Department of Reproductive Health, Institute of Public Health, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Womens Health. 2024 Oct 25;24(1):570. doi: 10.1186/s12905-024-03413-4.
Proper use of emergency contraception can reduce unintended pregnancy and the risk of abortion. Despite this fact, there is a high rate of unwanted pregnancies among adolescents in Ethiopia. Therefore, determining the level of knowledge and use of Emergency contraceptives (EC) among female youth is important.
To assess Knowledge and use of EC methods and their associated factors among female college students in Gondar City, Northwest Ethiopia, 2023.
Institution-based cross-sectional study was employed among 814 female college students in Gondar City from April 15 to 28, 2023. A multi-stage sampling technique was applied to select the study participants. A self-administered questionnaire was used to collect the data. Epi-data version 4.6 and STATA Version 16, respectively, were used for data entry and analysis. A logistic regression model was fitted to identify factors associated with the outcome variables. Statistical significance was defined at a p-value < 0.05 and a corresponding 95% confidence interval.
In this study, 46.2% [95% CI (42.78, 49.63%)] of the participants had adequate knowledge about EC and 26.1% [95% CI (22.82-29.74%)] of sexually active participants used EC. Muslim religion [AOR = 1.82: 95% CI (1.07, 3.09)], being single [AOR = 0.34: 95% CI (0.19, 0.63)], no discussion about reproductive health issues with their husband/partner [AOR = 0.43: 95% CI (0.27, 0.69)], year of study; second year [AOR = 1.63: 95% CI (1.03, 2.58)], third year [AOR = 1.80: 95% CI (1.11, 2.94)], and fourth-year students [AOR = 2.91: 95% CI (1.43, 5.96)] were significantly associated with knowledge about EC. While no discussion about reproductive health with their husband/partner [AOR = 0.09: 95% CI (0.04, 0.20)], monthly allowance [AOR = 3.03: 95% CI (1.54, 5.95)], perceive use emergency contraceptives as not a sin [AOR = 2.59: 95% CI (1.20, 5.60], knowledge about EC [AOR = 2.32: 95% CI (1.253, 4.29)] were associated with the use of EC.
Participants' knowledge and of use EC in the study area was low. Religion, years of study, marital status, monthly allowance, perception and knowledge, and having discussion were associated with the use of EC. School-based health education, and behavioral change communication interventions should be established and/or strengthened to address students in need of EC services.
正确使用紧急避孕措施可以降低意外怀孕和堕胎的风险。尽管如此，埃塞俄比亚青少年的意外怀孕率仍然很高。因此，确定女青年对紧急避孕药（EC）的知识和使用水平是很重要的。
评估 2023 年在埃塞俄比亚西北部贡德尔市的女大学生对 EC 方法的知识和使用情况及其相关因素。
采用基于机构的横断面研究，于 2023 年 4 月 15 日至 28 日在贡德尔市选取了 814 名女大学生作为研究对象。采用多阶段抽样技术选择研究参与者。使用自我管理问卷收集数据。分别使用 EpiData 版本 4.6 和 STATA 版本 16 进行数据录入和分析。使用逻辑回归模型确定与结果变量相关的因素。定义 p 值<0.05 和相应的 95%置信区间为统计学显著性。
在这项研究中，46.2%[95%CI（42.78，49.63%）]的参与者对 EC 有足够的了解，26.1%[95%CI（22.82-29.74%）]有性活动的参与者使用了 EC。穆斯林宗教[AOR=1.82：95%CI（1.07，3.09）]、单身[AOR=0.34：95%CI（0.19，0.63）]、与丈夫/伴侣没有讨论生殖健康问题[AOR=0.43：95%CI（0.27，0.69）]、学年；第二年[AOR=1.63：95%CI（1.03，2.58）]、第三年[AOR=1.80：95%CI（1.11，2.94）]和第四年学生[AOR=2.91：95%CI（1.43，5.96）]与对 EC 的了解显著相关。而与丈夫/伴侣没有讨论生殖健康问题[AOR=0.09：95%CI（0.04，0.20）]、月津贴[AOR=3.03：95%CI（1.54，5.95）]、认为使用紧急避孕药不是一种罪过[AOR=2.59：95%CI（1.20，5.60）]、对 EC 的了解[AOR=2.32：95%CI（1.253，4.29）]与 EC 的使用有关。
研究区域参与者对 EC 的知识和使用水平较低。宗教、学习年限、婚姻状况、月津贴、看法和知识以及讨论与 EC 的使用有关。应该建立和/或加强以学校为基础的健康教育和行为改变沟通干预措施，以满足需要 EC 服务的学生。
