Predictors of Contraceptive use Among Female Adolescents in Ghana

Gaetano Marrone, Lutuf Abdul-Rahman, Zaake De Coninck, Annika Johansson

Abstract

Adolescent girls in Ghana still face a number of challenges accessing reproductive/sexual health services despite efforts to improve their accessibility. This paper explores the key socio-demographic factors associated with contraceptive use amongst adolescent girls in Ghana using the 2008 Ghana Demographic and Health Survey (GDHS). Data from the 2008 GDHS was analyzed. Socio-demographic variables were selected to assess their interaction with contraceptive use. Multivariable regression analyses were performed. Odds ratios and confidence intervals were computed. Place of residence and marital status were the most important predictors of contraceptive use among sexually active adolescents.  Rural residents were less likely to use contraceptives compared to urban residents (OR 0.32, CI 0.12–0.84, p=0.021) as well as married respondents compared to their unmarried peers (OR 0.27, 95% CI 0.11-0.67, p=0.005). The accessibility of reproductive/sexual health services needs to be improved and promoted in rural areas and among married adolescent women. (Afr J Reprod Health 2014; 18[1]: 102-109).

 

Keywords: Adolescents, Contraception, Determinants, Ghana, GDHS

 

Résumé

Les adolescentes au Ghana font face à un certain nombre de défis d'accès aux services de santé de la reproduction / sexuelle malgré les efforts pour améliorer leur accessibilité. Cet article explore les facteurs socio- démographiques associés à l'utilisation de la contraception chez les adolescentes au Ghana en utilisant les données de l’Enquête Ghanéenne démographique et de santé de 2008 (EGDS). Les données des EGDS de 2008 ont été analysées. Les variables socio -démographiques ont été sélectionnés pour évaluer leur interaction avec l'utilisation de contraceptifs. Des analyses de régression multi variables ont été effectuées. Les odds ratios et les intervalles de confiance ont été calculés. Le lieu de domicile et l'état matrimonial étaient les indices les plus importants de l'utilisation de la contraception chez les adolescentes sexuellement actives. Celles qui résident dans  des régions rurales étaient moins susceptibles d'utiliser des contraceptifs par rapport à celles qui habitent dans les régions urbaines (OR 0,32, IC de 0,12 à 0,84, p = 0,021) ainsi que les interrogées mariés par rapport à leurs pairs non mariées (OR 0,27, IC à 95% 0,11 au 0,67, p = 0,005). Il faut améliorer et promouvoir l'accès aux services de la santé sexuelle /de la reproduction dans les régions rurales et parmi les adolescentes mariées. (Afr J Reprod Health 2014; 18[1]: 102-109).

 

Mots-clés: adolescents,  contraception,  déterminants,  Ghana, EGDS

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