Assessment of Factors Affecting Contraceptive use Among Preparatory School Adolesents in Addis Ababa, 2010.
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Date
2010-06
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Addis Ababa University
Abstract
Background: Adolescents in Ethiopia are exposed to various risks, such as human immunodeficiency virus (HIV), other sexually transmitted infections (STIs), unwanted pregnancy and unsafe abortion due to unprotected sex while they have high knowledge of contraceptive use.
Objective: To asses the factors affecting modern contraceptives utilization among preparatory school adolescents
Methods: A cross sectional school based study was conducted on April to May 2010 in Addis Ababa Administration using multistage stage sampling technique .A total of 830 students in five government and three non government schools were included in the study. A pre tested structured questionnaire complemented with focus group discussion were used for data
collection. The data entered cleaned and analyzed using SPSS version 15 software. Frequencies, cross- tabulations and logistic regression were used
Result Overall from 830preparatory school adolescents 159(19.2) % were sexually active .Of which 69(43.4 %) had used modern contraceptive methods. Most of the respondents used condom 52 (75.4%). Significantly higher proportion of male adolescents 55(79.7%) than females 14(20.3%) used contraceptives. In the binary logistic regression sex, living with friends,
living alone, having pocket money, discuss sexual related issue with friends, condom, shops and affordable service were found to be significant predictors of contraceptive use.
Conclusion The prevalence of contraceptive use was low this showed that sexually active adolescents are highly exposed to the consequences of unprotected sex Adolescents who discus sexual related issues with their close friends were more likely to use contraceptive than who don‟t
Adolescents who had pocket money were more likely to use contraceptives than who had no Religious prohibition, ashamed to buy, emotional and unplanned sexual practice, fear of being seen by some one who knows them and trust their partner were the most frequently reported reasons for not to use contraceptives by school adolescents The most preferred method for future use was condom and the most preferred source for future use was shop
Recommendation Establish Parents- teachers - students relationship to have free discussion time in order to decrease their fear and ashamed about sexuality to bring behavioral change Since the most affecting factor to use contraceptive by sexually active school adolescents were ashamed to buy and emotional unplanned sexual practice, other strategies like getting the service every where when they need by using modern technology should be considered Most of the adolescents preferred to use condom with affordable service from the shop, considering this training to the shopkeepers about the storage and supplying of condom is mandatory since condom can be easily affected by heat
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Adolescents, contraceptive use and factors affecting to the use of contraceptive