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  • Title: Contraceptive method choices among adolescents in a Nigerian tertiary institution.
    Author: Araoye MO, Fakeye OO, Jolayemi ET.
    Journal: West Afr J Med; 1998; 17(4):227-31. PubMed ID: 9921086.
    Abstract:
    This study was undertaken to describe adolescents, use of contraceptive methods and to examine factors that motivate their choice. Face-to-face interview of single, randomly selected 971 males and females aged 18-24 years in a Nigerian tertiary institution was conducted. Among sexually active males and females 72 percent and 81 percent respectively had ever used contraception. The commonest methods ever used by the males and females respectively were the condom (43 percent) and rhythm (31 percent). While females were mainly motivated by pregnancy prevention irrespective of the sexual relationship, the males were more concerned about disease prevention in unstable sexual relationships. However, adolescents whose choice was motivated by disease prevention did not choose the condom significantly more frequently than other methods. The college clinic, complimented by other programmes, should be strengthened for reproductive health services. The use of contraceptives among adolescents is significantly different from that of older married couples, and it is influenced by educational, developmental, social, and psychological factors. This study provides information about the prevalence of contraceptive methods used among single adolescents in college and examines the factors that motivate their choice. 971 randomly selected males and females aged 18-24 years in a Nigerian tertiary institution were interviewed personally. The analysis of these 971 single adolescents having similar age distributions but different ethnic and religious backgrounds showed that most respondents (97.7% and 98.4% of males and females, respectively) knew at least one method of contraception. The commonest methods ever used were the condom (43%) and the rhythm method (31%). Females were mainly motivated by the need to prevent pregnancy, while males were more concerned with disease prevention in unstable sexual relationships. Adolescents who based their contraceptive choice on disease prevention did not choose the condom more frequently than other methods. Factors militating against contraceptive use by sexually experienced respondents included religious belief and fear of complications. The study recommends that college clinics be strengthened to manage reproductive health services. Programs should include information, education, and communication efforts targeted at these young people.
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