RESUMEN

Background: Adolescent girls are the mostly affected with maternal and child complications. Contraceptive use is an important tool in curbing sexual and reproductive health challenges especially among adolescent girls in the developing countries. Despite, the low use of contraceptives among adolescents in Nigeria, the possibility of discontinuation of use after initiation is strong. Objective: This study aims to identify method of contraceptive use discontinued and reasons for discontinuation of contraceptives among unmarried adolescents aged 15-19 years in Nigeria. Method: Data for 324 never married adolescent girls who had ever used a method to prevent pregnancy were drawn from the 2018 Nigerian Demographic and Health Survey. Descriptive statistics and chart were used to present the results. Result: Findings showed that 20% of adolescents who had ever used contraceptive discontinued use in the last five years. Most of single adolescents who reported ever discontinued a contraceptive method are older, have secondary education, resides in Urban areas, were at least 15 years at sexual debut are from richer household. Most reported reasons for discontinuation were Infrequent sex and inconveniencey in use. Conclusion: One in five of unmarried adolescents who ever use a method, discontinue use because of sexual frequency and type of method used.

Asunto(s)

Conducta Anticonceptiva , Anticoncepción , Cooperación del Paciente , Conducta Sexual , Adolescente , Femenino , Humanos , Adulto Joven , Anticoncepción/métodos , Anticoncepción/estadística & datos numéricos , Conducta Anticonceptiva/estadística & datos numéricos , Anticonceptivos , Nigeria/epidemiología , Cooperación del Paciente/estadística & datos numéricos , Conducta Sexual/estadística & datos numéricos , Factores Socioeconómicos , Factores Sociodemográficos , Determinantes Sociales de la Salud

RESUMEN

Nearly half of pregnancies amongst adolescent girls between ages 15 and 19 are unplanned, one outcome of this is unsafe abortion. Nigerian adolescents aged 15-19 have higher proportion of unmet needs for contraception than those aged 20-24, raising pertinent questions on their perceived susceptibility to pregnancy. Using the Health Belief Model, this article examined the effect of perceived susceptibility to pregnancy on modern contraceptive use among adolescents in Nigeria. Weighted data for 983 sexually active unmarried adolescents aged 15-19 years was extracted from the 2018 Nigerian Demographic and Health Survey. Binomial logistic regression was modelled to test for this relationship. Results showed that there is no significant association between perceived susceptibility and modern contraceptive use. However, adolescents who make use of the internet (AOR=1.659, CI 1.046-2.630), and those who had a sexual partner (AOR=4.051, CI 1.960-8.639), more than one partner in the last 12 months (AOR=6.037, CI 2.292-15.902) were more likely to use modern contraceptive. Young adolescents in Nigeria needs to be sensitized about reproductive health and the importance of the use of contraceptive.