Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea

In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea. We u...

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Published in:BMC public health 2020-12, Vol.20 (1), p.1840-1840, Article 1840
Main Authors: Sidibé, Sidikiba, Delamou, Alexandre, Camara, Bienvenu Salim, Dioubaté, Nafissatou, Manet, Hawa, El Ayadi, Alison M, Benova, Lenka, Kouanda, Seni
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adolescents and young adults
Adult
Age
Amenorrhea
Birth control
Birth rate
Contraception
Contraception - statistics & numerical data
Contraception Behavior - statistics & numerical data
Contraceptive Agents
Contraceptives
Demographics
Educational attainment
Ethnicity
Family Characteristics
Family planning
Family Planning Services - statistics & numerical data
Female
Females
Fertility
Girls
Guinea
Guinea DHS
Health aspects
Health disparities
Health Knowledge, Attitudes, Practice
Health surveys
Households
Humans
Logistic Models
Marital Status
Maternal & child health
Methods
Middle Aged
Minority & ethnic groups
Population
Pregnancy
Public health
Religion
Reproductive Health
Sex Education
Sexual behavior
Sociodemographics
Socioeconomic Factors
Statistical analysis
Teenagers
Trends
Unmet need
Urban areas
Urban youth
User statistics
Variables
Womens health
Young Adult
Young adults
Young women
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container_title BMC public health
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creator Sidibé, Sidikiba
Delamou, Alexandre
Camara, Bienvenu Salim
Dioubaté, Nafissatou
Manet, Hawa
El Ayadi, Alison M
Benova, Lenka
Kouanda, Seni
description In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea. We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15-24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018). We found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p 
doi_str_mv 10.1186/s12889-020-09957-y
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This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea. We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15-24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018). We found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p &lt; 0.01) and demand satisfied (29.0% in 1999, 54.1% in 2018, p &lt; 0.001), and a decrease in unmet need for FP (15.8% in 1999, 8.6% in 2018, p &lt; 0.001). Factors significantly associated with modern FP use were; young women aged 20-24 years (AOR 2.8, 95% CI: 1.9-4.1), living in urban areas of Faranah (AOR: 2.6, 95% CI: 1.1-6.5) and Kankan (AOR: 3.6, 95% CI: 1.7-7.8), living in households in the middle (AOR: 7.7, 95% CI: 1.4-42.2) and richer wealth quintiles (AOR: 6.3, 95% CI: 1.0-38.1). Ever-married women (AOR: 0.5, 95% CI: 0.3-0.9) were less likely to use modern FP methods than never married as were those from the Peulh (0.3, 95% CI: 0.2-0.4) and Malinke (0.5, 95% CI: 0.3-0.8) ethnic groups compared to Soussou ethnic group. Despite some progress, efforts are still needed to improve FP method use among urban adolescent and young women. Age, administrative region, wealth index, marital status, and ethnic group are significantly associated with modern FP use. Future policies and interventions should place emphasis on improving adolescents' reproductive health knowledge, increasing FP availability and strengthening provision. 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Factors significantly associated with modern FP use were; young women aged 20-24 years (AOR 2.8, 95% CI: 1.9-4.1), living in urban areas of Faranah (AOR: 2.6, 95% CI: 1.1-6.5) and Kankan (AOR: 3.6, 95% CI: 1.7-7.8), living in households in the middle (AOR: 7.7, 95% CI: 1.4-42.2) and richer wealth quintiles (AOR: 6.3, 95% CI: 1.0-38.1). Ever-married women (AOR: 0.5, 95% CI: 0.3-0.9) were less likely to use modern FP methods than never married as were those from the Peulh (0.3, 95% CI: 0.2-0.4) and Malinke (0.5, 95% CI: 0.3-0.8) ethnic groups compared to Soussou ethnic group. Despite some progress, efforts are still needed to improve FP method use among urban adolescent and young women. Age, administrative region, wealth index, marital status, and ethnic group are significantly associated with modern FP use. Future policies and interventions should place emphasis on improving adolescents' reproductive health knowledge, increasing FP availability and strengthening provision. Efforts should target adolescents aged 15-19 years in particular, and address disparities between administrative regions and ethnic groups, and health-related inequalities.