Determinants of subsequent contraceptive use among adolescents with prior unmet need in the Rakai Community Cohort Study (RCCS) population in Uganda
64th ISI World Statistics Congress - Ottawa, Canada
Format: CPS Abstract
Session: CPS 13 - Statistics and health I
Monday 17 July 4 p.m. - 5:25 p.m. (Canada/Eastern)
Introduction: Globally interventions aimed at reducing the unacceptably high levels of adolescent pregnancy need to be strengthened. Adolescents in Africa are more disproportionately affected by adolescent pregnancy than adolescents in other regions and it is becoming increasingly important to explore strategies that can be employed to decrease adolescent pregnancy rates, particularly with regards to their application within the African cultural context.
Objective: To establish the determinants of subsequent contraceptive use among adolescents with prior unmet need among adolescents in the Rakai Community Cohort Study (RCCS) population.
Methods: Data from Rakai Community Cohort Study (RCCS)-a population-based HIV surveillance cohort, on adolescents (15-19 years) from round 19 (May 2018 to Nov 2020) was utilized. Data analysis was performed using STATA statistical software version 16. At univariate level, descriptive statistics will be used to summarize the basic features of the data. Mean, mode and standard deviation will be drawn from the data. This will permit interpretation of data and bring meaning to it. Logistic regression model will be used to determine associations.
Results: Results indicate that 91.5% of the adolescents are currently using a family planning method. Age, marital status, occupation, education level, having any living child, ever having a sexual relationship, and the number of sexual partners were significantly associated with current contraception use (p<0.001). Sexual activity and behavior factors of Adolescents who did not have any living child were 65% less likely to use contraception than those who had living children (OR=0.35, CI=0.16-0.77: P=0.009). Adolescents who had more than five sexual partners were 5 times more likely to use contraception than their peers with one or two sexual partners (OR=4.64, CI=1.48-14.53: P=0.008).
Conclusions: This suggests that adolescents use contraceptives mostly after the first pregnancy. There is need for appropriate age specific fertility interventions aimed at increasing contraceptive use and reducing adolescent pregnancies and hence reduce adolescent fertility rates.