Binomial Optimus Limited, Blue Hill, PLOT 538 Natasha Akpoti Street Kado, Abuja, FCT, Nigeria.
Imperial College London, School of Public Health, St Mary's Hospital, Norfolk Place, London, W2 1PG, UK.
Reprod Health. 2021 Jan 6;18(1):6. doi: 10.1186/s12978-020-01056-w.
Adolescents 360 (A360) is an initiative being rolled out across Nigeria with the aim of increasing voluntary modern contraception use among women aged 15 to 19 years. Using evaluation study baseline data, we identified sexuality, fertility and contraceptive use characteristics of young unmarried girls in South Western Nigeria.
A cross-sectional baseline survey of unmarried girls aged 15 to 19 years was conducted in Ogun state, Nigeria in August 2017. A clustered sampling design was used. We identified determinants of modern contraceptive use in this subpopulation using logistic regression.
Of 12,024 women interviewed, 15.3% reported sexual intercourse in the past year. The majority of respondents (79.6%, 9525/11,967) had heard of contraception. 45.3% of sexually active respondents were using a modern contraceptive method. Of those using any method of contraception, male condoms (50.3%) were the most widely used modern method followed by the emergency contraceptive pill (16.7%). Following adjustment for socio-demographic characteristics, there was evidence that the use of modern contraception was positively associated with having never given birth, living in an urban area, current enrolment in education, high level of education, high socioeconomic status, exposure to information about contraception, perceived social support for contraception, and self-efficacy for contraception.
In South Western Nigeria, unmarried sexually active adolescent girls have relatively low levels of modern contraceptive use. Programmes should aim to increase access to modern contraception and to increase social support and acceptability of contraceptive use.
青少年 360（A360）是在尼日利亚开展的一项倡议，旨在增加 15 至 19 岁女性自愿使用现代避孕方法。利用评估研究基线数据，我们确定了尼日利亚西南部年轻未婚少女的性行为、生育和避孕方法使用特征。
2017 年 8 月在尼日利亚奥贡州对 15 至 19 岁的未婚少女进行了横断面基线调查。采用聚类抽样设计。我们使用逻辑回归分析了该亚群中现代避孕方法使用的决定因素。
在接受采访的 12024 名妇女中，15.3%报告在过去一年中发生过性行为。大多数受访者（79.6%，9525/11967）听说过避孕方法。45.3%的性活跃受访者正在使用现代避孕方法。在使用任何避孕方法的人中，男用避孕套（50.3%）是最广泛使用的现代方法，其次是紧急避孕药（16.7%）。在调整了社会人口特征后，有证据表明，现代避孕方法的使用与从未生育、居住在城市地区、目前接受教育、高教育水平、高社会经济地位、接触避孕信息、对避孕的社会支持感知、以及对避孕的自我效能感呈正相关。
在尼日利亚西南部，未婚性活跃的青少年少女现代避孕方法使用率相对较低。方案应旨在增加现代避孕方法的获取，并增加对避孕的社会支持和接受度。
