Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys

Introduction: Thirty percent (30%) of all deliveries in 2014 were recorded among adolescents in Ghana, whom contraceptive use has been found to be low. Our study, therefore, aimed to retrospectively look at the trends and determinants of contraceptive use (modern and traditional) among female adoles...

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Main Authors: Francis Appiah, Abdul-Aziz Seidu, Bright Opoku Ahinkorah, Linus Baatiema, Edward Kwabena Ameyaw
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827319303805
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author Francis Appiah
Abdul-Aziz Seidu
Bright Opoku Ahinkorah
Linus Baatiema
Edward Kwabena Ameyaw
author_facet Francis Appiah
Abdul-Aziz Seidu
Bright Opoku Ahinkorah
Linus Baatiema
Edward Kwabena Ameyaw
author_sort Francis Appiah
collection DOAJ
description Introduction: Thirty percent (30%) of all deliveries in 2014 were recorded among adolescents in Ghana, whom contraceptive use has been found to be low. Our study, therefore, aimed to retrospectively look at the trends and determinants of contraceptive use (modern and traditional) among female adolescents in Ghana. Materials and methods: We used data from the 2003, 2008 and 2014 Ghana Demographic and Health Surveys. The sample for this study comprised sexually active female adolescents aged 15–19 for each of the rounds thereby resulting in a sample of 426 in 2003, 389 in 2008 and 726 in 2014. We calculated the proportion of adolescents using contraceptives (either traditional or modern) for each of the three surveys. We computed the use of contraceptives among adolescents and the type of contraceptives used with respect to their socio-demographic characteristics. Multinomial Logistic Regression was used to assess the determinants of contraceptive use at 95% confidence interval and Odds Ratios (OR) and p-values were reported. Results: Contraceptive use declined from 22.1% in 2003 to 20.4% in 2014. Adolescents who were married had lower odds [OR = 0.09, 95% CI = 0.03–0.96] of using traditional methods of contraception compared to those who were not married. Those who read newspapers at least once a week were more likely to utilize modern contraceptives [OR=1.84, CI = 1.05–4.78] compared to adolescents who did not read newspapers at all. Similarly, those who watched television at least once a week were more likely to use modern contraceptives than those who did not watch television at all [OR = 2.25, CI = 1.06–4.78]. Conclusion: These findings imply that intensifying educational messages on contraceptive use among adolescents using various newspapers and television stations to convey the messages and emphasizing the importance of using modern contraceptive is worthwhile.
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spelling doaj.art-5def54975f0b46edbc8ddeeafcfacbbb2022-12-21T18:14:11ZengElsevierSSM: Population Health2352-82732020-04-0110Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health SurveysFrancis Appiah0Abdul-Aziz Seidu1Bright Opoku Ahinkorah2Linus Baatiema3Edward Kwabena Ameyaw4College of Humanities and Legal Studies, Faculty of Social Science, Department of Population and Health, Ghana; Corresponding author.College of Humanities and Legal Studies, Faculty of Social Science, Department of Population and Health, GhanaThe Australian Centre for Public and Population Health Research (ACPPHR), Faculty of Health, University of Technology Sydney, AustraliaCollege of Humanities and Legal Studies, Faculty of Social Science, Department of Population and Health, GhanaThe Australian Centre for Public and Population Health Research (ACPPHR), Faculty of Health, University of Technology Sydney, AustraliaIntroduction: Thirty percent (30%) of all deliveries in 2014 were recorded among adolescents in Ghana, whom contraceptive use has been found to be low. Our study, therefore, aimed to retrospectively look at the trends and determinants of contraceptive use (modern and traditional) among female adolescents in Ghana. Materials and methods: We used data from the 2003, 2008 and 2014 Ghana Demographic and Health Surveys. The sample for this study comprised sexually active female adolescents aged 15–19 for each of the rounds thereby resulting in a sample of 426 in 2003, 389 in 2008 and 726 in 2014. We calculated the proportion of adolescents using contraceptives (either traditional or modern) for each of the three surveys. We computed the use of contraceptives among adolescents and the type of contraceptives used with respect to their socio-demographic characteristics. Multinomial Logistic Regression was used to assess the determinants of contraceptive use at 95% confidence interval and Odds Ratios (OR) and p-values were reported. Results: Contraceptive use declined from 22.1% in 2003 to 20.4% in 2014. Adolescents who were married had lower odds [OR = 0.09, 95% CI = 0.03–0.96] of using traditional methods of contraception compared to those who were not married. Those who read newspapers at least once a week were more likely to utilize modern contraceptives [OR=1.84, CI = 1.05–4.78] compared to adolescents who did not read newspapers at all. Similarly, those who watched television at least once a week were more likely to use modern contraceptives than those who did not watch television at all [OR = 2.25, CI = 1.06–4.78]. Conclusion: These findings imply that intensifying educational messages on contraceptive use among adolescents using various newspapers and television stations to convey the messages and emphasizing the importance of using modern contraceptive is worthwhile.http://www.sciencedirect.com/science/article/pii/S2352827319303805TrendsDeterminantsContraceptive useFemale adolescentsGhana
spellingShingle Francis Appiah
Abdul-Aziz Seidu
Bright Opoku Ahinkorah
Linus Baatiema
Edward Kwabena Ameyaw
Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys
SSM: Population Health
Trends
Determinants
Contraceptive use
Female adolescents
Ghana
title Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys
title_full Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys
title_fullStr Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys
title_full_unstemmed Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys
title_short Trends and determinants of contraceptive use among female adolescents in Ghana: Analysis of 2003–2014 Demographic and Health Surveys
title_sort trends and determinants of contraceptive use among female adolescents in ghana analysis of 2003 2014 demographic and health surveys
topic Trends
Determinants
Contraceptive use
Female adolescents
Ghana
url http://www.sciencedirect.com/science/article/pii/S2352827319303805
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