ArticleJournal of public health in Africa2026
Factors associated with non-use of modern contraceptive methods in the school-going adolescent's girls and young women in Guinea.
Article in Journal of public health in Africa, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Non-use of modern contraceptive methods among adolescents and young women remains prevalent in Africa. Aim: This study analysed factors associated with the non-use of modern contraceptives among unmarried, sexually active school-going adolescent girls and young women in Guinea. Setting: The study was conducted among sexually active school-going adolescent girls and young women in Guinea. Methods: A cross-sectional survey using a three-stage sampling approach was conducted from December 2020 to March 2021 among female students (13-24 years) in secondary schools. Multivariable logistic regression identified factors associated with non-use, reporting adjusted odds ratios (AOR) with 95% confidence intervals (CI). Results: The prevalence of non-use was 48.2% (95% CI: 46.3-50.2). Significantly higher odds of non-use were associated with: college-grade level (AOR: 1.67, CI: 1.29-2.17), private schooling (AOR: 1.69, CI: 1.29-2.21), being Muslim (AOR: 4.23, CI: 2.27-7.88) or Christian (AOR: 3.01, CI: 1.62-5.62), no contraceptive knowledge (AOR: 11.95, CI: 7.08-20.1), wanting a birth within 2 years (AOR: 2.51, CI: 1.98-3.17), partner opposition compliance (AOR: 2.05, CI: 1.53-2.74), family planning needs (AOR: 1.68, CI: 1.31-2.15), and poor contraceptive access (AOR: 3.87, CI: 2.97-5.04). Conclusion: Modern contraceptive non-use is a stark reality among unmarried school-going youth in Guinea. Implementing robust school-based family planning education programmes is crucial to improve knowledge and uptake. Contribution: This study guides school sexual health policies, transforming a taboo issue into an opportunity for informed public health action.
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