ArticleBMJ open2025
Trends and factors associated with modern contraceptive use among sexually active female youths in Tanzania, 2004-2022.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Modern contraception methods usage trend among Egyptian females and its determinant factors: results from five national surveys.BMC public health · 2026Article
- Article
- Factors associated with married adolescent girls' and young women's participation in decision-making regarding sexual and reproductive health in Tanzania: a nationwide cross-sectional survey.Reproductive health · 2026Article
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9 authors.
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Abstract
objectiveThe study aimed to assess the trends and factors associated with modern contraceptive use among female youths (15-24 years) in Tanzania from 2004 to 2022.
designWe performed secondary analysis of cross-sectional data from four consecutive Demographic and Health Surveys (DHS) in Tanzania: 2004, 2010, 2015/2016 and 2022.
settingTanzania.
participantsSexually active female youths (n=8659). PRIMARY OUTCOME: The use of any modern contraceptive method, coded as Yes or No.
resultsThe sample had a median age of 21 (IQR 18-22 years), with 63.7% aged 20-24 years. Modern contraceptive use among female youths increased from 24.6% in 2004 to 32.1% in 2022. Consistent across surveys, modern contraceptive use was positively associated with secondary or higher education level, having one or more live births and engaging in sexual activity within the month preceding the survey. Additionally, adolescents (15-19 years) demonstrated a weak protective association, indicating a reduced likelihood of modern contraceptive use compared with young women (20-24 years). In 2015/2016 and 2022 surveys, primiparous, multiparous and married/cohabiting women were more likely to use modern contraceptives than nulliparous women.
conclusionsModern contraceptive use among female youths increased gradually in Tanzania between 2004 and 2022 Tanzania DHS. To sustain these upward trends and reduce the risk of unwanted pregnancies and sexually transmitted infections, public health policies should consider the factors positively associated with modern contraceptive use, particularly among young women aged 20-24 years, married/cohabiting, who have initiated childbearing and those with high education levels.
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