Full Citation
Title: Comparing the reasons for contraceptive discontinuation between parenting adolescents and young women in sub-Saharan Africa: a multilevel analysis
Citation Type: Journal Article
Publication Year: 2023
ISBN:
ISSN: 1742-4755
DOI: 10.1186/s12978-023-01660-6
NSFID:
PMCID:
PMID:
Abstract: Background Adolescent sexual and reproductive health remains a major public health and development issue of global importance. Given that adolescents and young people are heterogenous groups in terms of many charac- teristics, this study expands the literature by comparing the reasons for contraceptive discontinuation between par- enting adolescents (aged 15–19) and parenting young women (aged 20–24) in sub-Saharan Africa (SSA). Methods Data for the study came from Demographic and Health Surveys of 22 SSA countries. The outcome variable was reasons for discontinuation. We performed multilevel binary logistic regression on analytic samples comprising 1485 parenting adolescents and 10,287 parenting young women across the selected SSA countries. Results Findings show that the proportion of respondents who used modern contraceptives was lower among par- enting adolescents (35%) relative to their 20–24-year-old counterparts (43%). Higher percentages of parenting ado- lescents than young women discontinued contraceptives because of reasons such as pregnancy or method failure (i.e., 9.9% and 8.17% accordingly), husband disapproval, access or availability issues, wanting more effective methods, and inconvenience in using methods. The multilevel analysis further highlighted disparities between parenting ado- lescents and parenting young women who discontinued contraceptives. For instance, parenting young women had 30% lower odds of discontinuing contraceptives due to pregnancy or method failure than parenting adolescents. Conclusion The study established disparities in the reasons for contraceptive discontinuation between parenting adolescents and parenting young women, with adolescents demonstrating greater vulnerabilities and higher risks. Considerable attention must be given to parenting adolescents in the efforts to achieve equity goals such as the Sus- tainable Development Goals and universal health coverage in SSA.
Url: https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-023-01660-6
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Authors: Adedini, Sunday A.; Omisakin, Olusola A.
Periodical (Full): Reproductive Health
Issue: 1
Volume: 20
Pages: 115-127
Data Collections: IPUMS Global Health - DHS
Topics: Reproductive and Sexual Health
Countries: Angola, Benin, Burkina Faso, Burundi, Ethiopia, Ghana, Guinea, Kenya, Lesotho, Malawi, Mali, Mozambique, Namibia, Niger, Nigeria, Rwanda, Senegal, South Africa, Tanzania, Uganda, Zambia, Zimbabwe