Adam Abdul-Razak, Ganle John K, Asare Bernard Y, Baafi Dian, Letsa Timothy S
Brong Ahafo Regional Health Directorate, Post office Box 145, Sunyani, Ghana.
Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Legon, Accra, Ghana.
Afr J Reprod Health. 2021 Dec;25(6):32-42. doi: 10.29063/ajrh2021/v25i6.4.
In Ghana, few studies have focused on the link between risky sexual behaviours and contraceptive use among adolescents. Based on a survey of 260 randomly sampled unmarried adolescents, this study examined risky sexual behaviours and modern contraceptive use. Descriptive statistical analyses were performed in addition to bivariate and logistic regression models. Results show that 50.4% of respondents have had sex before, and many engaged in risky sexual behaviours: 48.8% have had two or more sexual partners in their lifetime; 21.4% have had sex while drunk; and 60.7% of those who reported having sex while drunk did not use a condom. Only 22.9% of sexually active adolescents ever used contraceptives. Factors that predicted use of contraceptives included being aged 17-19, knowing a place to get contraceptive, not having had drunk sex, and not feeling pressured to have unprotected sex. Public health education and self-efficacy interventions are needed to address risky sexual behaviours and improve contraceptive use.
在加纳，很少有研究关注青少年中危险性行为与避孕措施使用之间的联系。基于对260名随机抽样的未婚青少年的调查，本研究考察了危险性行为和现代避孕措施的使用情况。除了进行双变量和逻辑回归模型分析外，还进行了描述性统计分析。结果显示，50.4%的受访者曾有过性行为，许多人有危险性行为：48.8%的人一生中曾有过两个或更多性伴侣；21.4%的人曾在醉酒时发生性行为；在那些报告醉酒时发生性行为的人中，60.7%的人未使用避孕套。只有22.9%的性活跃青少年曾使用过避孕措施。预测避孕措施使用情况的因素包括年龄在17 - 19岁、知道获取避孕措施的地点、未曾在醉酒时发生性行为以及没有感受到进行无保护性行为的压力。需要开展公共健康教育和自我效能干预措施，以应对危险性行为并提高避孕措施的使用。
