ArticleBMC public health2020
Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea.
Article in BMC public 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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29 citing papers in PubMed.
- An Unstructured Supplementary Service Data-Based mHealth App Providing On-Demand Sexual Reproductive Health Information for Adolescents in Kibra, Kenya: Randomized Controlled Trial.JMIR mHealth and uHealth · 2022Trial
- Modern contraceptive use after sexual debut among Ghanaian adolescent girls (15-19 years): a secondary analysis of the 2022 Demographic and Health Survey.Contraception and reproductive medicine · 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
- Contraceptive-induced menstrual changes in low- and middle-income countries: a systematic scoping review.Communications medicine · 2025Article
- Exploring barriers, facilitators, and preferences for the uptake of contraceptive methods among adolescents aged 15-19 years in Neno district, Malawi: a qualitative study.Sexual and reproductive health matters · 2025Article
- Modern Contraceptive Use Among Young Women in Kampala Slums: Research Findings from the TOPOWA Study.International journal of environmental research and public health · 2025Article
- Prevalence and factors associated with the use of modern contraceptive methods among female healthcare providers in health facilities in Guinea.Frontiers in global women's health · 2025Article
- Determinant of unmet need for family planning among adolescent and young women in Kenya: multilevel analysis using recent Kenyan demographic health survey.Frontiers in reproductive health · 2025Article
- Spousal age differences and women's contraceptive use in sub-Saharan Africa.Contraception and reproductive medicine · 2024Article
- Adolescent girls and young women's (AGYW) access to and use of contraception services in Cape Town: perspectives from AGYW and health care providers.BMC health services research · 2024Article
- Multilevel analysis on prevalence and associated factors of modern contraceptive uptake in Somaliland: based on The Somaliland Health and Demographic Survey 2020.Reproductive health · 2024Article
- Prevalence and factors associated with intention to use contraceptives among women of reproductive age: a multilevel analysis of the 2018 Guinea demographic and health survey.BMC pregnancy and childbirth · 2024Article
- Examining the decline in modern contraception usage among married women in Bangladesh: Applying Blinder-Oaxaca decomposition analysis.PloS one · 2024Article
- Article
- Trend, geographical distribution, and determinants of modern contraceptive use among married reproductive-age women, based on the 2000, 2005, 2011, and 2016 Ethiopian demographic and health survey.BMC women's health · 2023Article
- Factors contributing to changes in contraceptive use among adolescent girls in Zambia: a decomposition analysis.Journal of public health in Africa · 2023Article
- Family planning needs to limit childbearing are unmet, yet our parity is high: characterizing and unveiling the predictive factors.BMC women's health · 2023Article
- Perceived ideal number of children among adolescent girls in sub-Saharan Africa: does exposure to family planning messages matter?BMC women's health · 2023Article
- Comparing the reasons for contraceptive discontinuation between parenting adolescents and young women in sub-Saharan Africa: a multilevel analysis.Reproductive health · 2023Article
- Contraceptive use pattern based on the number and composition of children among married women in sub-Saharan Africa: a multilevel analysis.Contraception and reproductive medicine · 2023Article
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8 authors.
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Abstract
backgroundIn Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea.
methodsWe used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15-24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018).
resultsWe found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p < 0.01) and demand satisfied (29.0% in 1999, 54.1% in 2018, p < 0.001), and a decrease in unmet need for FP (15.8% in 1999, 8.6% in 2018, p < 0.001). Factors significantly associated with modern FP use were; young women aged 20-24 years (AOR 2.8, 95% CI: 1.9-4.1), living in urban areas of Faranah (AOR: 2.6, 95% CI: 1.1-6.5) and Kankan (AOR: 3.6, 95% CI: 1.7-7.8), living in households in the middle (AOR: 7.7, 95% CI: 1.4-42.2) and richer wealth quintiles (AOR: 6.3, 95% CI: 1.0-38.1). Ever-married women (AOR: 0.5, 95% CI: 0.3-0.9) were less likely to use modern FP methods than never married as were those from the Peulh (0.3, 95% CI: 0.2-0.4) and Malinke (0.5, 95% CI: 0.3-0.8) ethnic groups compared to Soussou ethnic group.
conclusionDespite some progress, efforts are still needed to improve FP method use among urban adolescent and young women. Age, administrative region, wealth index, marital status, and ethnic group are significantly associated with modern FP use. Future policies and interventions should place emphasis on improving adolescents' reproductive health knowledge, increasing FP availability and strengthening provision. Efforts should target adolescents aged 15-19 years in particular, and address disparities between administrative regions and ethnic groups, and health-related inequalities.
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