A Comparative Assessment of Contraceptive Use Among Secondary School Students in Edo State, Nigeria
Appropriate and consistent contraceptive use has potential for preventing unwanted pregnancies, reducing abortion and spread of sexually transmitted infections (STIs) among adolescents. This study assessed contraception use among secondary school students in Urban and Rural Communities in Edo State, Nigeria, to help raise awareness on need to curb rising incidence of teenage pregnancies and STIs among these vulnerable group.
A comparative analytical cross sectional study was conducted involving secondary school students in Urban and Rural LGA of Edo State between January 2016 to April 2016, using interviewer administered pretested semi-structured questionnaires. Data collected was analyzed using SPSS version 21.0 statistical software, with level of statistical significance set at p<0.050 and 95% Confidence interval.
Although, 293(61%) and 212(53.4%) of students in urban and rural communities studied were sexually active (p=0.018); 191(39.7%) and 62(15.5%) of them used contraceptives (p˂0.001). Male condom 54(28.3%) and 53(85.5%) was the main form of contraceptive used in Urban and Rural LGA, patent medicine store 98(51.3%) and 46(74.2%) was their main source of commodity in both LGA respectively. Younger students in urban LGA had significantly higher sexual activity (p˂0.001) and contraceptive use (p˂ 0.001) compared to older students in rural community.
Sexual activity was high compared to contraceptive use among secondary school students. Health education intervention can help encourage appropriate and consistent contraceptive use in extreme circumstances to help curb risks for teenage pregnancy, unsafe abortions and reduce the spread of STIs.
UNFPA. State of the World Population Report,2014. Available from: http://www.unfpa.org/sites/default/files/pub-pdf/EN-SWOP14=Report-Final-web.pdf (cited 1 April 2015)
National population commission (NPopC) [Nigeria] and ICF international. Nigeria demographic and health survey. Abuja, Nigeria; National Population Commission and ICF international.2013
Okpani AOU. Sexual activities and contraceptive use among female adolescents from Port-Harcourt. Nigeria, African Journal of Reproductive Health.2000; 4(1): 40-7
Gama N. The effects of unplanned pregnancy on female student of the University of Zulu land. Unpublished masters.2008
Aziken ME, Patrick IO, Ande A. International family planning perspectives.2003; 29(2):84-7.
Ogbuji. knowledge about HIV/AIDS and sexual practice. Afr J Med.Sci.2005;34(1):25-31.
World Health Organization. Preventing unsafe abortion Fact sheet no.388.2015[cited 2016 April 07] Available: http//www.who.int/mediacentre/factsheets/fs388/en/.
World Health Organization.Adolescent pregnancy Fact sheet no.364.2014[cited2016April07]Available:http//www.who.int/mediacentre/factsheets/fs3
Guttmacher Institute. Factsheet on Abortion in Africa.2015[cited 2016 May 09] Available at https://www.guttmacher.org/fact-sheet/facts-abortion-Africa.
Centre for Disease Control and Prevention. Sexually Transmitted Disease Surveillance (online). 2014 [cited 2016 May 10]Available at: http://www.cdc.gov/std/stat13/adol.html
The Alan Guttmacher Institute and UNFPA. Adding it up: The Benefits of Investing in Sexual and Health care. Washington, D.C.200464/en.
Idonije BO, Oluba OM, Otamere HO. ‘A study of knowledge; attitude and practice of contraception among secondary school students in Ekpoma, Nigeria’. JPCS.2011; 2: 22 – 7.
Bonita R, Beaglehole R, Kjellstrom, T. Basic Epidemiology 2nd edition. World Health Organisation.2006; 2(1):80
Adogu P, Udigwe I, Nwabueze A, Adinma E, Udigwe G, Onwuasoigwe C, Ubajaka C. ‘Factors Influencing Sexual Behaviour among Female Adolescents in Onitsha’. Open Journal of Obstetrics and Gynaecology.2014;4: 987-95.
Adedayo OS, Adesegun OF, Donatus S, Olaniyan AB. Condom Use: Prevalence among Rural and Urban Sexually Active Adolescents in Osun state, Nigeria. Science Journal of Public Health.2014; 2(4): 270-74.
Ugwuanyi JN. Effects of peer education on awareness and attitude towards HIV and AIDS among in school adolescents.Nsukka education zone.2015
Anochie I, Ikpeme E.The knowledge, attitude and use of contraception among secondary school girls in Port Harcourt. Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria.2003; 12(4).pp. 217-220
Duru CB, Ubajaka C, Nnebue CC, Ifeadike CO, Okoro OP. Sexual behaviour and practices among secondary school adolescents in Anambra, Nigeria. Afrimedic Journal.2010;1(2):22-7
Obi AI, Labiran A. Contraceptive usage: Knowledge, Attitude and associated factors among women of reproductive age attending a health facility in Benin City, Edo State British Journal of Medicine and Medical Research. 2015; 9(7):1-13
Kann L,McManus T,Harris WA. Youth Risk Behaviour Surveillance- United States, 2015. MMWR Sureveill Summ 2016;65(6):1-174.
Chimah U, Lawoyin T, Nnebue C. Contraceptive knowledge and practice among senior secondary school students in military barracks in Nigeria. Nigeria Journal of clinical practice.2016;19(2):182-88.
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