School of Public Health, University of Health and Allied Sciences PMB 31 Ho, Ghana.
School of Nursing and Midwifery, University of Health and Allied Sciences PMB 31 Ho, Ghana.
Afr Health Sci. 2021 Sep;21(3):1375-1384. doi: 10.4314/ahs.v21i3.49.
Improving the reproductive health of young women in developing countries requires access to safe and effective methods of fertility control. Volta Region records one of the highest prevalence of teenage pregnancy and adolescents aged 15-19 years are the least acceptors of contraceptives in the Region. Guided by the Theory of Planned Behaviour, this study determined predictors of intention to use modern contraceptives among female Senior Secondary School students in the Kpando Municipality, Ghana.
A cross-sectional design was adopted, collecting data among a multistage sample of 270 participants, using a pretested self-administered questionnaire and analysing them using Stata software Version 16 at the 0.05 level of significance.
The mean age of the respondents was 16.78 ± 1.31. About 40.2% of the sexually experienced participants used a modern contraceptive during ther first sexual encounter. However, the majority (69.3%) had the intention to use modern contraceptives. Regarding subjective norms, the majority of the significant others (63.0%) were not supportive of modern contraceptive use and more than half of the respondents (59.3%) had a positive attitude towards modern contraceptive use, while 54.1% perceived that they had control over modern contraceptive use. The majority (69.3%) had the intention to use modern contraceptives. Perceived behavioural control was the only significant predictor of the intention to use modern contraceptives [AOR= 9.80 (C.I: 5.11, 18.77); p< 0.001].
Interventions to increase the perception of control over contraceptive use is of the essence. This will help increase their intention to use modern contraceptives.
改善发展中国家年轻女性的生殖健康需要获得安全有效的生育控制方法。沃尔特地区记录了最高的青少年怀孕率之一，15-19 岁的青少年是该地区最不愿意接受避孕措施的人群。本研究以计划行为理论为指导，确定了加纳克彭多市高中女生使用现代避孕药具的意愿的预测因素。
采用横断面设计，通过多阶段抽样收集了 270 名参与者的数据，使用经过预测试的自我管理问卷，并在 0.05 水平的显著性下使用 Stata 软件版本 16 进行分析。
受访者的平均年龄为 16.78 ± 1.31。约 40.2%有过性经验的参与者在第一次性行为中使用了现代避孕药具。然而，大多数（69.3%）有使用现代避孕药具的意愿。关于主观规范，大多数重要他人（63.0%）不支持现代避孕药具的使用，超过一半的受访者（59.3%）对现代避孕药具的使用持积极态度，而 54.1%认为他们对现代避孕药具的使用有控制能力。大多数（69.3%）有使用现代避孕药具的意愿。感知行为控制是使用现代避孕药具意图的唯一显著预测因素 [AOR= 9.80（C.I: 5.11, 18.77）；p< 0.001]。
增加对避孕药具使用控制感的干预措施至关重要。这将有助于提高他们使用现代避孕药具的意愿。
