Adolescent Contraceptive Utilization and Related Factors in Addis Ababa, Ethiopia
1
Biomedical, St. Paul's Hospital Millennium Millennium Medical College, Addis Ababa, Ethiopia
2
Medical Research-International Health, University Hospital, Munich, Germany
3
Gyneacology and Obstetrics, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
4
Epidemilogy and Biostatistics, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
5
Pediatrics and Child Health, St. Paul’s Hospital Millennium Medical College, Addis Ababa, Ethiopia
6
Department of Medical Laboratory, Dilla University, Dilla, Ethiopia
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
BACKGROUND:
Encouraging the use of contraceptives among high school adolescents aged 10-19 years offers dual benefits, including preventing sexually transmitted diseases (STDs) and reducing complications related to pregnancy and childbirth. Methods and Materials: A cross-sectional study was carried out from 1-December-22 to 30-February-2023, among high school students enrolled in both government and private schools in five randomly selected sub-cities of Addis Ababa, Ethiopia. Data were collected using a self-administered questionnaire and entered into Epi-Info version 7.0. Subsequently, the data were exported to SPSS version 20 for further analysis. Binary and multivariable logistic regression analyses were performed, with p-values ≤ 0.05 considered statistically significant.
RESULTS:
The study included a total of 1387 adolescent high school students, with 778 from government schools and 609 from private schools. Among them, 649 were male and 738 were female. Condoms were the most commonly used modern contraceptive, while emergency pills were the least used. Participants who had discussions about sexual issues with their families were 3.52 times more likely to use contraceptive methods (AOR = 3.52, 95% CI: 1.30, 9.53). Those who had their first sexual experience were 6.49 times more likely to use contraceptives (AOR = 6.49, 95% CI: 2.0, 20.92) compared to those for whom sexual intercourse was not the first time. Additionally, students who believed that contraceptive use was solely a woman's affair were 3.05 times more likely to use contraceptive methods (AOR= 3.05, 95%CI; 1.38, 6.72) than those who did not hold such beliefs.
CONCLUSIONS:
Discussing sexual issues within families, having sexual intercourse for the first time, and perceiving contraception as solely a woman's concern were associated with increased contraceptive use among high school adolescents. It is essential to promote open communication about sexual health within families and provide comprehensive sexual education in schools settings to enhance modern contraceptive utilization.
Encouraging the use of contraceptives among high school adolescents aged 10-19 years offers dual benefits, including preventing sexually transmitted diseases (STDs) and reducing complications related to pregnancy and childbirth. Methods and Materials: A cross-sectional study was carried out from 1-December-22 to 30-February-2023, among high school students enrolled in both government and private schools in five randomly selected sub-cities of Addis Ababa, Ethiopia. Data were collected using a self-administered questionnaire and entered into Epi-Info version 7.0. Subsequently, the data were exported to SPSS version 20 for further analysis. Binary and multivariable logistic regression analyses were performed, with p-values ≤ 0.05 considered statistically significant.
RESULTS:
The study included a total of 1387 adolescent high school students, with 778 from government schools and 609 from private schools. Among them, 649 were male and 738 were female. Condoms were the most commonly used modern contraceptive, while emergency pills were the least used. Participants who had discussions about sexual issues with their families were 3.52 times more likely to use contraceptive methods (AOR = 3.52, 95% CI: 1.30, 9.53). Those who had their first sexual experience were 6.49 times more likely to use contraceptives (AOR = 6.49, 95% CI: 2.0, 20.92) compared to those for whom sexual intercourse was not the first time. Additionally, students who believed that contraceptive use was solely a woman's affair were 3.05 times more likely to use contraceptive methods (AOR= 3.05, 95%CI; 1.38, 6.72) than those who did not hold such beliefs.
CONCLUSIONS:
Discussing sexual issues within families, having sexual intercourse for the first time, and perceiving contraception as solely a woman's concern were associated with increased contraceptive use among high school adolescents. It is essential to promote open communication about sexual health within families and provide comprehensive sexual education in schools settings to enhance modern contraceptive utilization.
| eISSN: | 2654-1459 |
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