Department of Demography and Social Statistics, Faculty of Social Sciences, Federal University, Oye-Ekiti, Nigeria.
Demography and Population Studies Programme, Schools of Public Health and Social Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Reprod Health. 2023 Aug 8;20(1):115. doi: 10.1186/s12978-023-01660-6.
Adolescent sexual and reproductive health remains a major public health and development issue of global importance. Given that adolescents and young people are heterogenous groups in terms of many characteristics, this study expands the literature by comparing the reasons for contraceptive discontinuation between parenting adolescents (aged 15-19) and parenting young women (aged 20-24) in sub-Saharan Africa (SSA).
Data for the study came from Demographic and Health Surveys of 22 SSA countries. The outcome variable was reasons for discontinuation. We performed multilevel binary logistic regression on analytic samples comprising 1485 parenting adolescents and 10,287 parenting young women across the selected SSA countries.
Findings show that the proportion of respondents who used modern contraceptives was lower among parenting adolescents (35%) relative to their 20-24-year-old counterparts (43%). Higher percentages of parenting adolescents than young women discontinued contraceptives because of reasons such as pregnancy or method failure (i.e., 9.9% and 8.17% accordingly), husband disapproval, access or availability issues, wanting more effective methods, and inconvenience in using methods. The multilevel analysis further highlighted disparities between parenting adolescents and parenting young women who discontinued contraceptives. For instance, parenting young women had 30% lower odds of discontinuing contraceptives due to pregnancy or method failure than parenting adolescents.
The study established disparities in the reasons for contraceptive discontinuation between parenting adolescents and parenting young women, with adolescents demonstrating greater vulnerabilities and higher risks. Considerable attention must be given to parenting adolescents in the efforts to achieve equity goals such as the Sustainable Development Goals and universal health coverage in SSA.
青少年的性健康和生殖健康仍然是全球重要的重大公共卫生和发展问题。鉴于青少年和年轻人在许多特征方面是异质群体，本研究通过比较撒哈拉以南非洲（SSA）地区的育儿青少年（15-19 岁）和育儿年轻女性（20-24 岁）的避孕中断原因，扩展了文献。
本研究的数据来自 22 个撒哈拉以南非洲国家的人口与健康调查。因变量为避孕中断的原因。我们对包括来自选定的撒哈拉以南非洲国家的 1485 名育儿青少年和 10287 名育儿年轻女性的分析样本进行了多层次二元逻辑回归。
研究结果表明，与 20-24 岁的同龄人相比，育儿青少年（35%）使用现代避孕药具的比例较低。与年轻女性相比，更多的育儿青少年因怀孕或方法失败（即分别为 9.9%和 8.17%）、丈夫反对、获取或可用性问题、想要更有效的方法以及使用方法不方便等原因而停止使用避孕药具。多层次分析进一步突出了避孕中断的育儿青少年和育儿年轻女性之间的差异。例如，与育儿青少年相比，因怀孕或方法失败而停止使用避孕药具的育儿年轻女性的可能性低 30%。
该研究确定了育儿青少年和育儿年轻女性在避孕中断原因方面的差异，青少年表现出更大的脆弱性和更高的风险。在努力实现可持续发展目标和全民健康覆盖等公平目标时，必须对育儿青少年给予相当大的关注。
