ArticleBMC women's health2020
Patterns, trends, and factors associated with contraceptive use among adolescent girls in Zambia (1996 to 2014): a multilevel analysis.
Article in BMC women's health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 70 citations in OpenAlex.
- Trial
- Sexual autonomy and contraceptive use among married or cohabiting female youth: insights from recent Ghana demographic and health survey.Contraception and reproductive medicine · 2026Article
- Use of modern contraceptive methods among women of childbearing age attending maternal and child health services in Abidjan and Agboville (Cote d'Ivoire).BMC public health · 2026Article
- Trends and factors associated with modern contraceptive use among sexually active female youths in Tanzania, 2004-2022.BMJ open · 2025Article
- Correlates of long-acting reversible contraceptive (LARC) use among young women in Southern Africa: a secondary analysis from HPTN 082.medRxiv : the preprint server for health sciences · 2025Article
- Contraceptive use and determinants among sexually active unmarried adolescents and young women (aged 15-24 years) in East Africa: insights from Demographic and Health Survey data.International health · 2025Article
- The role of social networks in motivating access and use of contraceptives among adolescent girls and young women living in resource-constrained settings in Cape Town, South Africa.Reproductive health · 2025Article
- A comparative analysis of factors associated with modern contraceptive use among youth in Northern and Southern Nigeria: A cross-sectional population-based survey (2011-2021).PLOS global public health · 2025Article
- Inequality in modern contraceptive use and unmet need for contraception among women of reproductive age in Zambia. A trend and decomposition analysis 2007-2018.Reproductive health · 2024Article
- Factors associated with modern contraceptive utilization among reproductive age women in Cambodia; evidenced by the recent Cambodia demographic and health survey.Contraception and reproductive medicine · 2024Article
- Trends in prevalence and factors associated with unintended pregnancies in Zambia (2001-2018).BMC pregnancy and childbirth · 2024Article
- Prevalence and factors associated with contraceptive use among sexually active adolescent girls in 25 sub-Saharan African countries.PloS one · 2024Article
- Adolescent pregnancy persists in Nigeria: Does household heads' age matter?PLOS global public health · 2024Article
- Social context of contraceptive use transition among sexually active women in Zambia (1992-2018): A decomposition analysis.PloS one · 2024Article
- Preference for novel biomedical HIV pre-exposure prophylaxis methods among adolescent girls and young women in Kampala, Uganda: a mixed methods study.Frontiers in public health · 2024Article
- Understanding adolescent girls' experiences with accessing and using contraceptives in Zambia.BMC public health · 2023Article
- Factors contributing to changes in contraceptive use among adolescent girls in Zambia: a decomposition analysis.Journal of public health in Africa · 2023Article
- Perspectives on the side effects of hormonal contraceptives among women of reproductive age in Kitwe district of Zambia: a qualitative explorative study.BMC women's health · 2023Article
- Male partner influence on Women's choices and utilisation of family planning services in Mufulira district, Zambia.Heliyon · 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
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite high levels of pregnancy and childbearing among adolescents in Africa, contraceptive use remains low. Examining variations in contraceptive use among adolescent girls is vital for informing programs to improve contraceptive utilisation among this segment of the population. This study aimed to examine the patterns, trends, and factors associated with contraceptive use among adolescents in Zambia over the period 1996-2014.
methodsThe study involved an analysis of data from 1996, 2001/2, 2007 and 2013/14 Zambia Demographic and Health Surveys focusing on adolescent girls aged 15-19 years. Analysis entailed descriptive statistics and estimation of multilevel logistic regression models examining variations in contraceptive use among adolescent girls over time. Estimates with p-values less than 0.05 were considered statistically significant.
resultsResults showed that contraceptive use remains low and ranged from 7.6% in 1996 to 10.9% in 2013/14, reflecting a change of 3.3 percentage points over 18 years. Over the 18 years, contraceptive use was significantly associated with age, level of education, and marital status. Older adolescent girls and those with higher levels of education were significantly more likely to use contraception compared to younger ones and those with lower levels of education. Although initially significant (AOR 0.556, 95% CI 0.317, 0.974 in 1996), rural-urban differences disappeared between 2001/2 and 2007 but re-emerged in 2013/14 (AOR 0.654, 95% CI 0.499, 0.859). Across all survey years, adolescents who were married or living with a partner were significantly more likely to use contraceptives compared to those who were not married.
conclusionsThe findings suggest the need for targeted interventions to improve contraceptive use among sexually active adolescent girls in the country in general, and those who are disadvantaged in particular.
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