Background: Abortion complications constitute 13% of maternal deaths worldwide and 40% of maternal deaths in Nigeria, while 80% of patients with abortion complications are adolescents.
Aims: Assessing the adolescents’ knowledge and attitude and the determinants of their sexual activities and contraceptive usage.
Methods: This was a cross-sectional study conducted among high school students of Ogbomoso – a semi-urban settlement. Stratified multistage randomization was used to select one high school from each of five local government areas of the study site. Students were interviewed with pretested questionnaire to sought information on demographic status, family type, knowledge of sexuality, and contraceptive usages.
Results: The age range of the respondents was 10–19 years with mean±SD age 13.7±1.9 years. Among them, 6.5% were sexually active. Of the respondents, 56.8% scored good knowledge about sexuality and contraception and 57.5% respondents had good attitude to contraception. Age (p=0.004) and father’s education (p=0.001) were factors associated with knowledge about sexuality and contraception, while mothers’ occupation (p=0.02) and fathers’ occupation (p=0.001) and education (p=0.04) were significantly associated with positive attitude toward contraception.
Conclusion: This study revealed that a significant percentage of the studied adolescents had poor knowledge and attitude toward contraception, and many of the sexually active respondents had inaccurate knowledge on the use of contraceptives and where it could be obtained.
1. Kreipe RE, Kodjo CM. Adolescent medicine. In: Behrman RE, Kleigman RM, editors. Nelson essentials of paediatrics, 4th ed. Philadelphia: W.B Saunders Company, 2002:271–2.Search in Google Scholar
2. Olukoya A, Ferguson J. Adolescent sexual and reproductive health and development. In: Reproductive health in Africa. Arch Ibadan Med 2002;3:22–7.10.4314/aim.v3i1.34574Search in Google Scholar
3. Gomes KRO, Speizer IS, Oliveira DDC, Moura LNB, Gomes FM. Contraceptive method used by adolescents in Brazilian State capital. J Pediatr Adolesc Gynecol 2006;21:213–9.10.1016/j.jpag.2007.05.002Search in Google Scholar PubMed
4. Mestad R, Secura G, Allsworth JE, Madden T, Zhao Q, et al. Acceptance of long-acting reversible contraceptive methods by adolescents participants in the contraceptive CHOICE Project. Contraception 2011;84:493–8.10.1016/j.contraception.2011.03.001Search in Google Scholar PubMed PubMed Central
5. Okonufua FE. Unsafe abortion: WHO Global and regional estimates of incidence of mortality due to unsafe abortion. Whqlibdoc.who.int/hq/1992/who-msm-92.5.pdf.Search in Google Scholar
6. Ehlers VJ, Khoza LB. Reproductive health needs of adolescent mothers in the Lowveld region of the Northern Province of South Africa. Health Hyg 2001;12:2–9.Search in Google Scholar
7. Richter MS, Mlambo GT. Perceptions of rural teenagers on teenage pregnancy. Health SA Gesondheid 2005;10:61–9.10.4102/hsag.v10i2.195Search in Google Scholar
8. Kibret M. Reproductive health knowledge, attitude and practice amongst school students in Bahar Dar, Ethiopia. Afr J Reprod Health 2003;7:39–45.10.2307/3583212Search in Google Scholar
9. Department of Health (DoH). National contraception policy guidelines, Government Printer, Pretoria 2001. Available at: uir.unisa.ac.za/bitstream/handle/10500/2127/07bibliography.pdf. Cited on 14th March, 2014.Search in Google Scholar
10. Kanku T, Mash R. Attitudes, perceptions and understanding amongst teenagers regarding teenage pregnancy, sexuality and contraception in Taung. S Afr Fam Pract 2010;52:563–72.10.1080/20786204.2010.10874048Search in Google Scholar
