Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana
IntroductionThe correct and consistent use of hormonal contraceptive (HC) methods by sexually active adolescent girls can prevent pregnancy and avert the health and social consequences of unwanted pregnancy for both the mother and her child. Despite these benefits, research shows that HC use is rath...
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| Format: | Article |
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Frontiers Media S.A.
2023-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1110112/full |
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| author | Ellen Abrafi Boamah-Kaali Ellen Abrafi Boamah-Kaali Robert A. C. Ruiter Seth Owusu-Agyei Seth Owusu-Agyei Kwaku Poku Asante Fraukje E. F. Mevissen Fraukje E. F. Mevissen |
| author_facet | Ellen Abrafi Boamah-Kaali Ellen Abrafi Boamah-Kaali Robert A. C. Ruiter Seth Owusu-Agyei Seth Owusu-Agyei Kwaku Poku Asante Fraukje E. F. Mevissen Fraukje E. F. Mevissen |
| author_sort | Ellen Abrafi Boamah-Kaali |
| collection | DOAJ |
| description | IntroductionThe correct and consistent use of hormonal contraceptive (HC) methods by sexually active adolescent girls can prevent pregnancy and avert the health and social consequences of unwanted pregnancy for both the mother and her child. Despite these benefits, research shows that HC use is rather low among adolescent girls globally and especially among those in low and middle-income countries. This study was carried out to assess the social-psychological determinants of HC use intentions among adolescent girls and young women.MethodsA cross-sectional survey was conducted among 1,203 young women aged 15–24 years from 70 communities within the Kintampo North Municipality and Kintampo South District in the Bono-East Region of Ghana from April 2021 to September 2021. Multiple linear regression analysis was used to identify factors associated with the intention to use HC among the entire sample of 1,203 respondents and among two sub-samples of young women based on HC use experience.ResultsAttitude toward personal HC use (β = 0.268; p < 0.001), self-efficacy toward access and use of HC (β = 0.341; p < 0.001), and HC use experience (β = 0.647; p < 0.001) were found to be significant and unique correlates of HC use intention among the entire sample of adolescent girls. Attitude toward personal HC use and self-efficacy toward access and use of HC were also associated with HC use intention in the two sub samples significantly (p’s < 0.001). In addition, among participants with no HC experience, being a Christian as opposed to participants that affiliate themselves with Islam, Traditional religion or being non-religious positively predicts future HC use (β = 0.230; p < 0.01).ConclusionOur results demonstrate that different groups of adolescent girls need different interventions, focusing on different determinants for the motivation to use HC. Comprehensive sexuality education, informing all adolescent girls about the personal benefits of HC use and enhancing their skills in accessing and using HCs, can support their HC use intentions to promote their reproductive health and general wellbeing. |
| first_indexed | 2024-03-12T20:34:44Z |
| format | Article |
| id | doaj.art-ebe3c8a0cea34c1282aeddb4bef5c5db |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T20:34:44Z |
| publishDate | 2023-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-ebe3c8a0cea34c1282aeddb4bef5c5db2023-08-01T15:23:27ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-08-011110.3389/fpubh.2023.11101121110112Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of GhanaEllen Abrafi Boamah-Kaali0Ellen Abrafi Boamah-Kaali1Robert A. C. Ruiter2Seth Owusu-Agyei3Seth Owusu-Agyei4Kwaku Poku Asante5Fraukje E. F. Mevissen6Fraukje E. F. Mevissen7Kintampo Health Research Centre, Research and Development Division, Ghana Health Service, Kintampo, GhanaFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, NetherlandsFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, NetherlandsKintampo Health Research Centre, Research and Development Division, Ghana Health Service, Kintampo, GhanaInstitute of Health Research, University of Health and Allied Sciences, Ho, GhanaKintampo Health Research Centre, Research and Development Division, Ghana Health Service, Kintampo, GhanaFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, NetherlandsDepartment of Public Health, Municipal Public Health Service Rotterdam-Rijnmond, Rotterdam, NetherlandsIntroductionThe correct and consistent use of hormonal contraceptive (HC) methods by sexually active adolescent girls can prevent pregnancy and avert the health and social consequences of unwanted pregnancy for both the mother and her child. Despite these benefits, research shows that HC use is rather low among adolescent girls globally and especially among those in low and middle-income countries. This study was carried out to assess the social-psychological determinants of HC use intentions among adolescent girls and young women.MethodsA cross-sectional survey was conducted among 1,203 young women aged 15–24 years from 70 communities within the Kintampo North Municipality and Kintampo South District in the Bono-East Region of Ghana from April 2021 to September 2021. Multiple linear regression analysis was used to identify factors associated with the intention to use HC among the entire sample of 1,203 respondents and among two sub-samples of young women based on HC use experience.ResultsAttitude toward personal HC use (β = 0.268; p < 0.001), self-efficacy toward access and use of HC (β = 0.341; p < 0.001), and HC use experience (β = 0.647; p < 0.001) were found to be significant and unique correlates of HC use intention among the entire sample of adolescent girls. Attitude toward personal HC use and self-efficacy toward access and use of HC were also associated with HC use intention in the two sub samples significantly (p’s < 0.001). In addition, among participants with no HC experience, being a Christian as opposed to participants that affiliate themselves with Islam, Traditional religion or being non-religious positively predicts future HC use (β = 0.230; p < 0.01).ConclusionOur results demonstrate that different groups of adolescent girls need different interventions, focusing on different determinants for the motivation to use HC. Comprehensive sexuality education, informing all adolescent girls about the personal benefits of HC use and enhancing their skills in accessing and using HCs, can support their HC use intentions to promote their reproductive health and general wellbeing.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1110112/fulladolescent womenhormonal contraceptivesocial-psychologicaldeterminantsattitudesself-efficacy |
| spellingShingle | Ellen Abrafi Boamah-Kaali Ellen Abrafi Boamah-Kaali Robert A. C. Ruiter Seth Owusu-Agyei Seth Owusu-Agyei Kwaku Poku Asante Fraukje E. F. Mevissen Fraukje E. F. Mevissen Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana Frontiers in Public Health adolescent women hormonal contraceptive social-psychological determinants attitudes self-efficacy |
| title | Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana |
| title_full | Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana |
| title_fullStr | Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana |
| title_full_unstemmed | Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana |
| title_short | Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana |
| title_sort | social psychological determinants of hormonal contraceptive use intentions among adolescent girls in the bono east region of ghana |
| topic | adolescent women hormonal contraceptive social-psychological determinants attitudes self-efficacy |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1110112/full |
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