ArticlePloS one2018
Contraceptive use and unintended pregnancy among young women and men in Accra, Ghana.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed, 87 citations in OpenAlex.
- Sexual autonomy and contraceptive use among married or cohabiting female youth: insights from recent Ghana demographic and health survey.Contraception and reproductive medicine · 2026Article
- Family planning in the Atwima Nwabiagya North District: A follow-up on attitudes and practices.Journal of public health in Africa · 2026Article
- Why are so many pregnancies still unintended in Ghana? A closer look at factors influencing reproductive autonomy.PLOS global public health · 2026Article
- Factors influencing clinical breast cancer screening: A cross-sectional study among Islamic women in Kumasi Metropolis of Ghana.PloS one · 2025Article
- Legal changes and evidence on unmet need for contraception, Philippines.Bulletin of the World Health Organization · 2024Article
- Decision-making pathways for contraceptive use among refugee and host populations in Adjumani district, Uganda; an exploratory study.BMC women's health · 2024Article
- Determinants of men's perspectives on women contraceptive use in Ghana: an analysis of the 2022 Ghana demographic and health survey.Contraception and reproductive medicine · 2024Article
- What emerging adults say about the appropriateness of sexual and reproductive health programmes: evidence from a suburb in Accra, Ghana.Frontiers in reproductive health · 2024Article
- Unintended pregnancy and contraceptive use among women in low- and middle-income countries: systematic review and meta-analysis.Contraception and reproductive medicine · 2023Review
- The association between contraceptive use and desired number of children among sexually active men in Zambia.BMC public health · 2023Article
- Prevalence and factors associated with condom use among sexually active young women in Haiti: evidence from the 2016/17 Haiti demographic and health survey.BMC women's health · 2023Article
- 'Baby mamas' in Urban Ghana: an exploratory qualitative study on the factors influencing serial fathering among men in Accra, Ghana.Reproductive health · 2023Article
- Determinants and prevalence of modern contraceptive use among sexually active female youth in the Berekum East Municipality, Ghana.PloS one · 2023Article
- Toward contraception education in basic schools: Teachers' knowledge, perceptions, and attitudes regarding contraceptive use by basic school pupils in a Ghanaian Municipality.SAGE open medicine · 2023Article
- Social-psychological determinants of hormonal contraceptive use intentions among adolescent girls in the Bono East Region of Ghana.Frontiers in public health · 2023Article
- Magnitude of unintended pregnancy and its determinants among childbearing age women in low and middle-income countries: evidence from 61 low and middle income countries.Frontiers in reproductive health · 2023Article
- Sexual and reproductive health knowledge of postgraduate students at the University of Cape Town, in South Africa.Reproductive health · 2022Article
- Trend, multivariate decomposition and spatial variations of unintended pregnancy among reproductive-age women in Ethiopia: evidence from demographic and health surveys.Tropical medicine and health · 2022Article
- Geographical hotspots and correlates of early sexual debut among women in Ghana.Reproductive health · 2022Article
- Coverage and determinants of modern contraceptive use in sub-Saharan Africa: further analysis of demographic and health surveys.Reproductive health · 2022Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of this study was to determine factors associated with modern contraceptive use and unintended pregnancy among young women and men in Accra, Ghana. From September-December 2013, we conducted a cross-sectional survey with 250 women and 100 men aged 18-24. We explored determinants of modern contraceptive use among males and females and unintended pregnancy among females. Descriptive statistics, chi-square tests, Fisher's exact tests, and multivariable logistic regression were used. Participants had an average of three lifetime sexual partners, and 91% had one current partner. Overall, 44% reported current modern contraceptive use. In multivariate modeling, modern contraceptive use was associated with higher education compared to primary (AORs 2.1-4.3); ever talking with someone about contraception (AOR 4.7); feeling unsupported by a healthcare provider for contraception (AOR 2.2); and not feeling at risk of unintended pregnancy (AOR 2.7). While ≥70% of participants recognized most contraceptive methods, awareness of some methods was lacking. Nearly all respondents (91%) felt at least one modern method was unsafe. Nearly half of all females (45%) reported their last pregnancy was unintended, and 63% of females and 58% of males felt at risk for future unintended pregnancy. Women were more likely to experience unintended pregnancy if they had ever given birth (AOR 6.7), their sexual debut was 8-14 years versus 20-24 years (AOR 3.4), or they had 3-4 lifetime sexual partners versus 1-2 (AOR 2.4). Targeted interventions are needed to improve understanding of the safety of modern contraceptive methods, increase awareness of long-acting methods, and consequently increase modern contraceptive access and use.
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