ArticleBMC women's health2016
"It is challenging… oh, nobody likes it!": a qualitative study exploring Mozambican adolescents and young adults' experiences with contraception.
Article in BMC women's health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 4 syntheses or guidelines pooled it, 67 citations in OpenAlex.
- Are facility service delivery models meeting the sexual and reproductive health needs of adolescents in Sub-Saharan Africa? A qualitative evidence synthesis.BMC health services research · 2025Pooled it
- The use of condoms and other birth control methods among sexually active school-going adolescents in nine sub-Saharan African countries.BMC public health · 2022Pooled it
- Adolescent condom use in Southern Africa: narrative systematic review and conceptual model of multilevel barriers and facilitators.BMC public health · 2021Pooled it
- Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.PloS one · 2021Pooled it
- A Systematic Review of Barriers and Facilitators to the Uptake and Adherence of Injectable PrEP Among Adolescent Girls and Young Women in Sub-Saharan Africa.AIDS and behavior · 2026Review
- Pregnant women's perceived unhappiness with current pregnancy: an analysis of prevalence, reasons, and associated factors in Quelimane district, Mozambique.BMC pregnancy and childbirth · 2026Article
- Mapping research evidence on the use of contraceptives among adolescent girls in Africa: a scoping study.BMC public health · 2026Article
- Factors associated with non-use of modern contraceptive methods in the school-going adolescent's girls and young women in Guinea.Journal of public health in Africa · 2026Article
- Increasing young people's use of sexual and reproductive health services in government health facilities in rural Kenya.PloS one · 2026Article
- "Some rumors can make you fear to use the methods": a qualitative analysis of barriers to the utilization of modern birth control services among adolescent girls and young women in rural Northern Uganda.BMC women's health · 2025Article
- An in-depth interview study of women's perspectives on the effects of contraceptive use on future fertility in Ethiopia and Kenya.SSM. Qualitative research in health · 2025Article
- Knowledge and attitudes on sexual and reproductive health among adolescents and youths in Refugee Settlements: A case of Palorinya, Uganda.African health sciences · 2025Article
- Non utilization of modern contraceptives among sexually active adolescent girls and young women aged 10-24 years in selected districts of Busoga region, Eastern Uganda: a cross-sectional study.Contraception and reproductive medicine · 2025Article
- Spatial distribution and determinants of health care access barriers among female Pakistan youths: spatial and multilevel regression analysis.BMC health services research · 2025Article
- Article
- Identifying the causes and consequences of pregnancy in Iranian Kurdish women under the age of 18: A grounded theory study.Heliyon · 2025Article
- Individual and relational dynamics perceived to influence the sexual behaviour of adolescents in Ethiopia: a qualitative study.Frontiers in reproductive health · 2024Article
- Understanding adolescent girls' experiences with accessing and using contraceptives in Zambia.BMC public health · 2023Article
- Socio-cultural factors perceived to influence sexual behaviours of adolescents in Ethiopia.African journal of primary health care & family medicine · 2023Article
- Motivators and Influencers of Adolescent Girls' Decision Making Regarding Contraceptive Use in Four Districts of Zambia.International journal of environmental research and public health · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBy focusing upon formal sex education programmes, the Mozambican government has significantly enhanced the general health of adolescents and young adults. However, when it comes to contraception, little is known about how adolescents and young adults actually behave.
methodsBased upon a qualitative study in two settings in Maputo province - Ndlavela and Boane - this paper explores the knowledge and practices of contraception among adolescents and young adults. A total of four focus group discussions, 16 in-depth interviews, four informal conversations, and observations were equally divided between both study sites.
resultsDiscrepancies between what adolescents and young adults know and what they do quickly became evident. Ambivalent and contradictory practices concerning contraceptive use was the result. As well, young people had numerous interpretations of risk-taking when not using contraceptives. These inconsistencies are influenced by social and medical barriers such as restricted dialogue on sexuality among adolescents and young adults and their parents and peers. Additionally, ideas about indigenous contraceptives, notions of masculinity and femininity, misconceptions and fear of the side effects of contraceptives, make people of all ages wary of modern birth control. Other barriers include imposed contraceptive choice - meaning no choice, overly technical medical language used at clinics and the absence of healthcare workers more attuned to the needs of adolescents and young adults.
conclusionsAdolescents and young adults have numerous - often erroneous - opinions about contraception, leading to inconsistent use as well as vague perceptions of risk-taking. Moreover, social norms and cultural gender roles often contradict and hinder risk-avoiding behaviour. Therefore, in order to improve young people's health, policymakers must address the reasons behind this ambivalence and inconsistency.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.