</description><subject>Adolescent</subject><subject>Adolescents</subject><subject>Adolescents and young adults</subject><subject>Adult</subject><subject>Age</subject><subject>Amenorrhea</subject><subject>Birth control</subject><subject>Birth rate</subject><subject>Contraception</subject><subject>Contraception - statistics &amp; numerical data</subject><subject>Contraception Behavior - statistics &amp; numerical data</subject><subject>Contraceptive Agents</subject><subject>Contraceptives</subject><subject>Demographics</subject><subject>Educational attainment</subject><subject>Ethnicity</subject><subject>Family Characteristics</subject><subject>Family planning</subject><subject>Family Planning Services - statistics &amp; numerical data</subject><subject>Female</subject><subject>Females</subject><subject>Fertility</subject><subject>Girls</subject><subject>Guinea</subject><subject>Guinea DHS</subject><subject>Health aspects</subject><subject>Health disparities</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health surveys</subject><subject>Households</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Marital Status</subject><subject>Maternal &amp; child health</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Minority &amp; ethnic groups</subject><subject>Population</subject><subject>Pregnancy</subject><subject>Public health</subject><subject>Religion</subject><subject>Reproductive Health</subject><subject>Sex Education</subject><subject>Sexual behavior</subject><subject>Sociodemographics</subject><subject>Socioeconomic Factors</subject><subject>Statistical analysis</subject><subject>Teenagers</subject><subject>Trends</subject><subject>Unmet need</subject><subject>Urban areas</subject><subject>Urban youth</subject><subject>User statistics</subject><subject>Variables</subject><subject>Womens health</subject><subject>Young Adult</subject><subject>Young adults</subject><subject>Young women</subject><issn>1471-2458</issn><issn>1471-2458</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptks1u1DAUhSMEoqXwAixQJDYsSPFfbGeDVFVQKlViU9bWjXM9eJTYxU5azTvw0HhmSumgKoriXJ_zWff6VNVbSk4p1fJTpkzrriGMNKTrWtVsnlXHVCjaMNHq54_WR9WrnNeEUKVb9rI64pxJKkl7XP2-ThiGXPtQ2xjmBBZvZn-L9ZLxY72ECec6IA41hPLmHK2Hufw6sHNMuY6unuKA6Ql7DVMMq3pJPYQahjhithjmvENt4lL27uKEYXv2xeIDwuvqhYMx45v770n14-uX6_NvzdX3i8vzs6vGtpLPjeqgZ1bJrrdEaZTAh17K1lpUgjgnnFNC0FaoTvegGCcgheuF7p2QWkrkJ9XlnjtEWJub5CdIGxPBm10hppWBNHs7olHEDRpVGRZ0QnPQnbO84JUA4rTqC-vznnWz9BMO2w4TjAfQw53gf5pVvDVKEUk4LYAP94AUfy2YZzP5MqhxhIBxyYYJKVlX-mFF-v4_6TouKZRRFZWijPKW6n-qFZQGfHBxey9bqDmTLZGcdkQU1ekTqvIMOPlyl-h8qR8Y2N5gU8w5oXvokRKzzaPZ59GUPJpdHs2mmN49ns6D5W8A-R9jqNya</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Sidibé, Sidikiba</creator><creator>Delamou, Alexandre</creator><creator>Camara, Bienvenu Salim</creator><creator>Dioubaté, Nafissatou</creator><creator>Manet, Hawa</creator><creator>El Ayadi, Alison M</creator><creator>Benova, Lenka</creator><creator>Kouanda, Seni</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-7905-9042</orcidid></search><sort><creationdate>20201201</creationdate><title>Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea</title><author>Sidibé, Sidikiba ; Delamou, Alexandre ; Camara, Bienvenu Salim ; Dioubaté, Nafissatou ; Manet, Hawa ; El Ayadi, Alison M ; Benova, Lenka ; Kouanda, Seni</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c563t-79ab2c769bc078e6a3db665cce740ff4ff744154798ba7230a64fb48bf46866e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adolescent</topic><topic>Adolescents</topic><topic>Adolescents and young adults</topic><topic>Adult</topic><topic>Age</topic><topic>Amenorrhea</topic><topic>Birth control</topic><topic>Birth rate</topic><topic>Contraception</topic><topic>Contraception - statistics &amp; numerical data</topic><topic>Contraception Behavior - statistics &amp; numerical data</topic><topic>Contraceptive Agents</topic><topic>Contraceptives</topic><topic>Demographics</topic><topic>Educational attainment</topic><topic>Ethnicity</topic><topic>Family Characteristics</topic><topic>Family planning</topic><topic>Family Planning Services - statistics &amp; numerical data</topic><topic>Female</topic><topic>Females</topic><topic>Fertility</topic><topic>Girls</topic><topic>Guinea</topic><topic>Guinea DHS</topic><topic>Health aspects</topic><topic>Health disparities</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health