Contraceptive use among in and out-of school adolescents in rural southwest Uganda.
East Afr Med J
; 83(1): 18-24, 2006 Jan.
Article
en En
| MEDLINE
| ID: mdl-16642746
ABSTRACT
OBJECTIVE:
To compare the level of contraceptive use among in and out-of school rural Ugandan adolescents.DESIGN:
Cross sectional survey.SETTING:
Mbarara district.SUBJECTS:
Five hundred in-school and 220 out-of school adolescents aged 15-19 years. MAIN OUTCOMEMEASURE:
Contraceptive use.RESULTS:
Contraceptive prevalence was 171 (23.8%), with 99 (19.8%) among in-school and 72 (32.7%) in out-of school (OR=0.8, 95% CI=0.5-1.3). Of the 286 who had had sexual intercourse, 171 (59.8%) were current users with 99 (57.9%) in-school and 72 (42.1%) out-of school. The predominant method was the male condom with 80 (56.7%) in-school and 61 (43.3%) out-of-school (p=0.3). Sixty five (67%) of in-school aged 18-19 used contraceptives compared to those less than 18 years (OR=0.4, 95% CI=0.2-0.8). The out-of school who were urban residents 51(75%) were more likely to use contraceptives (OR=0.3, 95% CI=0.1-0.6). Out-of school with secondary education 37(84.1%) were more likely to use contraceptives (OR=0.2, 95% CI=0.1-0.5). Cost was a barrier for contraceptive use among in-school users 37(77.1%) (OR=2.6, 95% CI=1.7-5.4). Stigma surrounding their sexual activity was a barrier to out-of school 25 (58.1%) (OR=0.4, 95% CI=0.2-0.8).CONCLUSION:
Contraceptive use among rural sexually active adolescents is low although the prevalence is higher in out-of school. Reorientation of contraceptive services to make them more accessible through strengthening of school health programme and establishment of out-of school adolescent health programme are urgently needed.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Población Rural
/
Conducta del Adolescente
/
Conducta Anticonceptiva
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País/Región como asunto:
Africa
Idioma:
En
Revista:
East Afr Med J
Año:
2006
Tipo del documento:
Article
País de afiliación:
Uganda