Socio-demographic and economic determinants of awareness and use of contraceptives among adolescents in Ebonyi State, South-east, Nigeria

Uchenna Ezenwaka, Chinyere Mbachu, Chinyere Okeke, Ifunanya Agu, Nkoli Ezumah, Obinna Onwujekwe


Understanding factors that explain levels of awareness and use of contraceptives among adolescents is a critical entry point for improving their sexual and reproductive health. This study assessed the demographic and socioeconomic determinants of awareness and use of contraceptives among adolescents in rural and urban communities in Ebonyi State, Nigeria. A cross-sectional household survey was conducted in three rural and urban communities in August, 2018. Modified cluster sampling technique was used to select eligible households. A total of 1045 adolescents (598 females and 447 males) were randomly selected from the households and interviewed using a pre-tested structured questionnaire. The mean age is 15.4years (15.3 – 15.5) and the median age is 15.5years. Univariate, bivariate and multivariate analysis were undertaken. Statistical significance was set at p-value of <0.05. Majority of respondents, 723 (68.9%), were aware of male condom. Place of residence predicts awareness of contraceptive pills (AOR 0.66, CI 0.48-0.91); schooling predicts awareness of male condoms (AOR 0.57; CI 0.32-0.99). Predictors of awareness of female condoms are place of residence (AOR 0.66, CI 0.47-0.93), gender (AOR 0.57, CI 0.32-0.99) and wealth index (AOR 1.16, CI 1.03-1.30). Demographic and socioeconomic characteristics of respondents did not predict contraceptive use in the last sex. Although awareness of contraceptives is high, utilization is low among sexually active adolescents. Hence, the need to promote access to and utilization of contraceptives through comprehensive contraceptive education to improve adolescents sexual and reproductive health. (Afr J Reprod Health 2021; 25[3]: 21-29).

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Merrick TW. Making the case for investing in adolescent reproductive health: a review of evidence and PopPov research contributions. Washington, DC: Population and Poverty Research Initiative and Population Reference Bureau 2015

Isiugo-Abanihe UC, Olajide R, Nwokocha E, Fayehun F, Okunola R and Akingbade R. Adolescent sexuality and life skills education in Nigeria: to what extent have out-of-school adolescents been reached? African Journal of Reproductive Health 2015;19(1):101-11.

Obono K and Obono O. Media exposure and reproductive behaviour change among generations of adolescents in Ugep, Nigeria. 2009

Organization WH. Preventing early pregnancy and poor reproductive outcomes. WHO Guidelines 2011:1-208.

Bhatasara S, Chevo T and Changadeya T. An exploratory study of male adolescent sexuality in Zimbabwe: the case of adolescents in Kuwadzana extension, Harare. Journal of Anthropology 2013;2013

Awoyesuku P and Altraide B. Contraceptive Choices and Acceptability among New Clients Attending the Family Planning Unit of Rivers State University Teaching Hospital, Nigeria. Journal of Advances in Medicine and Medical Research 2019:1-7.

Isiugo-Abanihe UC, Erinosho O, Ushie B, Aderinto A, Sunmola G and Joseph R. Age of sexual debut and patterns of sexual behaviour in two local government areas in southern Nigeria. African Journal of Reproductive Health 2012;16(4):81-94.

Otoide VO, Oronsaye F and Okonofua FE. Why Nigerian adolescents seek abortion rather than contraception: evidence from focus-group discussions. International family planning perspectives 2001:77-81.

Ahorlu CK, Pfeiffer C and Obrist B. Socio-cultural and economic factors influencing adolescents’ resilience against the threat of teenage pregnancy: a cross-sectional survey in Accra, Ghana. Reproductive health 2015;12(1):117.

Aderibigbe SA, Araoye MO, Akande TM, Musa OI, Monehin JO and Babatunde OA. Teenage pregnancy and prevalence of abortion among in-school adolescents in North Central, Nigeria. Asian Social Science 2011;7(1):122.

Okereke CI. Unmet reproductive health needs and health-seeking behaviour of adolescents in Owerri, Nigeria. African Journal of Reproductive Health 2010;14(1)

Kiani MA, Ghazanfarpour M and Saeidi M. Adolescent Pregnancy: A Health Challenge. International Journal of Pediatrics 2019;7(7):9749-52.

