Evidence map›Paper›PMID 33115489›Full record

ArticleReproductive health2020

Influences on seeking a contraceptive method among adolescent women in three cities in Nigeria.

Elynn Kann Sanchez, Ilene S Speizer, Elizabeth Tolley, Lisa M Calhoun, Clare Barrington, Adesola O Olumide

Abstract read
In one paragraph

Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 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

6 authors.

Elynn Kann SanchezDepartment of Maternal and Child Health, Gillings School of Global Public Health, UNC, Chapel Hill, North Carolina, USA.
Ilene S SpeizerDepartment of Maternal and Child Health, Gillings School of Global Public Health, UNC, Chapel Hill, North Carolina, USA. ilene_speizer@unc.edu.ORCID http://orcid.org/0000-0001-6204-1316
Elizabeth TolleyDepartment of Maternal and Child Health, Gillings School of Global Public Health, UNC, Chapel Hill, North Carolina, USA.
Lisa M CalhounCarolina Population Center, University of North Carolina-Chapel Hill, Chapel Hill, North Carolina, 27516, USA.
Clare BarringtonDepartment of Health Behavior, Gillings School of Global Public Health, UNC, Chapel Hill, North Carolina, USA.
Adesola O OlumideInstitute of Child Health, University of Ibadan, College of Medicine, Ibadan, Nigeria.

Funding

Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Gates Foundation OPP1161858Gates Foundation OPP1183027NICHD NIH HHS P2C HD050924NICHD NIH HHS R24 HD050924
6 · The paper itself

Abstract

backgroundDespite international support for increasing access to contraceptives among adolescents, gaps in use still exist worldwide. Past research has identified barriers to use across all levels of the socioecological model including restrictive policies, a lack of youth friendly services, and knowledge gaps. This study was conducted to further identify influences on contraceptive use among adolescent girls in Nigeria in hopes of guiding future policies and programs.

methodsIn 2018, 12 focus group discussions (FGD) were conducted in three cities in Nigeria with young women ages 15-24 with the objective of determining what and who influence adolescents' contraceptive seeking behaviors. A vignette structure was used to identify perceptions on injunctive and descriptive community norms that influence adolescent contraceptive behaviors. The FGDs were conducted by members of the University of Ibadan Centre for Population and Reproductive Health (CPRH) and analyzed by a researcher at the University of North Carolina-Chapel Hill's Carolina Population Center using a thematic analysis approach.

resultsParticipants identified community level resistance to sex and contraceptive use among unmarried adolescents though also acknowledged that these adolescent behaviors are still occurring despite established norms. Concerns about side effects and the preservation of fertility were frequently attached to contraceptive use and pointed to as a reason for community resistance to contraceptive use among this population. Participants saw peers, parents and partners as influencers on a girl's decision to seek a method, though each were believed to play a different role in that decision.

conclusionThe findings show that that despite barriers created by established injunctive norms, young women with a supportive social network can access contraceptive methods despite these barriers. By harnessing the influence of peers, partners and parents, the Nigerian family planning efforts can strive to improve the health and well-being of young people.

Indexed as

ContraceptionCultural CharacteristicsHealth Knowledge, Attitudes, PracticeInformation Seeking BehaviorSocial EnvironmentAdolescentAdultCitiesContraception BehaviorFamily Planning ServicesFemaleFocus GroupsHumansNigeriaQualitative ResearchYoung AdultAdolescentsContraceptionSub-Saharan Africa

Identifiers

PMID33115489
PMCPMC7594415

What OpenQuestion holds

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LicenceCC BY
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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.