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Modern contraceptive use among female refugee adolescents in northern Uganda: prevalence and associated factors.
Bakesiima, Ritah; Cleeve, Amanda; Larsson, Elin; Tumwine, James K; Ndeezi, Grace; Danielsson, Kristina Gemzell; Nabirye, Rose Chalo; Kashesya, Jolly Beyeza.
Afiliação
  • Bakesiima R; Department of Obstetrics and Gynaecology, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda. esmie.ritah@gmail.com.
  • Cleeve A; Department of Women's and Children's Health, Division of Obstetrics and Gynaecology, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden. esmie.ritah@gmail.com.
  • Larsson E; Department of Women's and Children's Health, Division of Obstetrics and Gynaecology, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden.
  • Tumwine JK; Department of Women's and Children's Health, Division of Obstetrics and Gynaecology, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden.
  • Ndeezi G; Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
  • Danielsson KG; Department of Paediatrics and Child health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Nabirye RC; Department of Paediatrics and Child health, School of Medicine, College of Health Sciences, Makerere University, Kampala, Uganda.
  • Kashesya JB; Department of Women's and Children's Health, Division of Obstetrics and Gynaecology, Karolinska Institutet, and Karolinska University Hospital, Stockholm, Sweden.
Reprod Health ; 17(1): 67, 2020 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-32434523
ABSTRACT

BACKGROUND:

Adolescent pregnancies are persistently high among refugees. The pregnancies have been attributed to low contraceptive use in this population. The aim of this study was to determine the prevalence and factors associated with modern contraceptive use among female refugee adolescents in northern Uganda.

METHODS:

This was a cross sectional study using both descriptive and analytical techniques. The study was carried out in Palabek refugee settlement in Northern Uganda from May to July 2019. A total of 839 refugee adolescents who were sexually active or in-union were consecutively enrolled. Interviewer administered questionnaires were used for data collection.

RESULTS:

Modern contraceptive prevalence was 8.7% (95% CI 7.0 to 10.8). The injectable was the most commonly used modern contraceptive method [42.5% (95% CI 31.5 to 54.3)], and most of the participants had used the contraceptives for 6 months or less (59.7%). Reasons for not using modern contraceptives included fear of side effects (39.3%), partner prohibition (16.4%), and the desire to become pregnant (7.0%). Participants who were married (OR = 0.11, 95% CI 0.04 to 0.35, p < 0.001), cohabiting (OR = 0.43, 95% CI 0.20 to 0.93, p = 0.032) or having an older partner (OR = 0.93, 95% CI 0.86 to 0.99, p = 0.046) were less likely to use modern contraceptives.

CONCLUSION:

Modern contraceptive use among female refugee adolescents was very low, and few reported a desire to become pregnant, leaving them vulnerable to unplanned pregnancies. Least likely to use modern contraceptives were participants who were married/cohabiting and those having older partners implying a gender power imbalance in fertility decision making. There is an urgent need for innovations to address the gender and power imbalances within relationships, which could shape fertility decision-making and increase modern contraceptive use among refugee adolescents.
Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Estudo de prevalência / Estudo prognóstico / Fatores de risco Idioma: Inglês Revista: Reprod Health Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Tipo de estudo: Estudo de prevalência / Estudo prognóstico / Fatores de risco Idioma: Inglês Revista: Reprod Health Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Uganda