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首页> 外文期刊>Advances in Sexual Medicine >Pattern, Types and Predictors of Contraception among Female In-School and Out-of-School Adolescents in Onitsha, Anambra State, Nigeria
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Pattern, Types and Predictors of Contraception among Female In-School and Out-of-School Adolescents in Onitsha, Anambra State, Nigeria

机译：尼日利亚阿南布拉州Onitsha女校内和校外青少年避孕的方式，类型和预测指标

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Introduction: The consequences of unsafe sex are suffered mostly by adolescent girls in Nigeria despite efforts to improve accessibility to the reproductive and sexual health of this group. This study elucidates the pattern of contraceptive use, the key socio-demographic factors, sexual beliefs and practices associated with its use amongst adolescent girls in Nnewi, Nigeria. Methods: It was a descriptive cross-sectional comparative study of in-school and out-of-school female adolescents. Data were collected using questionnaires and Focus Group Discussion (FGD), then analyzed by selecting socio-demographic and other variables to assess their interaction with contraceptive use and result compared between the two groups. Data were presented in tables and charts and multivariate and chi-square analyses were performed. Result: Higher proportion of sexually active out-of-school girls than their in-school counterparts had ever used contraception—used it in their first and last sexual exposures, while condom was the commonest contraceptive employed by both groups. Age (older adolescents; F = 0.041), belief in condom use (P = 0.05), willingness to get condom for partner (P = 0.001) and regular sexual practice (P = 0.003) were the most important predictors of contraceptive use among the sexually active adolescents. Generally, the out-of-school girls are more likely to use contraceptives than their in-school counterparts. Some misconceptions about pregnancy prevention and unscientific contraceptive methods were mentioned by the subjects during the FGD. Recommendation: Access to reproductive health services needs to be improved especially among the in-school female adolescents. There is need to incorporate the right contraceptive information in the school curriculum, and the out-of-school adolescents should receive periodic dissemination of appropriate Behavior Change Communication (BCC) on the relevance of contraception. ?
机译：简介：尽管为改善该群体的生殖和性健康的可及性做出了努力，但尼日利亚的少女大多遭受不安全性行为的影响。这项研究阐明了尼日利亚Nnewi少女使用避孕药具的方式，主要的社会人口统计学因素，性信仰和与使用避孕药具有关的习俗。方法：这是一项描述性的横断面比较研究，针对在校女性和校外女性青少年。使用问卷和焦点小组讨论（FGD）收集数据，然后通过选择社会人口统计学和其他变量进行分析，以评估它们与避孕药具的相互作用，并比较两组之间的结果。数据显示在表格和图表中，并进行了多元和卡方分析。结果：性活动活跃的校外女生比在校女生曾经使用过避孕药的比例更高，这种避孕是在第一次和最后一次性接触中使用的，而安全套是两组中最常见的避孕方法。年龄（年龄较大的青少年; F = 0.041），对使用避孕套的信念（P = 0.05），为伴侣准备避孕套的意愿（P = 0.001）和定期进行性行为（P = 0.003）是避孕药具使用中最重要的预测指标。性活跃的青少年。通常，校外女生比在校女生更可能使用避孕药具。在FGD期间，受试者提到了一些有关预防怀孕和不科学避孕方法的误解。建议：需要改善获得生殖健康服务的机会，尤其是在校女性青少年中。有必要在学校课程中纳入正确的避孕信息，校外青少年应定期传播与避孕相关的适当的行为改变交流（BCC）。 ？

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