Evidence map›Paper›PMID 41302676›Full record

ArticleInternational journal of environmental research and public health2025

Modern Contraceptive Use Among Young Women in Kampala Slums: Research Findings from the TOPOWA Study.

Monica H Swahn, Josephine Namuyiga, Gideon Matovu, Charles Natuhamya, Jane Palmier, Anna Nabulya, Harriet Kebirungi

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing 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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

7 authors.

Monica H SwahnSchool of Public Health, Virginia Commonwealth University, Richmond, VA 23219, USA.ORCID 0000-0002-6663-3885
Josephine NamuyigaUganda Youth Development Link, Kampala P.O. Box 12659, Uganda.
Gideon MatovuUganda Youth Development Link, Kampala P.O. Box 12659, Uganda.ORCID 0009-0004-3846-6014
Charles NatuhamyaUganda Youth Development Link, Kampala P.O. Box 12659, Uganda.ORCID 0000-0001-7415-094X
Jane PalmierUganda Youth Development Link, Kampala P.O. Box 12659, Uganda.
Anna NabulyaUganda Youth Development Link, Kampala P.O. Box 12659, Uganda.ORCID 0000-0001-7572-8731
Harriet KebirungiDepartment of Development Studies, Kyambogo University, Kyambogo, Kampala P.O. Box 1, Uganda.ORCID 0000-0002-3500-0524

Funding

TOPOWA Study: Social Drivers of Mental Illness among AGYW in Slums.R01MH128930 · NIMH · VIRGINIA COMMONWEALTH UNIVERSITY · PI Monica H Swahn · 2022 to 2026
$3.4M
NIMH NIH HHS R01MH128930
6 · The paper itself

Abstract

Unintended pregnancies among adolescent and young women in low- and middle-income countries pose major public health challenges, underscoring the need for improved access to modern contraceptives. This study examined prevalence, preferences, and correlates of modern contraceptive use among young women living in urban slums of Kampala, Uganda, to inform targeted interventions. We analyzed baseline data from The Onward Project On Wellbeing and Adversity (TOPOWA), an NIH-funded, multi-component prospective cohort study on mental health among women aged 18-24 years. In 2023, 300 participants were recruited from three sites (Banda, Bwaise, Makindye). Interviewer-administered surveys assessed contraceptive choices, lifestyle, and demographic factors. Modified Poisson regression was used to examine correlates of contraceptive use. Among participants, 66.0% had ever used contraception, 40.0% were current users, and 38.0% reported modern contraceptive use. Multivariable analyses showed that having a consistent partner (PR = 3.28; 95% CI: 1.90-5.67), engaging in sex work (PR = 2.10; 95% CI: 1.46-3.02), older age (PR = 1.08; 95% CI: 1.01-1.16), and having children (PR = 1.72; 95% CI: 1.12-2.66) were associated with higher modern contraceptive use. Findings highlight important gaps in sustained contraceptive use and the need for tailored interventions addressing economic, social, and educational barriers to improve reproductive health in this low-resource setting.

Indexed as

ContraceptionContraception BehaviorPoverty AreasAdolescentFemaleHumansProspective StudiesUgandaYoung AdultAfricacontraceptive useKampalasexual and reproductive healthUgandaurbanwomen’s health

Identifiers

PMID41302676
PMCPMC12652507

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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.