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Research article
Sidikiba Sidibe
Universite Gamal Abdel Nasser de Conakry
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7905-9042
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background
In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea.
Methods
We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15-24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018).
Results
We found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p<0.01) and demand satisfied (29.0% in 1999, 54.1% in 2018, p<0.001), and a decrease in unmet need for FP (15.8% in 1999, 8.6% in 2018, p<0.001). Factors significantly associated with modern FP use were; young women aged 20-24 years (AOR 2.8, 95% CI: 1.9–4.1), living in urban areas of Faranah (AOR: 2.6, 95% CI: 1.1–6.5) and Kankan (AOR: 3.6, 95% CI: 1.7–7.8), living in households in the middle (AOR: 7.7, 95% CI: 1.4–42.2) and richer wealth quintiles (AOR: 6.3, 95% CI: 1.0–38.1). Ever-married women (AOR: 0.5, 95% CI: 0.3–0.9) were less likely to use modern FP methods than never married as were those from the Peulh (0.3, 95% CI: 0.2–0.4) and Malinke (0.5, 95% CI: 0.3–0.8) ethnic groups compared to Soussou ethnic group.
Conclusion
Despite some progress, efforts are still needed to improve FP method use among urban adolescent and young women. Age, administrative region, wealth index, marital status, and ethnic group are significantly associated with modern FP use. Future policies and interventions should place emphasis on improving adolescents’ reproductive health knowledge, increasing FP availability and strengthening provision. Efforts should target adolescents aged 15–19 years in particular, and address disparities between administrative regions and ethnic groups, and health-related inequalities.
Keywords
contraception, family planning, unmet need, adolescents and young adults, Guinea DHS, health disparities
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- STROBEGuidelinechecklistREV.docx
STROBE Statement—Checklist of items that should be included in reports of cross-sectional studies
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CURRENT STATUS: Published
View the published article at BMC Public Health.
Version 2
Posted 10 Nov, 2020
No community comments so far
Editorial decision: Accept
On 21 Nov, 2020
Editor assigned
On 01 Nov, 2020
Submission checks complete
On 01 Nov, 2020
Editor invited
On 01 Nov, 2020
No comments provided
Editorial decision: Major revision
On 03 Oct, 2020
Review #3 received
Received 01 Oct, 2020
Reviewer #3 agreed
On 15 Sep, 2020
Review #2 received
Received 12 Sep, 2020
Reviewer #1 agreed
On 12 Sep, 2020
Reviewer #2 agreed
On 12 Sep, 2020
Review #1 received
Received 12 Sep, 2020
Reviewers invited
Invitations sent on 09 Aug, 2020
Editor assigned
On 28 Jul, 2020
First submitted
On 27 Jul, 2020
Submission checks complete
On 27 Jul, 2020
Editor invited
On 27 Jul, 2020
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A new preprint design is coming!
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See the published version of this preprint at BMC Public Health.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Sidikiba Sidibe
Universite Gamal Abdel Nasser de Conakry
Corresponding Author
ORCiD: https://orcid.org/0000-0002-7905-9042
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Public Health.
Version 2
Posted 10 Nov, 2020
No community comments so far
Editorial decision: Accept
On 21 Nov, 2020
Editor assigned
On 01 Nov, 2020
Submission checks complete
On 01 Nov, 2020
Editor invited
On 01 Nov, 2020
No comments provided
Editorial decision: Major revision
On 03 Oct, 2020
Review #3 received
Received 01 Oct, 2020
Reviewer #3 agreed
On 15 Sep, 2020
Review #2 received
Received 12 Sep, 2020
Reviewer #1 agreed
On 12 Sep, 2020
Reviewer #2 agreed
On 12 Sep, 2020
Review #1 received
Received 12 Sep, 2020
Reviewers invited
Invitations sent on 09 Aug, 2020
Editor assigned
On 28 Jul, 2020
First submitted
On 27 Jul, 2020
Submission checks complete
On 27 Jul, 2020
Editor invited
On 27 Jul, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Public Health.
Background
In Guinea, high fertility among adolescents and young women in urban areas remains a public health concern. This study describes trends in contraceptive use, unmet need, and factors associated with the use of modern family planning (FP) methods among urban adolescents and young women in Guinea.
Methods
We used four Guinea Demographic and Health Surveys (DHS) conducted in 1999, 2005, 2012, and 2018. Among urban adolescents and young women (15-24 years), we examined trends over time in three key indicators: 1. Modern Contraceptive use, 2. Unmet need for FP and 3. Modern contraceptive use among those in need of FP (demand satisfied). We used multivariable logistic regression to examine association between socio-demographic factors and modern FP use on the most recent DHS dataset (2018).
Results
We found statistically significant changes over the time period examined with an increase in modern contraceptive use (8.4% in 1999, 12.8% in 2018, p<0.01) and demand satisfied (29.0% in 1999, 54.1% in 2018, p<0.001), and a decrease in unmet need for FP (15.8% in 1999, 8.6% in 2018, p<0.001). Factors significantly associated with modern FP use were; young women aged 20-24 years (AOR 2.8, 95% CI: 1.9–4.1), living in urban areas of Faranah (AOR: 2.6, 95% CI: 1.1–6.5) and Kankan (AOR: 3.6, 95% CI: 1.7–7.8), living in households in the middle (AOR: 7.7, 95% CI: 1.4–42.2) and richer wealth quintiles (AOR: 6.3, 95% CI: 1.0–38.1). Ever-married women (AOR: 0.5, 95% CI: 0.3–0.9) were less likely to use modern FP methods than never married as were those from the Peulh (0.3, 95% CI: 0.2–0.4) and Malinke (0.5, 95% CI: 0.3–0.8) ethnic groups compared to Soussou ethnic group.
Conclusion
Despite some progress, efforts are still needed to improve FP method use among urban adolescent and young women. Age, administrative region, wealth index, marital status, and ethnic group are significantly associated with modern FP use. Future policies and interventions should place emphasis on improving adolescents’ reproductive health knowledge, increasing FP availability and strengthening provision. Efforts should target adolescents aged 15–19 years in particular, and address disparities between administrative regions and ethnic groups, and health-related inequalities.
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
- STROBEGuidelinechecklistREV.docx
STROBE Statement—Checklist of items that should be included in reports of cross-sectional studies
Loading...