Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study
title_short Utilisation of modern contraceptives by sexually active adolescent girls in Rwanda: a nationwide cross-sectional study
title_sort utilisation of modern contraceptives by sexually active adolescent girls in rwanda: a nationwide cross-sectional study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9447358/
https://www.ncbi.nlm.nih.gov/pubmed/36068524
http://dx.doi.org/10.1186/s12905-022-01956-y
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