影响加纳少女避孕措施使用情况的因素：对加纳生活水平调查7的分析

Factors influencing contraceptive use among teenage girls in Ghana: analysis of the Ghana living standard survey 7.

作者信息

Aggrey-Korsah Juliet, Adoma Prince Owusu, Oke Samuel, Agorinya Isaiah Awintuen

机构信息

Department of Family and Community Health, Fred N. Binka School of Public Health, University of Health and Allied Sciences, Hohoe, Volta Region, Ghana.

Department of Health Administration and Education, University of Education, Winneba - Central Region, Winneba, Ghana.

出版信息

Contracept Reprod Med. 2025 Aug 11;10(1):47. doi: 10.1186/s40834-025-00387-y.

DOI:10.1186/s40834-025-00387-y

PMID:40790779

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12337539/

Abstract

BACKGROUND

Modern contraceptives have proven to be more scientifically effective at preventing unwanted pregnancies than the traditional methods. However, there is dearth of evidence on teenage girls' contraceptive use and associated factors in Ghana.

OBJECTIVE

This study sought to examine teenage girls (15-19 years) contraceptive use and associated factors using a nationally representative data from the Ghana Living Standards Survey 7 (GLSS7).

METHODS

The study analyzed data from GLSS7, involving 3233 15-19 year-old teenagers. Using a cross-sectional design, descriptive statistics, chi-square tests, and multiple regression were performed to analyze factors influencing contraceptive use. Stata software version 16 was used, with statistical significance set at p ≤ 0.001.

RESULTS

Out of a total of 3,233 teenage girls aged 15-19years, the majority were in the primary level of education (71.59%). Furthermore, more than two-thirds of the participants were Christians (75.83%). The results showed that only 12.87% of teenage girls reported current contraceptive use. Religion, type of residence, region, wealth index and marital status was found to have a relationship with modern contraceptive use. Also, majority of the respondents preferred modern contraceptive methods (85.60%) as compared to traditional methods (14.40%). The region was significantly associated with preferences for modern contraceptive use. Teenage girls in the Central and Volta regions had 88% and 89% lower odds of preferring modern contraceptive use, respectively as compared with those in the western region. Moreover, marital status was found to have a significant association with barriers to contraceptive use. Teenage girls that were not married had 88% lower odds of having barriers to contraceptive use as compared to those that were married.

CONCLUSION

The study suggests that the government through the Ministry of Health (MOH) should establish targeted community-based awareness campaigns and enhance access to adolescent-friendly family planning services to increase contraceptive uptake.

摘要

背景

事实证明，现代避孕方法在预防意外怀孕方面比传统方法更具科学有效性。然而，在加纳，关于少女使用避孕药具及其相关因素的证据匮乏。

目的

本研究旨在利用来自加纳生活水平调查7（GLSS7）的具有全国代表性的数据，调查少女（15 - 19岁）的避孕药具使用情况及其相关因素。

方法

该研究分析了GLSS7的数据，涉及3233名15 - 19岁的青少年。采用横断面设计，进行描述性统计、卡方检验和多元回归分析影响避孕药具使用的因素。使用Stata软件版本16，设定统计学显著性为p≤0.001。

结果

在总共3233名15 - 19岁的少女中，大多数处于小学教育水平（71.59%）。此外，超过三分之二的参与者是基督教徒（75.83%）。结果显示，只有12.87%的少女报告目前正在使用避孕药具。宗教、居住类型、地区、财富指数和婚姻状况被发现与现代避孕药具的使用有关。此外，与传统方法（14.40%）相比，大多数受访者更喜欢现代避孕方法（85.60%）。地区与现代避孕药具使用偏好显著相关。与西部地区的少女相比，中部和沃尔特地区的少女选择现代避孕药具使用的几率分别低88%和89%。此外，婚姻状况被发现与避孕药具使用的障碍有显著关联。与已婚少女相比，未婚少女使用避孕药具的障碍几率低88%。