National Population Commission N. Nigeria demographic and health survey 2008. Abuja: National Population Commission and ICF Macro 2009

Organization WH. Global accelerated action for the health of adolescents (‎ AA-HA!)‎: guidance to support country implementation. 2017

Mukhopadhyay P, Chaudhuri and Paul B. Hospital-based perinatal outcomes and complications in teenage pregnancy in India. Journal of health, population, and nutrition 2010;28(5):494.

Bongaarts J. United nations department of economic and social affairs, population division world mortality report 2005. Population and Development Review 2006;32(3):594-96.

Organization WH. Health for the world's adolescents: a second chance in the second decade: summary: World Health Organization, 2014.

Babatunde OA, Ibirongbe DO, Omede O, Durowade KA, Salaudeen AG and Akande TM. Knowledge and use of emergency contraception among students of public secondary schools in Ilorin, Nigeria. Pan African Medical Journal 2016;23(1)

Masoda M and Govender I. Knowledge and attitudes about and practices of condom use for reducing HIV infection among Goma University students in the Democratic Republic of Congo. Southern African Journal of Epidemiology and Infection 2013;28(1):61-68.

Hagan JE and Buxton C. Contraceptive knowledge, perceptions and use among adolescents in selected senior high schools in the central region of Ghana. J Sociol Res 2012;3(2):170-80.

Ehlers VJ. Adolescent mothers' non-utilisation of contraceptives in Zimbabwe. Africa Journal of Nursing and Midwifery 2010;12(2):14-26.

Hounton S, Barros AJ, Amouzou A, Shiferaw S, Maïga A, Akinyemi A, Friedman H and Koroma D. Patterns and trends of contraceptive use among sexually active adolescents in Burkina Faso, Ethiopia, and Nigeria: evidence from cross-sectional studies. Global health action 2015;8(1):29737.

Cleland J. Illustrative questionnaire for interview-surveys with young people. Asking Young People About Sexual and Reproductive Behaviors Illustrative Core Instruments, Geneva: World Health Organization 2001

Somba MJ, Mbonile M, Obure J and Mahande MJ. Sexual behaviour, contraceptive knowledge and use among female undergraduates’ students of Muhimbili and Dar es Salaam Universities, Tanzania: a cross-sectional study. BMC women's health 2014;14(1):94.

Duru CB, Iwu AC, Diwe KC, Uwakwe KA, Merenu IA, Emerole CA and Oluoha UR. Sexual behaviour, contraceptive knowledge and useamongfemale undergraduates in tertiary institutions in Imo state, Nigeria. Am J Med Sci Med 2015;3(5):61-66.

Tayo A, Akinola O, Babatunde A, Adewunmi A, Osinusi D and Shittu L. Contraceptive knowledge and usage amongst female secondary school students in Lagos, Southwest Nigeria. J Public Health Epidemiol 2011;3(1):34-37.

Yadeta TA, Bedane HK and Tura AK. Factors affecting parent-adolescent discussion on reproductive health issues in Harar, Eastern Ethiopia: a cross-sectional study. Journal of environmental and public health 2014;2014.

Hadley A, Chandra-Mouli V and Ingham R. Implementing the United Kingdom Government's 10-year teenage pregnancy strategy for England (1999–2010): applicable lessons for other countries. Journal of Adolescent Health 2016;59(1):68-74.

Tchokossa Adriel Monkam RN B. Knowledge and Use of Contraceptives among Female Adolescents in Selected Senior Secondary Schools in Ife Central Local Government of Osun State. International Journal of Caring Sciences 2018;11(2):1021-33.

Bankole A and Malarcher S. Removing barriers to adolescents' access to contraceptive information and services. Studies in family planning 2010;41(2):117-24.

Baku EA, Agbemafle I, Kotoh AM and Adanu RM. Parents’ experiences and sexual topics discussed with adolescents in the Accra Metropolis, Ghana: a qualitative study. Advances in Public Health 2018;2018

Darteh E and Nnorom CC. Sexual behaviour and condom use among adolescents living in urban poor areas in the Brong Ahafo Region, Ghana. Journal of Alternative perspectives in the Social Sciences 2012;4(3):619-39.

Singh S, Darroch JE and Ashford LS. Adding it up: the costs and benefits of investing in sexual and reproductive health 2014: Alan Guttmacher Institute 2014.

Gupta MD. The Power of 1.8 Billion: Adolescents, Youth and the transformation of the future: United Nations Population Fund 2014.

Rondini S and Krugu JK. Knowledge, attitude and practices study on reproductive health among secondary school students in Bolgatanga, upper east region, Ghana. African journal of reproductive health 2009;13(4).


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