ArticleBMJ open2021
Determinants of contraceptive use among sexually active unmarried adolescent girls and young women aged 15-24 years in Ghana: a nationally representative cross-sectional study.
Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
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Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Adolescents' Contraceptive Uptake in Ethiopia: A Meta-Analysis.BioMed research international · 2022Pooled it
- Factors Associated With Female Adolescent Usage of Modern Contraceptives in Northern Ghana: A Cross-Sectional Survey of a Rural Municipality.Public health challenges · 2026Article
- Trends and determinants of modern contraceptive use among sexually active adolescent females in Bangladesh: Evidence of four national surveys (2011-2022).Contraception and reproductive medicine · 2026Article
- 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
- Review
- Article
- Sexual autonomy and contraceptive use among married or cohabiting female youth: insights from recent Ghana demographic and health survey.Contraception and reproductive medicine · 2026Article
- Why are so many pregnancies still unintended in Ghana? A closer look at factors influencing reproductive autonomy.PLOS global public health · 2026Article
- Magnitude of Modern Contraceptive Use and Its Determinants Among Sexually Active Adolescent Girls and Young Women in Selected High HIV Prevalence Southern African Countries: A Multilevel Mixed-Effect Analysis.Open access journal of contraception · 2026Article
- Factors influencing contraceptive use among teenage girls in Ghana: analysis of the Ghana living standard survey 7.Contraception and reproductive medicine · 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
- Factors influencing type of contraceptive use among Ghanaian males: Insights from the 2022 Ghana demographic and health survey.Public health in practice (Oxford, England) · 2025Article
- Gender differences and factors affecting opinions on condom use and sexual experiences among adolescents in a high teenage pregnancy setting in the Volta Region, Ghana.Reproductive health · 2025Article
- Regional disparities and sociodemographic determinants of intention to use contraceptives among Somali women: a cross-sectional analysis of the 2020 SDHS.Contraception and reproductive medicine · 2025Article
- Voices unveiled: a mixed-methods exploration of family planning education, access, and Sociocultural determinants for enhancing contraceptive decision-making in western Gujarat, India.Contraception and reproductive medicine · 2025Article
- Knowledge of Ghana's liberal abortion law and use of modern contraceptives among women of reproductive age.Reproductive health · 2025Article
- Sexual activity and contraceptive use among adolescents: A descriptive survey in a Ghanaian municipality.PLOS global public health · 2025Article
- Contraceptive use and counselling in women with mental illness: KwaZulu-Natal, South Africa.The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa · 2025Article
- Determinants of modern contraceptive use among married and sexually active unmarried women aged 15-49 years old in Cambodia: How are geographical and socio-demographic factors associated with access?PLOS global public health · 2025Article
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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
objectiveThere is a decline in contraceptive use among sexually active unmarried young women in Ghana. This study assessed the prevalence of contraceptive knowledge and use, and the determinant of contraceptive use among sexually active unmarried young women in Ghana.
designThis was a nationally representative cross-sectional survey, using data from the 2017 Ghana Maternal Health Survey. Weighted logistic regression was used to assess the association between background and obstetric characteristics of young women and contraceptive use.
settingGhana.
participantsA total of 809 sexually active unmarried adolescent girls (15-19 years) and young women (20-24 years). PRIMARY AND SECONDARY OUTCOME MEASURES: Knowledge and use of both modern and traditional contraceptive methods.
resultsKnowledge of at least one modern and traditional contractive method was 99.8% and 95.0%, respectively. The prevalence of contraceptive use was 43%-with 34% modern and 9% traditional methods. From the unadjusted analyses, age (p=0.002), past pregnancy (p<0.001), abortion in the past 5 years (p=0.007) and history of childbirth (p=0.025) were independently associated with contraceptive use, whereas education (p=0.072), place of residence (p=0.702), household wealth (p=0.836) and age at first sex (p=0.924) were not independently associated with contraceptive use. In the adjusted analysis, contraceptive use was significantly higher among respondents with secondary education compared with those with primary education (OR 2.43, 95% CI 1.31 to 4.49, p=0.017), and was higher among respondents with a history of pregnancy (OR 2.13, 95% CI 1.48 to 3.06, p<0.001).
conclusionThere is a significant gap between knowledge and use of contraceptives among the study population. While intensifying knowledge of adolescents and young women on contraceptives, adolescent-friendly corners should be established at vantage points to increase utilisation and to prevent societal stigma on young women who access contraceptives services.
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