Ogunbode O O, Takpe R, Adeniyi A, Ogunbode A M, Agboola A
Department of Obstetrics and Gynaecology, College of Medicine, University of Ibadan, Ibadan.
Department of Obstetrics and Gynaecology, University College Hospital, Ibadan, Ibadan.
Ann Ib Postgrad Med. 2022 Dec;20(2):143-150.
Unintended pregnancies contribute to the high burden of unsafe abortion, maternal deaths and morbidities among undergraduates.
To assess the determinants of good knowledge and evaluate the trends in the practice of Emergency Contraception (EC) among female undergraduates.
This was a cross sectional study involving four hundred and twenty female undergraduates from two universities in Ibadan, Nigeria. Participants were recruited from their hostels and classrooms. Data collection was done using self-administered questionnaires and good knowledge was defined as three correct answers to five questions testing knowledge. The questionnaires also addressed their practices of EC. The data was stored on the computer, cleaned and analyzed using the Statistical Package for the Social Sciences (SPSS) version 22. Statistical significance was set at p <0.05.
Two hundred and fourteen (51.0%) participants were aware of EC and the common sources were friends (43.4%), media (42.9%) and pharmacies (42.0%). One hundred and sixty-four participants (39.1%) had good knowledge of EC. Participants in the age group 20-24 years, second year of study, those who were aware of EC and had ever used EC were associated with good knowledge. Less than half (48%) of the sexually active participants used EC in the past six months and Levonogestrel (51%) was the commonest EC used. Menstrual irregularity and abdominal pain were the major side effects of EC.
The practice of EC is poor and with poor knowledge demonstrated among female undergraduates. There is therefore the need to improve information and access to EC in the university community.
意外怀孕导致大学生中不安全堕胎、孕产妇死亡和发病的负担加重。
评估女大学生对紧急避孕（EC）知识掌握良好的决定因素，并评估其使用紧急避孕的趋势。
这是一项横断面研究，涉及尼日利亚伊巴丹两所大学的420名女大学生。参与者从她们的宿舍和教室招募。使用自填问卷进行数据收集，对五个测试知识的问题答对三个被定义为知识掌握良好。问卷还涉及她们使用紧急避孕的情况。数据存储在计算机上，清理后使用社会科学统计软件包（SPSS）22版进行分析。统计学显著性设定为p<0.05。
214名（51.0%）参与者知晓紧急避孕，常见来源是朋友（43.4%）、媒体（42.9%）和药店（42.0%）。164名参与者（39.1%）对紧急避孕知识掌握良好。年龄在20 - 24岁、二年级、知晓紧急避孕且曾使用过紧急避孕的参与者与知识掌握良好相关。在过去六个月中，不到一半（48%）有性行为的参与者使用过紧急避孕，左炔诺孕酮（51%）是最常用的紧急避孕药。月经不调和腹痛是紧急避孕的主要副作用。
女大学生中紧急避孕的使用率低且知识掌握不足。因此，有必要在大学社区改善紧急避孕的信息和获取途径。
