ArticleBMC pregnancy and childbirth2023
"I was just concerned about getting pregnant": Attitudes toward pregnancy and contraceptive use among adolescent girls and young women in Thika, Kenya.
Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 10 citations in OpenAlex.
- A Dual Prevention Pill for HIV & Pregnancy Prevention: A Pilot Study Among Adolescent Girls and Young Women in Zimbabwe.AIDS and behavior · 2026Trial
- A Systematic Review of Barriers and Facilitators to the Uptake and Adherence of Injectable PrEP Among Adolescent Girls and Young Women in Sub-Saharan Africa.AIDS and behavior · 2026Review
- Adolescent pregnancy in India: multilevel insights into distribution, determinants and socioeconomic inequalities.BMJ public health · 2026Article
- Prevalence and factors associated with risky sexual behaviors among adolescent girls and young women in Rwanda: evidence from a national population-based cross-sectional HIV impact assessment, 2018-2019.The Pan African medical journal · 2026Article
- Visible Pregnancy, Invisible HIV: How Social Norms Shape Adolescents Protection Choice in Kenya and Nigeria.Annals of global health · 2026Article
- A qualitative study in Rwamagana District, Rwanda, on the acceptability and utilisation of sexual and reproductive services in youth corners.Reproductive health · 2025Article
- How does the rise in contraceptive usage predict pregnancy termination among young women in Kenya? an in-depth multilevel analysis.BMC public health · 2025Article
- Perceived benefits and barriers to the use of long-acting injectable antiretroviral treatment among adolescents and young people living with HIV in Western Kenya: qualitative findings from the KuwaFree! LiveFree! Study.Frontiers in medicine · 2025Article
- Contraception and PrEP knowledge, attitudes, and practices among adolescent girls and young women in Nampula, Mozambique.PLOS global public health · 2025Article
- 'Better she gets infected by other diseases but not pregnancy'. Narratives from adolescent girls and community males following pregnancy escalation during COVID-19 lockdown.Frontiers in reproductive health · 2025Article
- Willingness to Test for HIV and Initiate Post-exposure Prophylaxis Among Adolescent Girls and Young Women Seeking Emergency Contraceptive Pills in Pharmacies in Nairobi and Kisumu, Kenya: A Longitudinal Study.The Journal of the Association of Nurses in AIDS Care : JANACArticle
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Authors and funding
9 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundAdolescent girls and young women (AGYW) have a high incidence of unplanned pregnancies, especially in low-resource settings. AGYW assess the overlapping risks of pregnancy, contraception, and STIs as they navigate relationships. Few studies have examined how AGYW consider the comparative risks of their decisions around sexual and reproductive health in this context or how risk perception influences contraceptive use.
methodsTwenty in-depth interviews (IDIs) and 5 focus group discussions (FGDs) were conducted with a subset of sexually active AGYW enrolled in the Girls Health Study (GHS), a longitudinal cohort study in Thika, Kenya, assessing HSV-2 incidence in a cohort of AGYW aged 16-20. Interview questions were focused on perspectives and decision-making around sexual and reproductive health. Interviews were conducted in both English and Kiswahili, transcribed, and coded using inductive and deductive approaches to identify emerging themes.
resultsMisconceptions about long-acting reversible contraceptives (LARCs), injectables, and daily oral contraceptive pills strongly disincentivized their use among AGYW. Participants described pregnancy as undesirable, and AGYW reported prioritizing contraceptive methods that were effective and reliable in pregnancy prevention, even if not effective in preventing STI/HIV infection. Participants reported that AGYW relied heavily on emergency contraceptive (EC) pills for pregnancy prevention.
conclusionsThough the goal of avoiding unintended pregnancy was common, this did not suffice to motivate the uptake of long-term contraceptives among AGYWs. Given the convenience, cost-effectiveness, and lower perceived risk of side effects, EC pills were more likely to be accepted as a form of contraception. Understanding the reasons for AGYW's acceptance of certain contraceptive methods over others can help future interventions better target communication and counseling about contraception and influence key drivers of AGYW behavior and decision-making around sexual and reproductive health.
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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.