11. Lebese RT, Maputle SM, Ramathuba DU, Khoza LB. Factors influencing the uptake of contraception services by Vatsonga adolescents in rural communities of Vhembe District in Limpopo Province, South Africa, Health SA Gesondheid 18, 6 pages, 2013. http://dx.doi.org/10.4102/hsag.v18i1.654.10.4102/hsag.v18i1.654Search in Google Scholar
12. Davies SL, DiClemente RJ, Wingood GM, Person SD, Dix DP, et al. Predictors of inconsistent contraceptive use amongst adolescent girls: findings from prospective study. J Adolesc Health 2006;38:43–9.10.1016/j.jadohealth.2005.10.011Search in Google Scholar PubMed
13. Manlove J, Terry E, Gitelson L, Pappilo AR, Russel S. Explaining demographic trends in teenage fertility. Fam Plan Perspect 2000;32:166–75.10.2307/2648233Search in Google Scholar
14. Kaufman CE, De Wet TT, Stadler J. Adolescent pregnancy and parenthood in South Africa. Stud Fam Plan 2001;32:147–60.10.31899/pgy6.1038Search in Google Scholar
15. Arai L. Low expectations, sexual attitudes and knowledge: explaining teenage pregnancy and fertility in English communities, Insights from qualitative research. Sociol Rev 2000;51:199–217.10.1111/1467-954X.00415Search in Google Scholar
16. Bankole A, Ahmed FH, Neema S, Ouedraogo C, Konyani S. Knowledge of correct condom use and consistency of use amongst adolescents in four countries in Sub-Saharan Africa. Afr J Reprod Health 2007;11:198–220.10.2307/25549740Search in Google Scholar
17. Armitage P, Berry G, Mathew JNS. Statistical methods in medical research, 4th ed. Oxford: Blackwell, 2007.Search in Google Scholar
18. Kuder GF, Richardson MW. The theory of the estimation of test reliability. Psychometrika 2:151–60. Available at: http://chem.purdue.edu/chemed/stats.html.10.1007/BF02288391Search in Google Scholar
19. Gliem JA, Gliem RR. Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. Paper presented at the Midwest Research-to-Practice Conference in Adult, continuing and Community Education. The Ohio State University, Colombus, OH, October 8–10, 2003.Search in Google Scholar
20. Araoye MO, Fakeye OO, Jolayemi ET. Contraceptive method choices among adolescents in a Nigerian tertiary institution. West Afr J Med 1998;17:227–31.Search in Google Scholar
21. Arowojolu AO, Ilesanmi AO, Roberts OA, Okunola MA. Sexuality, contraceptive choice and AIDS awareness among Nigerian undergraduates. Afr J Reprod Health 2002;6:60–70.10.2307/3583131Search in Google Scholar
22. Abiodun OM, Balogun OR. Sexual activity and contraceptive use amongst young female students of tertiary educational institutions in Ilorin, Nigeria. Contraception 2008;79:146–9.10.1016/j.contraception.2008.08.002Search in Google Scholar PubMed
23. Larsson M, Eurenius K, Westerling R. Evaluation of a sexual education intervention amongst Swedish high school students. Scand J Public Health 2006;34:124–31.10.1080/14034940510032266Search in Google Scholar PubMed
24. Orji EO, Adegbenro CA, Olalekan AW. Prevalence of sexual activity and family planning use amongst undergraduates in South West Nigeria. Eur J Contracept Reprod Health Care 2006;10:255–60.10.1080/13625180500331259Search in Google Scholar PubMed
25. Fantahun M, Chala F, Loha M. Knowledge, attitude and practice of family planning among senior high school students in North Gondar. Ethiop Med J 1995;33:21–9.Search in Google Scholar
26. Renjhen P, Kumar A, Pattanshetty S, Sagir A, Samarasinghe CM. Knowledge of contraception among college students. J Turkish-German Gynecol Assoc 2010;11:78–81.10.5152/jtgga.2010.03Search in Google Scholar PubMed PubMed Central
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