Evidence map›Paper›PMID 31467055›Full record

ArticleBMJ open2019

Modern contraceptive use among sexually active women aged 15-19 years in North-Western Tanzania: results from the Adolescent 360 (A360) baseline survey.

Mussa Kelvin Nsanya, Christina J Atchison, Christian Bottomley, Aoife Margaret Doyle, Saidi H Kapiga

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Mussa Kelvin NsanyaMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania kelvin.nsanya@gmail.com.ORCID 0000-0001-7653-4541
Christina J AtchisonMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Christian BottomleyMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Aoife Margaret DoyleMRC Tropical Epidemiology Group, London School of Hygiene and Tropical Medicine, London, UK.
Saidi H KapigaMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.

Funding

Medical Research Council G0901756Medical Research Council MR/R010161/1
6 · The paper itself

Abstract

objectivesTo describe differences in modern contraceptive use among adolescent women aged 15-19 years according to their marital status and to determine factors associated with modern contraceptive use among sexually active women in this population.

designCross-sectional analysis of Adolescent 360 evaluation baseline survey.

settingThe 15 urban and semiurban wards of Ilemela district, Mwanza region, North-Western Tanzania.

participantsAdolescent women aged 15-19 years who were living in the study site from August 2017 to February 2018 and who provided informed consent. Women were classified as married if they had a husband or were living as married. Unmarried women were classified as sexually active if they reported having sexual intercourse in the last 12 months. OUTCOME MEASURE: Prevalence of modern contraceptive among adolescent women aged 15-19 years.

resultsData were available for 3511 women aged 15-19 years, of which 201 (5.7%) were married and 744 (22.5%) were unmarried-sexually active. We found strong evidence of differences in use of modern contraceptive methods according to marital status of adolescent women. Determinants of modern contraception use among unmarried-sexually active women were increasing age, increasing level of education, being in education, hearing of modern contraception from interpersonal sources or in the media in the last 12 months, perceiving partner and/or friends support for contraceptive use, as well as higher knowledge and self efficacy for contraception.

conclusionsSexual and reproductive health programmes aiming to increase uptake of modern contraceptives in this population of adolescent women should consider the importance of girl's education and social support for contraceptive use particularly among unmarried-sexually active women.

Indexed as

Sexual BehaviorAdolescentContraception BehaviorCross-Sectional StudiesFemaleHumansMarital StatusSurveys and QuestionnairesTanzaniaYoung AdultadolescentsAfricacontraceptionfamily planningreproductive health

Identifiers

PMID31467055
PMCPMC6720144

What OpenQuestion holds

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Registered trials

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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.