surveys</topic><topic>Households</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Marital Status</topic><topic>Maternal &amp; child health</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Minority &amp; ethnic groups</topic><topic>Population</topic><topic>Pregnancy</topic><topic>Public health</topic><topic>Religion</topic><topic>Reproductive Health</topic><topic>Sex Education</topic><topic>Sexual behavior</topic><topic>Sociodemographics</topic><topic>Socioeconomic Factors</topic><topic>Statistical analysis</topic><topic>Teenagers</topic><topic>Trends</topic><topic>Unmet need</topic><topic>Urban areas</topic><topic>Urban youth</topic><topic>User statistics</topic><topic>Variables</topic><topic>Womens health</topic><topic>Young Adult</topic><topic>Young adults</topic><topic>Young women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sidibé, Sidikiba</creatorcontrib><creatorcontrib>Delamou, Alexandre</creatorcontrib><creatorcontrib>Camara, Bienvenu Salim</creatorcontrib><creatorcontrib>Dioubaté, Nafissatou</creatorcontrib><creatorcontrib>Manet, Hawa</creatorcontrib><creatorcontrib>El Ayadi, Alison M</creatorcontrib><creatorcontrib>Benova, Lenka</creatorcontrib><creatorcontrib>Kouanda, Seni</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science &amp; 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This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea. We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15-24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018). We found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p &lt; 0.01) and demand satisfied (29.0% in 1999, 54.1% in 2018, p &lt; 0.001), and a decrease in unmet need for FP (15.8% in 1999, 8.6% in 2018, p &lt; 0.001). Factors significantly associated with modern FP use were; young women aged 20-24 years (AOR 2.8, 95% CI: 1.9-4.1), living in urban areas of Faranah (AOR: 2.6, 95% CI: 1.1-6.5) and Kankan (AOR: 3.6, 95% CI: 1.7-7.8), living in households in the middle (AOR: 7.7, 95% CI: 1.4-42.2) and richer wealth quintiles (AOR: 6.3, 95% CI: 1.0-38.1). Ever-married women (AOR: 0.5, 95% CI: 0.3-0.9) were less likely to use modern FP methods than never married as were those from the Peulh (0.3, 95% CI: 0.2-0.4) and Malinke (0.5, 95% CI: 0.3-0.8) ethnic groups compared to Soussou ethnic group. Despite some progress, efforts are still needed to improve FP method use among urban adolescent and young women. Age, administrative region, wealth index, marital status, and ethnic group are significantly associated with modern FP use. Future policies and interventions should place emphasis on improving adolescents' reproductive health knowledge, increasing FP availability and strengthening provision. Efforts should target adolescents aged 15-19 years in particular, and address disparities between administrative regions and ethnic groups, and health-related inequalities.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>33261605</pmid><doi>10.1186/s12889-020-09957-y</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-7905-9042</orcidid><oa>free_for_read</oa></addata></record>
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1471-2458
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_70fd8e7160a9483a89fc374474a0f87b
source Open Access: PubMed Central; Publicly Available Content Database
subjects Adolescent
Adolescents
Adolescents and young adults
Adult
Age
Amenorrhea
Birth control
Birth rate
Contraception
Contraception - statistics & numerical data
Contraception Behavior - statistics & numerical data
Contraceptive Agents
Contraceptives
Demographics
Educational attainment
Ethnicity
Family Characteristics
Family planning
Family Planning Services - statistics & numerical data
Female
Females
Fertility
Girls
Guinea
Guinea DHS
Health aspects
Health disparities
Health Knowledge, Attitudes, Practice
Health surveys
Households
Humans
Logistic Models
Marital Status
Maternal & child health
Methods
Middle Aged
Minority & ethnic groups
Population
Pregnancy
Public health
Religion
Reproductive Health
Sex Education
Sexual behavior
Sociodemographics
Socioeconomic Factors
Statistical analysis
Teenagers
Trends
Unmet need
Urban areas
Urban youth
User statistics
Variables
Womens health
Young Adult
Young adults
Young women
title Trends in contraceptive use, unmet need and associated factors of modern contraceptive use among urban adolescents and young women in Guinea
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