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Female adolescents’ reproductive health decision-making capacity and contraceptive use in sub-Saharan Africa: What does the future hold?

Author

Listed:
  • Bright Opoku Ahinkorah
  • John Elvis Hagan Jr.
  • Abdul-Aziz Seidu
  • Francis Sambah
  • Faustina Adoboi
  • Thomas Schack
  • Eugene Budu

Abstract

Introduction: Given the social, economic, and health consequences of early parenthood, unintended pregnancy, and the risks of HIV infection and subsequent transmission, there is an urgent need to understand how adolescents make sexual and reproductive decisions regarding contraceptive use. This study sought to assess the association between female adolescents’ reproductive health decision-making capacity and their contraceptive usage. Materials and methods: Data was obtained from pooled current Demographic and Health Surveys (DHS) conducted in 32 countries in sub-Saharan Africa (SSA). The unit of analysis for this study was adolescents in sexual unions [n = 15,858]. Bivariate and multivariable analyses were conducted using Pearson chi-square tests and binary logistic regression respectively. All analyses were performed using STATA version 14.2. Results were presented using Odds Ratios [OR] and adjusted Odds Ratios [AOR]. Statistical significance was set at p

Suggested Citation

  • Bright Opoku Ahinkorah & John Elvis Hagan Jr. & Abdul-Aziz Seidu & Francis Sambah & Faustina Adoboi & Thomas Schack & Eugene Budu, 2020. "Female adolescents’ reproductive health decision-making capacity and contraceptive use in sub-Saharan Africa: What does the future hold?," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-20, July.
    • Handle: RePEc:plo:pone00:0235601
    DOI: 10.1371/journal.pone.0235601
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    References listed on IDEAS

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    2. Bundy, Donald AP & de Silva, Nilanthi & Horton, Susan & Patton, George C & Schultz, Linda & Jamison, Dean T & Disease Control Priorities-3 Child and Adolescent Health and Development Authors Group,, 2018. "Investment in child and adolescent health and development: key messages from Disease Control Priorities, 3rd Edition," Department of Economics, Working Paper Series qt22d8g11r, Department of Economics, Institute for Business and Economic Research, UC Berkeley.
    3. David Antonio Sánchez-Páez & José Antonio Ortega, 2018. "Adolescent contraceptive use and its effects on fertility," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 38(45), pages 1359-1388.
    4. Tolhurst, Rachel & Amekudzi, Yaa Peprah & Nyonator, Frank K. & Bertel Squire, S. & Theobald, Sally, 2008. ""He will ask why the child gets sick so often": The gendered dynamics of intra-household bargaining over healthcare for children with fever in the Volta Region of Ghana," Social Science & Medicine, Elsevier, vol. 66(5), pages 1106-1117, March.
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