Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, SAR, China.
Key Laboratory of Environmental Medicine Engineering, School of Public Health, Southeast University, Nanjing, 210009, Jiangsu Province, China.
BMC Womens Health. 2022 Sep 6;22(1):369. doi: 10.1186/s12905-022-01956-y.
Modern contraceptive use has been shown to influence population growth, protect women's health and rights, as well as prevent sexually transmitted infections (STIs) for barrier contraceptive methods such as condoms. The present study aimed at assessing the level of utilization and factors associated with modern contraceptive use among sexually active adolescent girls in Rwanda.
We used secondary data from the Rwanda Demographic and Health Survey (RDHS) 2020 data of 539 sexually active adolescent girls (aged 15 to 19 years). Multistage stratified sampling was used to select study participants. We conducted multivariable logistic regression to assess the association between various socio-demographics and modern contraceptive use using SPSS version 25. Modern contraception included the use of products or medical procedures that interfere with reproduction from acts of sexual intercourse.
Of the 539 sexually active girls, only 94 (17.4%, 95% CI: 13.8-20.1) were using modern contraceptives. Implants (69.1%) and male condoms (12.8%) were the most used options. Modern contraceptive use was positively associated with older age (AOR = 10.28, 95% CI: 1.34-78.70), higher educational level (AOR = 6.98, 95% CI: 1.08-45.07), history of having a sexually transmitted infection (AOR = 8.27, 95% CI: 2.54-26.99), working status (AOR = 1.72, 95% CI: 1.03-2.88) and being from a female-headed household (AOR = 1.96, 95% CI: 1.12-3.43). However, not being in a union (AOR = 0.18, 95% CI: 0.10-0.35) and region (AOR = 0.28, 95% CI: 0.10-0.80) had negative associations.
To promote utilisation of modern contraceptives, family planning campaigns need to place more emphasis on the younger, unmarried adolescents, as well as those with lower educational levels. Consideration of household and regional dynamics is also highlighted.
现代避孕方法的使用已被证明可以影响人口增长，保护妇女的健康和权利，并预防性传播感染（STIs），例如避孕套等屏障避孕方法。本研究旨在评估卢旺达活跃青少年女孩使用现代避孕方法的水平以及相关因素。
我们使用了 2020 年卢旺达人口与健康调查（RDHS）的二次数据，该数据包括 539 名活跃的青少年女孩（年龄在 15 至 19 岁之间）。采用多阶段分层抽样选择研究参与者。我们使用 SPSS 版本 25 进行多变量逻辑回归，以评估各种社会人口统计学因素与现代避孕方法使用之间的关联。现代避孕包括使用产品或医疗程序来干扰性行为中的生殖。
在 539 名活跃的女孩中，只有 94 名（17.4%，95%CI：13.8-20.1）使用现代避孕药具。植入物（69.1%）和男用避孕套（12.8%）是最常用的选择。现代避孕方法的使用与年龄较大（AOR=10.28，95%CI：1.34-78.70），较高的教育水平（AOR=6.98，95%CI：1.08-45.07），性传播感染史（AOR=8.27，95%CI：2.54-26.99），工作状况（AOR=1.72，95%CI：1.03-2.88）和女性户主家庭（AOR=1.96，95%CI：1.12-3.43）呈正相关。但是，未婚（AOR=0.18，95%CI：0.10-0.35）和地区（AOR=0.28，95%CI：0.10-0.80）之间没有关联。
为了促进现代避孕药具的使用，计划生育运动需要更加关注年轻、未婚的青少年以及那些教育程度较低的青少年。还需要考虑家庭和地区动态。
