Evidence map›Paper›PMID 40995867›Full record

ArticleWomen's health (London, England)

Emergency contraceptive utilization and associated factors among adolescents and young adults in Gulu East Division, Northern Uganda.

Florence Laker, Jerom Okot, Francis Williams Ojara, Franceska Akello, Derick Amone, Pebalo Francis Pebolo, Silvia Awor, Pamela Atim, Felix Bongomin

Abstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
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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

9 authors.

Florence LakerDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.ORCID 0009-0009-1668-288X
Jerom OkotDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.ORCID 0000-0002-4160-6418
Francis Williams OjaraDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.
Franceska AkelloDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.
Derick AmoneDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.
Pebalo Francis PeboloDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.ORCID 0000-0002-1205-1150
Silvia AworDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.
Pamela AtimDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.
Felix BongominDepartment of Reproductive Health, Faculty of Medicine, Gulu University, Uganda.ORCID 0000-0003-4515-8517

Funding

Minnesota-Makerere-Mbarara Neuro-Infectious Disease Research Training ConsortiumD43TW012266 · FIC · UNIVERSITY OF MINNESOTA · PI David R Boulware, David Bisagaya Meya · 2024 to 2026
$747k
FIC NIH HHS D43 TW012266
6 · The paper itself

Abstract

backgroundLimited emergency contraception (EC) use contributes to unintended pregnancies and health risks among adolescents and young adults in conflict-affected regions. In Northern Uganda's post-conflict setting, there is a need for research on EC utilization among adolescents and young adults.

objectiveWe assessed emergency contraceptive utilization and associated factors among adolescents and young adults in Gulu East Division, Northern Uganda, following 25 years of post-conflict recovery.

methodsA community-based cross-sectional study was conducted among 400 adolescents and young adults in Gulu East Division using self-administered questionnaires. Data analysis involved descriptive statistics and logistic regression using STATA (StataCorp LLC) to identify factors associated with EC utilization.

resultsAmong 400 participants, 322 (80.5%) were aware of EC, but only 173 (43.3%) utilized it. Correlation analysis revealed negative correlations between age and employment status and living arrangement, and a positive correlation between education level and marital status. Multivariate analysis showed that EC utilization was significantly associated with age, education level, employment status, living arrangement, and EC service offer. Women aged 14-19 years and those not offered EC services were less likely to use EC (adjusted odds ratio (aOR) = 0.47), while women with secondary education (aOR = 3.05), employed women (aOR = 2.76), and those living alone (aOR = 9.76) were more likely to use EC.

conclusionThere is a gap between awareness and utilization of EC among adolescents and young adults in Gulu East Division. Targeted interventions are needed for adolescents and those with limited access to EC services to increase utilization and prevent unintended pregnancies.

Indexed as

Contraception BehaviorContraception, PostcoitalContraceptives, PostcoitalHealth Knowledge, Attitudes, PracticeAdolescentAdultCross-Sectional StudiesFemaleHumansPregnancySocioeconomic FactorsSurveys and QuestionnairesUgandaYoung AdultContraceptives, Postcoitaladolescents and young adultsemergency contraceptivesNorthern Ugandautilization

Identifiers

PMID40995867
PMCPMC12464403

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LicenceCC BY-NC
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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.