Menstrual Patterns and Contraceptive Use during menstruation among Senior High Schools In Hohoe
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Institute Of Health Research, University Of Health And Allied Sciences, Ho, Ghana
Popul. Med. 2026;8(Supplement Supplement 1):
ABSTRACT
ABSTRACT:
Menstrual health is part of adolescent girls’ physical, mental, and reproductive wellbeing. The onset of menstruation during adolescence is associated with challenges such as irregular menstruation. dysmenorrhea, which affect school attendance and psychosocial wellbeing. Although awareness of contraceptive methods has increased, their use among adolescents remains low due to misinformation, cultural barriers. In Ghana, including Hohoe, discussions around menstruation and contraceptive use are sensitive, restricting adolescents’ ability to manage their reproductive health. Despite existing interventions, limited evidence exists on the relationship between menstrual patterns and contraceptive use among senior high school girls, necessitating this study general
OBJECTIVE:
the study assessed the relationship between menstrual patterns and contraceptive use during menstruation among SHS girls in Hohoe
METHODS:
descriptive cross-sectional quantitative study was conducted among 403 participants using a structured questionnaire. Data were analyzed with STATA 17.0 using descriptive statistics and inferential tests, including chi-square and logistic regression, to assess the relationship between menstrual patterns and contraceptive use.
RESULTS:
Of the 403 participants, 216 were sexually active, with most aged 16-18 years and in Form 2. Menarche occurred at a mean age of 12 years, and most participants reported regular menstrual cycles lasting 4–6 days. Although 56.3% reported contraceptive use, only 28.4% used contraceptives during menstruation with the four stages of menstruation in factor despite 58.5% engaging in sexual activity during this period. Perceived behavioral control significantly predicted behavioral intention (β = 0.52, p < 0.001), which positively influenced contraceptive use during menstruation (β = 0.10, p = 0.007), indicating that SHS girls can use contraceptives during menstruation when supported by strong intention.
CONCLUSIONS:
half of adolescent girls had normal menstrual cycles with few with ideas on the four stages of menstruation and its relationship with contraceptive. contraceptive use was low highlighting the need for culturally sensitive interventions to improve contraceptive uptake.